The Road to National Health Insurance (JKN)

May 2015

In 2005, the government committed to providing health insurance for the poor with the launch of the Jamkesmas (Jaminan Kesehatan Masyarakat or Public Health Insurance) programme. That programme has now begun a new chapter in the evolution towards universal health coverage. On January 01, 2014, the Government of Indonesia launched JKN (Jaminan Kesehatan Nasional or National Health Insurance), which aims to protect the Indonesian public from the shock of sudden health crises.

JKN is being implemented in stages, with the aim of providing universal health coverage to the entire population by 2019. Since its launch, JKN has undergone a number of improvements. These include enhanced regulations, increased levels of participation, improved benefits, bettercalculated premiums, a more efficient information management system, improved management and the use of the capitation fund at community health clinics, and the use of a prospective payment system for hospitals. However, JKN will face challenges in the future. These include developing a strategy for its sustainability, finding new sources of revenue for the health sector, expanding its membership, improving the readiness of the supply-side and implementing a pharmaceutical policy for the country’s health insurance system.

‘The Road to National Health Insurance’ documents the dynamics of creating and implementing the policies for a social health insurance programme, as well as the efforts made by the National Team for the Acceleration of Poverty Reduction (TNP2K - Tim Nasional Percepatan Penanggulangan Kemiskinan) to improve these dynamics. It is our hope that this book will provide a foundation on which to base future improvements in the programme.

You are free to copy, distribute and transmit this report for non-commercial purposes.

To request a copy of this report or further information, please contact the TNP2K Knowledge Management Unit (kmu@tnp2k.go.id).

This report is also available at the TNP2K website (www.tnp2k.go.id).