Analysis of Hemodialisa (HD) Services Based on Comparison of Calculations Hospital Rates with Rates BPJS Kesehatan

Abstract

For hospitals to grow and develop in order to be managed efficiently and effectively, it is necessary to face intense competition in the world of health services. If they want to survive in competition, hospitals need to recalculate their existing hospital rates, namely by using a competitive tariff model calculation. Based on the results of interviews with the head of the hemodialysis (HD) unit, it was stated that 95% of HD patients seeking treatment at Wangaya Hospital were BPJS patients and the rest were general patients. There is a difference in cost sharing between HD rates at hospitals and InaCBG's (BPJS) rates. Wangaya Hospital previously set a fee for HD patients at Rp. 990,000, while the BPJS has set a tariff for InaCBG's HD patients at IDR 887,100. Between HD rates from hospitals and BPJS, there is a difference in cost sharing. Researchers in this case only compared HD rates based on hospital rates and rates based on BPJS, so that the cost sharing value was small. So far, the hospital has never recalculated the difference based on these two rates. Based on this calculation, hospitals will incur losses in HD services in 2020, thus further research is needed on the topic above.