KONTRAK KAPITASI DALAM HUKUM KONTRAK INDONESIA
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The existence of Act No. 3 of 1992 on Social Security of Labor which regulates that a company is required to provide social security, one of them by providing health insurance for its workers. One form of health insurance provided by the company to its employees is through a healthcare contract, made between the company and the hospital generally referred to as the capitation contract. However, until now there has been no legislation regulating the capitation contract so that the question arises about the validity, characteristics, and implementation of the capitation contract itself. This article aims to examine the characteristics, the validity, and the implementation of capitation contract in Indonesia. Specifically, this type of capitation contract has not been regulated in Indonesian legislation. The parties to the capitation contract are hospitals as providers of healthcare services and companies as recipients of healthcare services. Payments in capitation contracts are fixed and made regularly provided by the recipients of health care services. Capitation contracts are included in contracts that are beneficial to the third parties. Implementation of captation contract in Indonesia refers to the prevailing laws and regulations in Indonesia and should not be contradictory to the regulations such as Social Security of Labor, Health Law and Hospital Law.
Buku
Agus Budianto dan Gwendolyn Ingrid Utama, Aspek Jasa Pelayanan Kesehatan Dalam Perspektif Perlindungan Pasien (Karya Putra Darwati 2010).
F. Tengker dan S. Verbogt, Bab-Bab Hukum Kesehatan (Nova 1989).
Gunawan Widjaja, Seri Hukum Bisnis Memahami Prinsip Keterbukaan (Aanvullend Recht) Dalam Hukum Perdata (RajaGrafindo Persada 2007).
Henni Djuhaeni, Asuransi Kesehatan Dan Managed Care: Modul Belajar Mengajar (Program Pascasarjana Magister Ilmu Kesehatan Masyarakat Universitas Padjajaran 2007).
Munawar Kholil, ‘Modul Hukum Asuransi' (Universitas Negeri Sebelas Maret 2010)
Peter Zweifel, The Theory of Social Health Insurance (now Publishers Inc 2007)
Subekti, Aneka Perjanjian (Citra Aditya Bakti 1995).
Sulastomo, Manajemen Kesehatan (Gramedia Pustaka Utama 2007).
Suleman Batubara dan Orinton Purba, Arbitrase Internasional: Penyelesaian Sengketa Investasi Asing Melalui ICSID, UNCITRAL, Dan SIAC (Raih Asa Sukses 2013).
Hasbullah Thabary, ‘Keterbukaan Dalam Pembayaran Kapitasi' (Universitas Indonesia 2014).
Theresa W. Bourdon, An Introduction to Capitation and Health Care Provider Excess Insurance (FCAS 1997).
Jurnal
I Gede Made Wintera dan Julita Hendrartini, ‘Determinan Kepuasan Dokter Puskesmas Terhadap Sistem Pembayaran Kapitasi Peserta Wajib PT. Askes Di Kabupaten Donggala Provinsi Sulawesi Tengah' (2005) Vol. 08 Jurnal Manajemen Pelayanan Kesehatan.
Rachmad Suhanda, ‘Jaminan Kesehatan Dan Managed Care' (2015) Vol. 2 Jurnal Universitas Padjajaran Bandung.
Laman
‘BPJS Kesehatan' <http://www.bpjs-kesehatan.go.id/bpjs/index.php/pages/detail/2014/13> accessed 15 January 2017.
Patrick C. Alguire, ‘Understanding Capitation' (American College of Physicians) <http://www.acponline.org/about-acp/about-internal-medicine/career-paths/residency-career-counseling/guidance/understanding-capitation> accessed 13 September 2017.
Perundang-undangan
Undang-Undang Dasar Negara Republik Indonesia 1945.
Burgerlijk Wetboek (BW).
Undang-Undang Nomor 3 Tahun 1992 Tentang Jaminan Sosial Tenaga Kerja (Lembaran Negara Republik Indonesia Tahun 1992 Nomor 14, Tambahan Lembaran Negara Republik Indonesia Nomor 3468).
Undang-Undang Republik Indonesia Nomor 40 Tahun 2007 Tentang Perseroan Terbatas (Lembaran Negara Republik Indonesia Tahun 2007 Nomor 106, Tambahan Lembaran Negara Republik Indonesia Nomor 4756).
Undang-Undang Republik Indonesia Nomor 36 Tahun 2009 Tentang Kesehatan (Lembaran Negara Republik Indonesia Tahun 2009 Nomor 144, Tambahan Lembaran Negara Republik Indonesia Nomor 5063).
Undang-Undang Nomor 44 Tahun 2009 Tentang Rumah Sakit (Lembaran Negara Republik Indonesia Tahun 2009 Nomor 153, Tambahan Lembaran Negara Republik Indonesia Nomor 5072).
Undang-Undang Nomor 40 Tahun 2014 Tentang Perasuransian (Lembaran Negara Republik Indonesia Tahun 2014 Nomor 337, Tambahan Lembaran Negara Republik Indonesia Nomor 5618).
Peraturan Presiden Republik Indonesia Nomor 12 Tahun 2013 Tentang Jaminan Kesehatan (Lembaran Negara Republik Indonesia Tahun 2013 Nomor 29).
Peraturan Presiden Republik Indonesia Nomor 32 Tahun 2014 Tentang Pengelolaan dan Pemanfaatan Dana Kapitasi Jaminan Kesehatan Nasional pada Fasilitas Kesehatan Tingkat Pertama Milik Pemerintah Daerah (Lembaran Negara Republik Indonesia Tahun 2014 Nomor 81).
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