Legal Reconstruction of BPJS Insurance Regarding the Tariffs on Types of Hospitals Based on Justice Values

Abstract

The government's strategic plan in the health sector is contained in the National Medium-Term Development Plan (RPJMN) 2020 to 2024, in the RPJMN there is a form of policy formulation in the health sector that focuses on various preventive efforts to control disease cases that occur in Indonesia. The purpose of this paper is to reveal (to explore) the fact that there have been deviations from the Health Policy on Determining BPJS Rates at Different Types of Hospitals. The approach method in this study uses a socio-legal approach method. Namely data obtained from qualitative. Processing this research data with primary data. The results of this research providing conclusion and advice that developing social security for all people has not been based on the value of social justice. This clearly can be found in the implementation of BPJS which still distinguishes tariff classes and affects services based on social justice values, BPJS service barriers in the application of tariffs to hospitals of different types for now, namely legal factors, society, culture, etc, and quality control efforts and make efforts to control costs in the application of BPJS tariffs based on the value of justice and the Making Institution (DPR and the President) must make rule breaking changes to medical regulations, regarding hospitals, and BPJS, the government must dare to emphasize that BPJS is obliged to carry out government functions in the field of public services, and the government must carry out Reclassification of coding and the establishment of standard services for interventional and invasive cardiac procedures between PERKI and P2JK (Center for Health Insurance and Financing) of the Ministry of Health.