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https://jakartaglobe.id/special-updates/national-health-insurance-jkn-coverage-reaches-9819-pct

The Jakarta Globe August 9, 2024 | 11:17 am

Jakarta. The National Health Insurance scheme, better known by its acronym JKN, has reached a coverage of 98.19 percent of the total population, according to BPJS Kesehatan.

In other words, around 276.5 million people across the archipelago are registered JKN members. The high membership rate has earned Indonesia the Universal Health Coverage (UHC) award. Vice President Ma’ruf Amin recently said that the UHC status would call for collaboration between all stakeholders.

“The sub-national governments need to make sure that the people in their respective regions are active JKN members,” Ma’ruf said, while also stressing the need to make sure that people have no trouble accessing healthcare services.

According to the International Social Security Association (ISSA), the freshly earned award sought to recognize Indonesia’s success in achieving UHC.

“The UHC is important to make sure that anyone can access quality healthcare services. A UHC status takes great effort, including reaching people from all walks of life and making sure the management of this JKN program in terms of its financial sustainability,” ISSA’s president Mohammed Azman said.

BPJS Kesehatan president director Ghufron Mukti said JKN’s high coverage rate showed the government’s commitment to ensuring healthcare access for all.

“The achievement of UHC is not just a statistical figure, but a real manifestation of the state's responsibility in ensuring that every individual receives proper health services. This is also in line with our 2020-2024 National Medium-Term Development Plan that seeks a 98 percent JKN membership rate,” Ghufron said.

As of Aug. 1, BPJS Kesehatan has partnered with 23,205 of the so-called Primary Healthcare Facilities (FKTP) and 3,129 Advanced Referral Healthcare Facilities (FKRTL). BPJS Kesehatan has also partnered with floating hospitals to help people in remote areas.

Since its launch, the JKN Program has continued to show an increase in terms of both the number of participants and fund management. In 2014, BPJS Kesehatan received contributions of Rp 40.7 trillion. The numbers jumped to Rp 151.7 trillion in 2023.

"The collectibility of JKN contributions reached 98.62 percent in 2023. So people are now more aware of the importance of paying the JKN fees to maintain this program’s sustainability,” Ghufron said.

In 2023, BPJS Kesehatan disbursed Rp 34.7 trillion to handle 29.7 million cases of catastrophic diseases.

According to him, this is a major challenge for BPJS Kesehatan because, on the one hand, more and more people are being helped. However, on the other hand, BPJS Kesehatan must be able to control the cost of health services.

BPJS Kesehatan has also launched the JKN Mobile app which includes an online queue feature to cut the participants’ waiting time. The app also offers the i-Care JKN feature, which allows participants and doctors to see medical history, medicines, and actions that have been taken in the last 12 months.

BPJS Kesehatan also reported an increase in JKN services usage. In 2014, there were 92.3 million service users before it jumped to 606.7 million in 2023. BPJW Kesehatan’s financial reports have also earned high audit rates WTP and WTM for the tenth time in a row. This shows BPJS Kesehatan's consistency in implementing good governance, transparency, and accountability in managing the JKN program, according to Ghufron.