Words from the Editor-in-Chief

Words from the Editor-in-Chief

Thematic issue " Provider Payment in Social Health Insurance."

 Dear Colleagues,

Social Health Insurance is one of the strategies to achieve Universal Health Coverage (UHC). In Indonesia, social health insurance through the National Health Insurance (JKN) is a crucial way to achieve UHC. Since starting in 2014, BPJS Kesehatan has been encouraged to become a strategic health purchaser. One of the characteristics of a strategic health purchaser is the effort always to move dynamically to manage the system more efficiently. Provider payment is an essential dimension to making it happen.

Since 2014, various policies for payment providers have been carried out by BPJS Kesehatan as a purchaser. Regarding hospital payment, BPJS Kesehatan conducted studies on the ideal amount of DRGs rates used to pay for hospital service packages and began to pilot the global budget to find the most suitable payment method for JKN. Regarding primary healthcare facilities, BPJS Kesehatan has issued regulations regarding service commitment-based capitation to performance-based capitation but has never reviewed the introductory capitation rates. During my work under the Samya Stumo Fellowship, my study found that capitation payment in JKN is implemented differently from the basic concept of capitation. It does not have any risk adjusters, which makes primary healthcare facilities bear on unanticipated expenses.

Addressing challenges in finding the best payment provider requires engagement and collaboration among JKN's stakeholders and health financing researchers. Knowledge sharing on this issue will assist evidence-based decision-making on this issue.

IJHA provides a forum for discussing discoveries and sharing from Indonesia and abrod under the thematic issue "Provider Payment in Social Health Insurance." International authors are highly expected to write about the experience in their country so that our readers will have a broad understanding of how provider payment functions in different contexts of the health system.

Please consider publishing your research in the Indonesia Journal of Health Administration. The deadline for submission of the manuscript is 30 January 2023. You may send your manuscript now or up until the deadline. Submitted papers should not be under consideration for publication elsewhere. We also encourage authors to send a short abstract or tentative title to the Editorial Office in advance (jaki@fkm.unair.ac.id).

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