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No more classes: BPJS considers premium hike with standard inpatient class rollout

Jakarta Globe - May 18, 2024

Hendro Dahlan Situmorang, Jakarta – The CEO of BPJS Kesehatan, Ali Ghufron Mukti, has indicated the possibility of raising participant premiums for the national health insurance scheme.

This move comes as BPJS plans to introduce the Standard Inpatient Class (KRIS) starting June 30, 2025.

Under the new KRIS scheme, inpatient room services will be standardized for every patient. Currently, rooms are divided into three classes, which may result in a possible increase in premiums for class 3.

Although not providing details about the planned increase, Ghufron emphasized that the premium amount will not be the same.

"An increase is possible, or it might be lower for some. But what's clear is that this is pending evaluation," said Ghufron at the BPJS Health Office in Jakarta on Friday.

Ghufron underscored the potential benefits of tariff adjustments for the financial sustainability of the National Health Insurance (JKN) program, stressing that BPJS Health must ensure financial stability without reverting to deficits.

The new premium rates will be evaluated after the KRIS program is officially implemented on June 30, 2025.

BPJS participant premiums are Rp 150,000 ($9.4) monthly for class 1 and Rp 100,000 for class 2. Meanwhile, class 3 premiums amount to Rp 42,000, with the government subsidy covering Rp 7,000, resulting in a monthly fee of Rp 35,000.

Health Minister Budi Gunadi Sadikin elaborated on the transition of the BPJS class system to the Standard Inpatient Class (KRIS), aimed at elevating inpatient service standards across hospitals. Budi highlighted the extensive year-long testing of the KRIS implementation.

"The objective of KRIS is to enhance minimum inpatient service standards across hospitals, rather than eliminate them entirely. Moreover, this transition will be phased, following over a year of testing in regional, private, and central hospitals," explained Budi.

Budi said that under KRIS, inpatient services will be standardized, including maximum occupancy per room and the provision of in-room bathrooms and privacy curtains.

"The previous practice of accommodating six to eight patients in a single room will transition to a maximum of four patients per room under KRIS. Furthermore, all rooms must now be equipped with in-room bathrooms, ensuring patient privacy and comfort," clarified Budi.

Budi emphasized that KRIS implementation aims to ensure equitable healthcare access for Indonesia's 280 million people. Consequently, hospitals are expected to enhance their facilities to meet the upgraded standards.

"By prioritizing service quality, the government expects hospitals to upgrade their facilities to better serve Indonesia's vast population," concluded Budi.

Source: https://jakartaglobe.id/news/no-more-classes-bpjs-considers-premium-hike-with-standard-inpatient-class-rollou