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Sistem Pembiayaan dan Skema Kelembagaan Jaminan Kesehatan Daerah Kota Yogyakarta (Cost System and Institution Local Health Insurance Scheme of Yogyakarta City)

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State using national health insurance system as a state system andgovernment to give social protection so that each people can fullfil humanbasic needs. Health social insurance to give protect ensurement healthsocial welfare so that each people can fullfil life need for social welfareIndonesian people. To identify the problems, obstacle, and challenge withcost system and scheme of institution Local Health Insurance which has developto day. This research is case study using qualitative method with retrospectivepolicy analyzed approach. This analyzed policy oriented to aplicationwith identify the problems in cost system and scheme of institution.Show that, first in cost system which used by local government not yet applicationprospective payment system fullfily but combine with retrospectivepayment. Local Health Insurance in Yogyakarta not yet adopt maintenanceof public health insurance (JPKM) system. Cost sourcees from local revenueand expenditure budget (APBD). Second, scheme of institution stillhave problems to control money by technical implementation unit of localhealth insurance providers (UPT PJKD). The authority managing of moneynot yet autonom so that impact to slowly of the claim getting mechanism.Limitation human resources implicated to effectiveless intitution to serveacceptener.

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Kesmas; 5(6) 2011:275-282

Publisher

Depok : Fakultas Kesehatan Masyarakat UI., 2011

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7p.

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ISBN/ISSN

1907-7505

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