COVID-19 Case: Does Indonesian Need Health Endowment Fund?

  • Felix Wisnu Handoyo, SE., M.Sc. Economic Research Center, the Indonesian Institute of Sciences
  • Esta Research Center for Behavioral and Circular Economics, the National Research and Innovation Agency (BRIN), Universitas Padjajaran
  • Ikval Research Center for Behavioral and Circular Economics, the National Research and Innovation Agency (BRIN)
  • Atika Z. Rahmayanti Research Center for Behavioral and Circular Economics, the National Research and Innovation Agency (BRIN)
DOI: https://doi.org/10.14203/JEP.30.2.2022.81-100
Keywords: health endowment fund, non-communicable diseases, national health insurance

Abstract

This paper aims to examine whether Indonesia needs a Health Endowment Fund (HEF) as an effort to find efficiency and effectiveness of health cover fund. Since 2014, Indonesia has officially implemented National Health Insurance (NHI or Jaminan Kesehatan Nasional/JKN) according to Indonesian Law No.40/2004. The implementation of NHI is technically managed by Health Social Insurance Administration Organization (HSIAO), popularly known as Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan. Since 2014, the trend for people living with NCD increases from 2007 to 2014. This trend may lead to consequences of potential financial deficit for HSIAO in the future. Furthermore, likewise many countries, Indonesia have been facing fiscal shock due to recessions from pandemic COVID-19 and increasing deficits from health insurance claims. By applying secondary data, from IFLS 4 & 5, and the National Research and Innovation Agency (BRIN) (formerly as known as LIPI) survey in 2020, this study investigate the effect of non-communicable disease (NCD) on household expenditures to estimate the extent of HEF is needed in Indonesia. Using regression analysis the result showed that NCD  was associated with household’s expenditure per capita and access to health care and on the other hand, NCD has a negative effect on subjective perceived of health status. Therefore, HEF may be a long-term solution for the financial burden may face HSIAO to mitigate fiscal shock for the government budget.

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References

Bisnis.com. (2020). Tak Lagi Defisit, BPJS Kesehatan Diyakini Bakal Catat Surplus Rp 2,56 Triliun. Tempo.Co.

Bloom, D. E., Chen, S., McGovern, M., Prettner, K., Candeias, V., Bernaert, A., & Cristin, S. (2015). Economics of Non-Communicable Diseases in Indonesia. In World Economic Forum (Issue April). http://www3.weforum.org/docs/WEF_The_Economics_of_non_Disease_Indonesia_2015.pdf

BPJS-Kesehatan. (2019). Audited Financial Report 2019.

Chaker, L., Falla, A., van der Lee, S. J., Muka, T., Imo, D., Jaspers, L., Colpani, V., Mendis, S., Chowdhury, R., Bramer, W. M., Pazoki, R., & Franco, O. H. (2015). The global impact of non-communicable diseases on macro-economic productivity: a systematic review. European Journal of Epidemiology, 30(5), 357–395. https://doi.org/10.1007/s10654-015-0026-5

Cummins, J. D., & Mahul, O. (2008). Catastrophe Risk Financing in Developing Countries. In Catastrophe Risk Financing in Developing Countries. https://doi.org/10.1596/978-0-8213-7736-9

Direktorat Jenderal Pencegahan dan Pengendalian Penyakit. (2019). Buku Pedoman Penyakit Tidak Menular. In Kementerian Kesehatan RI.

Fahdiansyah, P., Diliawan, R., Sahar, A. R., & Rahman, A. (2018). An Assessment of Collaborative Governance : Case Study in Indonesia Endowment Fund for Education ( LPDP ). July, 1–13.

Goodman, N. (2015). The impact of employment on the health status and health care costs of working-age people with disabilities. LEAD Center Policy Brief, 1–11.

Gotsadze, G., Bennett, S., Ranson, K., & Gzirishvili, D. (2005). Health care-seeking behaviour and out-of-pocket payments in Tbilisi, Georgia. Health Policy and Planning, 20(4), 232–242. https://doi.org/10.1093/heapol/czi029

Handoyo, F. W. (2020a). Anomali Kebijakan di Bidang Kesehatan Saat Pandemi. Kompas.Com.

Handoyo, F. W. (2020b). Impact Evaluation Indonesia’s National Health Insurance: Strengthening and Equalization Health Services. In B. S. Nazamuddin, S. Mahdi, C. Dewi, M. S. Sjafei, A. Halimatussadiah, D. Hartono, D. Pratomo, H. Handra, & B. P. Resosudarmo (Eds.), IRSA Book Series on Disasters and Regional Development in Indonesia (18th ed., Vol. 18, pp. 159–188). IRSA Press.

Handoyo, F. W. (2020c). Melawan Invasi Covid-19. Bisnis Indonesia, 2.

Handoyo, F. W. (2021). Kebijakan Ekonomi dalam Tekanan Pandemi COVID-19. In M. T. Sambodo (Ed.), Diskursus Kebijakan Pembangunan (pp. 33–42). LIPI Press. https://doi.org/https://doi.org/10.14203/press.261

Hartomo, G. (2020). Sri Mulyani: Sejak 2014 Defisit BPJS Kesehatan Trennya Naik. Okezone.Com. https://economy.okezone.com/read/2020/02/18/20/2170274/sri-mulyani-sejak-2014-defisit-bpjs-kesehatan-trennya-naik#:~:text=Menurut Sri Mulyani%2C pada 2014,oleh pemerintah sebesar Rp5 triliun.

Indonesian Law No.24/2011. (2011a). Badan Penyelenggara Jaminan Sosial (pp. 1–68). Sekretariat Negara Republik Indonesia.

Indonesian Law No.24/2011. (2011b). Badan Penyelenggara Jaminan Sosial (pp. 1–68). Sekretariat Negara Republik Indonesia.

Indonesian Law No.40/2004. (2004). Sistem Jaminan Sosial Nasional (pp. 1–36). Sekretariat Negara Republik Indonesia.

Institute for Health Metrics and Evaluation. (2019). Country Profile: Indonesia. Diakses November. http://www.healthdata.org/indonesia

Jaspers, L., Colpani, V., Chaker, L., van der Lee, S. J., Muka, T., Imo, D., Mendis, S., Chowdhury, R., Bramer, W. M., Falla, A., Pazoki, R., & Franco, O. H. (2014). The global impact of non-communicable diseases on households and impoverishment: a systematic review. European Journal of Epidemiology, 30(3), 163–188. https://doi.org/10.1007/s10654-014-9983-3

Kosen, S., Mboi, A. N., Murray, C. J., & Hay, S. I. (2018, July 16). Riset terbesar: usia harapan hidup orang Indonesia naik, beban penyakit tidak menular meningkat. The Conversation.

LPDP. (2019). Laporan Tahunan Lembaga Pengelola Dana Pendidikan (LPDP) Tahun 2019.

Marthias, T., Anindya, K., Ng, N., Mcpake, B., Atun, R., Arfyanto, H., Hulse, E. S., Zhao, Y., Jusril, H., Pan, T., Ishida, M., & Lee, J. T. (2021). Impact of non-communicable disease multimorbidity on healt service use catastrohic health expenditure and productivity loss in Indonesia: a population-based panel data analysis study. BMJ Journal, 11, 1–13.

Mboi, N., Murty Surbakti, I., Trihandini, I., Elyazar, I., Houston Smith, K., Bahjuri Ali, P., Kosen, S., Flemons, K., Ray, S. E., Cao, J., Glenn, S. D., Miller-Petrie, M. K., Mooney, M. D., Ried, J. L., Nur Anggraini Ningrum, D., Idris, F., Siregar, K. N., Harimurti, P., Bernstein, R. S., … Hay, S. I. (2018). On the road to universal health care in Indonesia, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet, 392(10147), 581–591. https://doi.org/10.1016/S0140-6736(18)30595-6

Minister of Health Regulation No.52/2016. (2016). Peraturan Menteri Kesehatan Republik Indonesia Nomor 52 Tahun 2016 Tentang Standar Tarif Pelayanan Kesehatan Dalam Penyelenggaraan Program Jaminan Kesehatan. In Kementerian Kesehatan Republik Indonesia.

Minister of Health Regulation No.76/2016. (2016). PMK 76 tentang Pedoman Indonesian Case Based Groups (INA CBG’s) dalam Pelaksanaan Jaminan Kesehatan Nasional. In Menteri Kesehatan Republik Indonesia (pp. 1–275).

Muka, T., Imo, D., Jaspers, L., Colpani, V., Chaker, L., van der Lee, S. J., Mendis, S., Chowdhury, R., Bramer, W. M., Falla, A., Pazoki, R., & Franco, O. H. (2015). The global impact of non-communicable diseases on healthcare spending and national income: a systematic review. European Journal of Epidemiology, 30(4), 251–277. https://doi.org/10.1007/s10654-014-9984-2

Nugraheni, W. P., & Hartono, R. K. (2017). Determinan Pengeluaran Kesehatan Katastropik Rumah Tangga Indonesia Pada Tahun Pertama Implementasi Program JKN. Buletin Penelitian Kesehatan, 45(1), 27–36. https://doi.org/10.22435/bpk.v45i1.6069.27-36

Pernando, A. (2020). Iuran BPJS Kesehatan Naik Juli 2020, Begini Tahapannya... Bisnis.Com. https://finansial.bisnis.com/read/20200513/215/1239968/iuran-bpjs-kesehatan-naik-juli-2020-begini-tahapannya#:~:text=Iuran BPJS Kesehatan peserta mandiri,Rp42.000 untuk kelas III.&text=Setelah Perpres No.64%2F2020,dan Kelas 3 Rp42.000.

Pratama, W. P. (2020). Pandemi Covid-19: Masyarakat Hidup Sehat, Mungkinkah Klaim BPJS Menurun? Bisnis.Com.

Preker, A., Carrin, G., Dror, D. M., Jakab, M., Hsiao, W., & Arhin, D. (2013). Role of Communities in Resource Mobilization and Risk Sharing: A Synthesis Report. In SSRN Electronic Journal (Issue September). The International Bank for Reconstruction and Development/The World Bank. https://doi.org/10.2139/ssrn.2293583

President Regulation No. 64/2020. (2020). Perubahan Kedua Perpres N0.82/2018 Tentang Jaminan Kesehatan (pp. 1–12). Sekretariat Negara Republik Indonesia.

Presidential Regulation No.82/2018. (2018). Peraturan Presiden Republik Indonesia Nomor 82 Tahun 2018 Tentang Jaminan Kesehatan (Vol. 53, pp. 1–74).

Purwanto, Lestari, E., Yuliana, C. I., Hidayatina, A., Handoyo, F. W., Firdaus, N., Rahmayanti, A. Z., Nurjati, E., Cahyono, B. D., Novandra, R., & Farandy, A. R. (2020). Strategi Penguatan Ketahanan Pangan Rumah Tangga dan Jaring Pengaman Sosial dimasa Pandemi COVID-19 (Issue 2, pp. 1–20). Pusat Penelitian Ekonomi.

Rand Corp. (2007). Indonesian Family Life Survey 4. https://www.rand.org/well-being/social-and-behavioral-policy/data/FLS/IFLS/access.html

Rand Corp. (2014). Indonesian Family Life Survey 5.

Sambodo, M. T., Hidayatina, A., Pranata, N., Buhaerah, N., Firdaus, N., Mychelisda, E., Soekarni, M., Thoha, M., Astuty, E. D., Sabila, K., Suardi, I., & Hakam, S. (2019). Tata Kelola Dana Perwalian Perfilman dan Implementasi Insentif Pajak Tontonan yang Berdaya Saing dan Inklusif. In Laporan Akhir Penelitian.

Setyonaluri, D., & Aninditya, F. (2019). Transisi Demografi dan Epidemiologi: Permintaan Pelayanan Kesehatan di Indonesia. Direktorat Kesehatan dan Gizi Masyarakat, Kementerian PPN/Bappenas.

Sukmana, Y. (2019). Iuran BPJS Kesehatan Naik, Terima Kasih Pak Jokowi... Kompas.Com

Published
2023-03-29
How to Cite
Handoyo, SE., M.Sc., Felix Wisnu, Esta Lestari, Ikval Suardi, and Atika Z. Rahmayanti. 2023. “COVID-19 Case: Does Indonesian Need Health Endowment Fund?”. Jurnal Ekonomi Dan Pembangunan 30 (2), 81-100. https://doi.org/10.14203/JEP.30.2.2022.81-100.
Issue
Vol. 30 No. 2 (2022): Jurnal Ekonomi dan Pembangunan
Section
Article

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