Transparency Disparities in the Social Health Insurance System: The Rights of Social Security Agency Patients to Cost Details in the Indonesian Case-Based Groups System
), Nur Ainy Amira Puspitaning Suwandi(2), Dominikus Rato(3), Y A Triana Ohoiwatun(4)
(1) Faculty of Law, Universitas Jember, Jember, Indonesia
(2) Faculty of Law, Universitas Jember, Jember, Indonesia
(3) Faculty of Law, Universitas Jember, Jember, Indonesia
(4) Faculty of Law, Universitas Jember, Jember, Indonesia
Corresponding Author
Abstract
Introduction: There is an information disparity between Social Security Administration Agency patients and independent patient, where Social Security Administration Agency patients do not gget detail of service fees because the INA-CBG (Indonesia Case Based Groups) payment system is based on the diagnosis group, white independent patients get a complete cost receipt.
Purposes of the Research: The Purpose of this study is to analyze the inequality of information transparency in the National Health Insurance system, especially related to the rights of Social Security Administration Agency patients to the details of service fees in the INA-CBG payment system. BPJS patients do not get details of costs like independent patients even though the use the same health facilities and evaluate the impact of the absence of such information on patients’ rights to transparency and accountability of health services.
Methods of the Research: The research method used is normative juridical, namely legal research concucted by examiningliterature materials consisting of primary legal materials, secondary legal materials and tertiary legal material. This research uses a statute approach and an analyrical approach.
Results Main Findings of the Research: The absence of detailed costs for Social Security Administration Agency patients has the pontential to violate the right to public information and consumer protection, which ultimately weekens the position of patients in objecting to the healt services received. This alsi reduces transparency and accountability in the implementation of the National Health Insurance, thereby hindering efforts to evaluate and improve the health service system for the community.
Keywords
DOI
10.47268/pamali.v5i3.3460
Published
2025-12-10
How To Cite
@article{pamali3460,
author = {Lutfi Aida and Nur Ainy Suwandi and Dominikus Rato and Y A Ohoiwatun},
title = {Transparency Disparities in the Social Health Insurance System: The Rights of Social Security Agency Patients to Cost Details in the Indonesian Case-Based Groups System},
journal = {PAMALI: Pattimura Magister Law Review},
volume = {5},
number = {3},
year = {2025},
keywords = {National Health Insurance; Social Security Administration Agency; Patient Rights},
abstract = {Introduction: There is an information disparity between Social Security Administration Agency patients and independent patient, where Social Security Administration Agency patients do not gget detail of service fees because the INA-CBG (Indonesia Case Based Groups) payment system is based on the diagnosis group, white independent patients get a complete cost receipt.Purposes of the Research: The Purpose of this study is to analyze the inequality of information transparency in the National Health Insurance system, especially related to the rights of Social Security Administration Agency patients to the details of service fees in the INA-CBG payment system. BPJS patients do not get details of costs like independent patients even though the use the same health facilities and evaluate the impact of the absence of such information on patients’ rights to transparency and accountability of health services.Methods of the Research: The research method used is normative juridical, namely legal research concucted by examiningliterature materials consisting of primary legal materials, secondary legal materials and tertiary legal material. This research uses a statute approach and an analyrical approach.Results Main Findings of the Research: The absence of detailed costs for Social Security Administration Agency patients has the pontential to violate the right to public information and consumer protection, which ultimately weekens the position of patients in objecting to the healt services received. This alsi reduces transparency and accountability in the implementation of the National Health Insurance, thereby hindering efforts to evaluate and improve the health service system for the community.},
issn = {2775-5649}, pages = {534--545} doi = {10.47268/pamali.v5i3.3460},
url = {https://fhukum.unpatti.ac.id/jurnal/pamali/article/view/3460}
}
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| Dublin Core | PKP Metadata Items | Metadata for this Document | |
| 1. | Title | Title of document | Transparency Disparities in the Social Health Insurance System: The Rights of Social Security Agency Patients to Cost Details in the Indonesian Case-Based Groups System |
| 2. | Creator | Author's name, affiliation, country | Lutfi Nur Aida; Faculty of Law, Universitas Jember, Jember; Indonesia |
| 2. | Creator | Author's name, affiliation, country | Nur Ainy Amira Puspitaning Suwandi; Faculty of Law, Universitas Jember, Jember; Indonesia |
| 2. | Creator | Author's name, affiliation, country | Dominikus Rato; Faculty of Law, Universitas Jember, Jember; Indonesia |
| 2. | Creator | Author's name, affiliation, country |
Y A Triana Ohoiwatun; Faculty of Law, Universitas Jember, Jember; Indonesia |
| 3. | Subject | Discipline(s) | |
| 3. | Subject | Keyword(s) | National Health Insurance; Social Security Administration Agency; Patient Rights |
| 4. | Description | Abstract | Introduction: There is an information disparity between Social Security Administration Agency patients and independent patient, where Social Security Administration Agency patients do not gget detail of service fees because the INA-CBG (Indonesia Case Based Groups) payment system is based on the diagnosis group, white independent patients get a complete cost receipt.Purposes of the Research: The Purpose of this study is to analyze the inequality of information transparency in the National Health Insurance system, especially related to the rights of Social Security Administration Agency patients to the details of service fees in the INA-CBG payment system. BPJS patients do not get details of costs like independent patients even though the use the same health facilities and evaluate the impact of the absence of such information on patients’ rights to transparency and accountability of health services.Methods of the Research: The research method used is normative juridical, namely legal research concucted by examiningliterature materials consisting of primary legal materials, secondary legal materials and tertiary legal material. This research uses a statute approach and an analyrical approach.Results Main Findings of the Research: The absence of detailed costs for Social Security Administration Agency patients has the pontential to violate the right to public information and consumer protection, which ultimately weekens the position of patients in objecting to the healt services received. This alsi reduces transparency and accountability in the implementation of the National Health Insurance, thereby hindering efforts to evaluate and improve the health service system for the community. |
| 5. | Publisher | Organizing agency, location | Postgraduate Program in Law, Pattimura University |
| 6. | Contributor | Sponsor(s) | |
| 7. | Date | (YYYY-MM-DD) | 2025-12-10 |
| 8. | Type | Status & genre | Peer-reviewed Article |
| 8. | Type | Type | |
| 9. | Format | File format | |
| 10. | Identifier | Uniform Resource Identifier | https://fhukum.unpatti.ac.id/jurnal/pamali/article/view/3460 |
| 10. | Identifier | Digital Object Identifier | 10.47268/pamali.v5i3.3460 |
| 11. | Source | Title; vol., no. (year) | PAMALI: Pattimura Magister Law Review; Vol 5, No 3 (2025): NOVEMBER (in progress) |
| 12. | Language | English=en | en |
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