Document

The Badan Penyelenggara Jaminan Sosial Kesehatan, commonly known as the BPJS Kesehatan, Indonesia’s public health Insurance agency was established as a public legal body to provide universal healthcare to its citizens. However, the financial deficit in the system seems to be growing exponentially. In 2018 BPJS Kesehatan recorded a deficit of more than 1.12 billion USD ‘becoming the most significant overspend in history.’ This has only grown in later years due to rising corruption, small premium, bad management and fraud.
The fallout of public health insurance deficits is that hospitals fail to provide treatment and services to patients despite health insurance coverage since BPJS Kesehatan is late in paying its obligation to the hospital.
This research analyzes how is the supervision function of BPJS Kesehatan towards its budget for the national health system and how to optimize its supervision system that can prevent fraud or abuse of budget and eventually can cover all the basic needs of all the Indonesian citizens.