TEMPO.CO, Jakarta - The Social Security Agency for Health (BPJS Kesehatan) projects a deficit of Rp6.23 trillion in 2017. President director Fachmi Idris said that number may rise to Rp10.05 by 2018.
By 2019, he said on Thursday, February 9, a deficit of Rp 12.7 trillion is expected if the state health insurer does not raise its premium and service tariffs.
During the sidelines of a hearing session with the House of Representatives' Commission IX yesterday, Fachmi said a deficit swell would be unavoidable if a number of provisions about the JKN–KIS card programs are not revised.
One of said provisions is the amount of premiums that participants must pay, as regulated by Presidential Regulation No.28/2016. Another one is about the medical service rates, as set out in the Health Minister's Regulation No. 59/2014.
The agency delivered the projections to answer Commission IX member Roberth Rouw's question in the previous hearing session. BPJS also answered to the commission's deputy Saleh Partaonan Daulay, who asked about what alternative scenarios the agency has for 2019 that can crunch deficits or create surpluses.
According to Fachmi, the agency carried out 22 scenario simulations, and the best option is to implement a strategy that is supported by a number of conditions.
The conditions include: to have all Indonesian citizens as participants, higher premiums, higher medical services tariffs, and tighter control and regulations.
The ideal premiums, he said, are Rp 53,000, Rp63,000, and Rp 80,000 for third, second and first class participants; and Rp 36,000 for subsidized participants.
With those rates, the BPJS Kesehatan may book surpluses of Rp9.29 trillion this year, Rp 12.55 trillion in 2018, and Rp 9.32 trillion by 2019.
