Al Asyary


Jaminan Kesehatan Nasional or JKN realized as the one of problem solving for equity of healthcare in Indonesian setting. At the same point, it has to compatible with all aspects in health financing issues by its newly adopted systems. This review aims to reveal JKN health financing policy since it implemented by 2014 in Indonesia. Several bibliographies databases were identified to conduct literature reviews that comprised of international and national/local journals. It founds that JKN principles focuses on mutual support, not-for-profit, good governance, and portability aspects. JKN enrollment consisted of two types polisholders including incapable polis insurance (PBI JKN) that bear by the Indonesian government, and capable polis insurance (none PBI JKN). JKN have to synergize with recent existing challenges including integration from previous regional health insurance (Jamkesda), healthcare facilities, package benefit, financing issue as well as the deficit issue which happened as lower dues that making by JKN polisholder than the high claim by the healthcare facilities particularly in hospitals. Although, JKN emerges to tackle the inequity of healthcare in all Indonesian regions, the existing settled Jamkesda in several regions, particularly regions with high regional income, made JKN integration as the setback health financing on its regions. Limited healthcare facilities that cooperated with BPJS-Kesehatan also challenged the JKN implementation as well as financial lose in affecting by mismatch between medical expenditures with JKN claimed as per package. It concludes that the political willing to choose several options including to prevent JKN deficit depend on the leader commitment to make JKN as not for another journey but it shall be the destination for health financing in Indonesia.


health financing; universal health coverage; health insurance; national health insurance; Indonesia

Full Text:



Ambarriani, A. S. (2014). Hospital Financial Performance in the Indonesian National Health Insurance Era. Review of Integrative Business and Economics Research, 4(1), 121–133.

Andria, F., & Kusnadi, N. (2017). Dampak Kepesertaan BPJS bagi Pekerja INnformal Di Bogor. JIMFE| Jurnal Ilmiah Manajemen Fakultas Ekonomi, 3(1), 1–15.

Aspinall, E. (2014). Health care and democratization in Indonesia. Democratization, 21(5), 803–823.

BPJS Kesehatan. (2017). Laporan Pengelolaan Program Tahun 2016 dan Laporan Keuangan Tahun 2016 (Auditan). Jakarta, Indonesia. Retrieved from

Dwiaji, A., Sarnianto, P., Thabrany, H., & Syarifudin, M. (2016). Evaluasi Pengadaan Obat Publik Pada JKN Berdasarkan Data e-Catalogue Tahun 2014-2015. Jurnal Ekonomi Kesehatan Indonesia, 1(1), 39–71.

Fossati, D. (2016). Is Indonesian local government accountable to the poor? Evidence from health policy implementation. Journal of East Asian Studies, 16(3), 307–330.

Habibie, W. L., Hardjosoekarto, S., & Kasim, A. (2017). Health Reform in Indonesia towards Sustainable Development Growth (Case Study on BPJS Kesehatan, Health Insurance in Indonesia). Review of Integrative Business and Economics Research, 6(3), 375.

Hadning, I., Ikawati, Z., & Andayani, T. M. (2015). Stroke Treatment Cost Analysis for Consideration on Health Cost Determination Using INA-CBGs at Jogja Hospital. International Journal of Public Health Science (IJPHS), 4(4), 288–293.

Hasanah, U., Mahawati, E., & Ernawati, D. (2013). Analisis Perbedaan Klaim INA-CBGs Berdasarkan Kelengkapan Data Rekam Medis Pada Kasus Emergency Sectio Cesaria trimester I tahun 2013 di RSUD KRT Setjonegoro Kabupaten Wonosobo. Jurnal Manajemen Informasi Kesehatan Indonesia, 1(2).

Indonesian Government. Undang-Undang Republik Indonesia Nomor 40 Tahun 2004 tentang: SJSN (Sistem Jaminan Sosial) (2004). Jakarta, Indonesia: BPJS.

Indonesian Government. Undang-Undang Republik Indonesia Nomor 24 Tahun 2011 tentang: BPJS (Badan Penyelenggara Jaminan Sosial) (2011). Indonesia.

Indriani, D., Kusnanto, H., Ghufron Mukti, A., & Kuntoro, K. (2013). Sistem Pendukung Keputusan Klinis untuk Efisiensi dalam Pelaksanaan INA-CBGs. In FIKI 2013 (Vol. 1). Semarang: Universitas Dian Nuswantoro. Retrieved from

Kusmini, K., Satibi, S., & Suryawati, S. (2016). Evaluasi Pelaksanaan E-Purchasing Obat pada Dinas Kesehatan Kabupaten/Kota Di Jawa Tengah Tahun 2015. JURNAL MANAJEMEN DAN PELAYANAN FARMASI (Journal of Management and Pharmacy Practice), 6(4), 277–287.

Lestari, F. H., & Djamaludin, M. D. (2017). Perception and Motivation of National Health Insurance Program Participation in Bogor. Journal of Consumer Sciences, 2(1).

Mboi, N. (2015). Indonesia: On the Way to Universal Health Care. Health Systems & Reform, 1(2), 91–97.

Mundiharno, & Thabrany, H. (2012). Peta Jalan Menuju Jaminan Kesehatan Nasional 2012-2019. Dewan Jaminan Sosial Nasional. Jakarta: DJSN Indonesia.

Nugraheni, S. W. (2015). Evaluasi Penerapan Jaminan Kesehatan Nasional (JKN) Di RSUD DR Moewardi Surakarta. Jurnal INFOKES APIKES CITRA MEDIKA SURAKARTA, 5(2), 1–14.

Pemerintah RI. (2013). Peraturan Presiden Republik Indonesia Nomor 12 Tahun 2013 Tentang Jaminan Kesehatan. Jakarta: Pemerintah Republik Indonesia.

Pemerintah RI. (2015). Keputusan Menteri Kesehatan Republik Indonesia Nomor HK. 02.02/Menkes/523/2015 tentang Formularium Nasional. Jakarta: Kementerian Kesehatan RI.

PerPres RI. Peraturan Presiden RI No. 111 tahun 2013 tentang Perubahan atas Perpres No. 12 tahun 2013 tentang Jaminan Kesehatan, Sekretariat Negara RI § (2013). Indonesia. Retrieved from

Põlluste, K., & Lember, M. (2016). Primary health care in Estonia. Family Medicine & Primary Care Review, 1, 74–77.

Sandhyaduhita, P., Fajrina, H. R., Pinem, A. A., Hidayanto, A. N., Handayani, P., & Junus, K. (2016). Hospital Service Quality from Patients Perspective: A Case of Indonesia. International Journal of E-Health and Medical Communications (IJEHMC), 7(4), 48–61.

Supriyantoro, S., & Hendarwan, H. (2014). A Case Study on the Implementation of Local Health Insurance Benefit Packages. Buletin Penelitian Sistem Kesehatan, 17(4 Okt), 327–336.

Supriyantoro, S., Hendarwan, H., & Savithri, Y. (2014). Analisa Kesiapan Integrasi Jaminan Kesehatan Daerah (Jamkesda). Jurnal Ekologi Kesehatan, 13(3 Sep), 179–189.

Thabrany, H., & Abidin, Z. (2017). Evaltuation of The National Drug Formularium and Electronic Catalog For The Indonesian UHC. Value in Health, 20(9), A898.

Thabrany, H., & Laborahima, Z. (2016). People’s Support on Sin Tax to Finance UHC in Indonesia, 2016. Jurnal Ekonomi Kesehatan Indonesia, 1(1).

Thabrany, H., Sari, K., Tilden, R., Dunlop, D. W., & Hajaraeni, Y. (2015). Supporting Indonesia’s DJSN to develop national guidelines for implementing a national social health insurance program by 2014. Depok: Center for Health Economics and Policy Studies, School of Public Health, University of Indonesia.

Tkachenko, V. I. (2017). Review of Ukrainian health care reformation on principles of family medicine. Family Medicine and Primary Care Review, 19(4), 425–429.

Trisnantoro, L., Marthias, T., & Harbianto, D. (2014). Universal health coverage assessment Indonesia. Report for Global Network for Health Equity (GNHE).

Veruswati, M., & Asyary, A. (2017a). Enrollment on Integration Process of National Health Assurance in Indonesia. Andalas Journal of Public Health, 11(2), 65–66.

Veruswati, M., & Asyary, A. (2017b). Implementation of Information System Towards Health System Strengthening in Indonesia: A Policy Brief. Public Health of Indonesia, 3(3), 73–76.

Widjaja, F. F. (2014). Universal health coverage in Indonesia – the forgotten prevention. Medical Journal of Indonesia, 23(3), 125–126.

Widodo, J. (2014). President of Republic Indonesia’s Speech: Badan Perencana Pembangunan Nasional/Kementerian Perencanaan Pembangunan Nasional. Jakarta, Indonesia: Bappennas/KemenPPN RI.


  • There are currently no refbacks.

Copyright (c) 2018 Public Health of Indonesia

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

PHI is Indexed in:

PHI is registered and being evaluated by:

Copyright 2015-2018 Public Health of Indonesia | e-ISSN 2477-1570 | p-ISSN 2528-1542 licensed under a Creative Commons Attribution-NonCommercial 4.0 International License