Ten Years of BPJS Health

Hospital services for BPJS participants in my city are also becoming more comfortable. Even though there are still many participants, they can be served regularly. Machine equipment assistance for registration as well as authorization speeds up service. The hospital waiting room is also more comfortable.

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The waiting time to pick up medicine at the pharmacy is still long, but I can understand that because there are hundreds of prescriptions that must be served every day. In fact, in large hospitals the number of outpatients may exceed a thousand people.

The availability of beds for treatment is now more open. Some hospitals provide data on the number of beds available. According to my observations as a patient, services are still hampered in the emergency department and intensive care unit. Both services are always full and have long queues.

I understand, we as participants enjoy health services more and in fact the services we receive are certainly inseparable from the policies and standard procedures prepared by BPJS Health. We participants have more contact with health services, but of course there are hopes that we want to convey to the BPJS Health management body. As participants, we would like to thank the government and BPJS Health administrators. We feel that BPJS Health is our collective property which we must maintain and strive to make it healthier and more advanced.

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We hope for efficiency efforts, including using advances in information technology. This will make access to health services easier, the waiting period to obtain health services and medication will be shorter. There is also a need to improve services for patients with limited mobility, such as stroke patients and elderly patients.

Please improve infrastructure and equipment to make it easier for participants with disabilities to receive services. So far, participants are generally accompanied by their families when accessing health services. Will there be volunteers or companions for participants who cannot be independent in the future? What about the possibility of home visiting services? Thank you for everyone's attention. Hopefully the BPJS Health that we are proud of will become healthier and more advanced.

M in J

I agree. Indonesian society is very fortunate to have BPJS Health. Although there were many complaints about the health services funded by BPJS in the early stages, now we are grateful that BPJS Health services are getting more complete and better.

Quoting data from BPJS Kesehatan, the number of participants in 2014 was only 133 million people, and by 2023 it had reached 267 million people or about 96 percent of our population. However, there is still a high number of inactive participants, around 50 million people. Inactive participants cannot receive the benefits of health services. The utilization of services that was only 252,000 per day in 2014, increased to 1.6 million in 2023. The guarantee costs also sharply increased from IDR 42.6 trillion in 2014 to IDR 158.8 trillion in 2023.

The financial condition of BPJS Kesehatan is also good. BPJS Kesehatan has a reserve fund that is able to pay claims for the next four months. This means that unlike before, health service claims cannot be immediately paid due to insufficient funds.

Medical facility

BPJS Health collaborates with various parties in serving public health. The number of primary health facilities collaborating with BPJS Health in 2014 was only 8,437 and by 2023, it has become 18,437. This sharp increase shows the trust in health services towards BPJS Health, which has also increased. In addition, advanced health services have also increased, from 1,681 in 2014 to 3,120 in 2023.

In this collaboration, BPJS Kesehatan is actually pushing for healthcare services to continuously improve their service quality and efficiency. Excessive laboratory examinations and unnecessary medication can be prevented. Standardization of healthcare services is also encouraged. Participants receive almost the same services even when receiving treatment in different places.

With improved financial conditions, BPJS Kesehatan can expand and improve its financing services. BPJS Kesehatan finances expensive health procedures such as dialysis and even kidney transplants. Before BPJS Kesehatan existed, many patients who needed surgery but couldn't afford it were unable to undergo the operation. Nowadays, the number of surgeries performed in various hospitals has increased because they can be financed by BPJS.

Improved BPJS management as well as healthcare services in various primary and advanced health facilities will increase participant satisfaction. The ongoing digitization has significantly facilitated participants in completing administration and accessing services. Agreements can be made online. Even for remote and outermost regions, telemedicine services are being developed.

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Until now, BPJS Health has focused more on curative services. However, they have also started to change their services by increasing efforts in preventive and health screening. As a result, many diseases can be prevented and if detected, they will be diagnosed at an early stage. This will not only reduce treatment costs, but most importantly, improve the success of therapy and prevention.

The existence of the Health Insurance BPJS has been felt beneficial by the people of Indonesia. However, there is still much to be improved and enhanced in the future. Compliance in paying premiums must be increased so that inactive participants can be reduced significantly. Communication between BPJS and health facilities and the community as participants must be improved. Let us change the communication from blaming each other to respecting and reminding each other. I also congratulate BPJS Health, which has been serving the community for 10 years now. You are right, BPJS Health is our mutual property, our pride, so we need to maintain it well.