Jamkesmas Health Service Fee Waiver
Macroeconomic growth and incomes have been on the rise since the Asian Financial Crisis (AFC), but health service utilization and health outcomes in Indonesia have been slower to improve. Jamkesmas could provide valuable benefits by allowing cardho...
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| Format: | Report |
| Language: | English en_US |
| Published: |
World Bank, Jakarta
2017
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| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/631981468044113991/Jamkesmas-health-service-fee-waiver http://hdl.handle.net/10986/26696 |
| id |
okr-10986-26696 |
|---|---|
| recordtype |
oai_dc |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
ACCESS TO SAFE WATER ADMINISTRATION COSTS ADMINISTRATIVE EXPENDITURE ALLOCATION AMBULANCE AMBULANCE SERVICES BASIC HEALTH SERVICES BEDS BENEFICIARIES BUDGET ALLOCATIONS BUDGET DATA BUDGET EXECUTION BUDGET FORMULATION BUDGET IMPLEMENTATION BUDGET MANAGEMENT BUDGET YEAR CAPITATION CAPITATION BASIS CASH TRANSFERS CENTRAL GOVERNMENT CENTRAL GOVERNMENT BUDGET CENTRAL GOVERNMENT SPENDING CIVIL SERVANTS CLINICS COMMUNITIES COMMUNITY HEALTH COMMUNITY HEALTH CENTER COST EFFECTIVENESS CURATIVE HEALTH CARE DATA COLLECTION DENTAL TREATMENT DIAGNOSIS DIAGNOSTIC TESTING DISASTERS DISTRICTS DOCTORS DRUGS ECONOMIC CLASSIFICATION ECONOMIES OF SCALE ELIGIBLE BENEFICIARIES EMERGENCY UNIT EPIDEMICS EXCHANGE RATES EXPENDITURE LEVEL EXPENDITURES EXPOSURE FAMILIES FAMILY PLANNING FEE-FOR-SERVICE FEE-FOR-SERVICE BASIS FEMALE FINANCIAL ACCOUNTABILITY FINANCIAL CRISIS FINANCIAL MANAGEMENT FINANCIAL REPORTS FISCAL IMPLICATIONS FREE CARE GOVERNMENT REVENUES HEALTH ASSISTANCE HEALTH AUTHORITIES HEALTH CARE HEALTH CARE ACCESS HEALTH CARE CENTERS HEALTH CARE COSTS HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CARE SYSTEM HEALTH CARE UTILIZATION HEALTH CENTERS HEALTH CLINICS HEALTH COSTS HEALTH COVERAGE HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH INSURANCE HEALTH OUTCOMES HEALTH PROGRAMS HEALTH PROVIDERS HEALTH RESEARCH HEALTH SERVICE HEALTH SERVICE PROVIDERS HEALTH SERVICE PROVISION HEALTH SERVICE UTILIZATION HEALTH STATUS HEALTHCARE PROVIDERS HEALTHCARE SERVICES HEPATITIS B HOSPITAL BEDS HOSPITAL OWNERSHIP HOSPITAL STAFF HOSPITALIZATION HOSPITALS HOUSEHOLDS ILLNESS IMPROVEMENTS IN HEALTH INCOME INDIRECT COSTS INFANTS INFLUENZA INPATIENT CARE LOCAL BUDGETS LOCAL HEALTH CENTERS LOCAL REGULATIONS MEDICAL CARE MEDICAL SERVICES MEDICAL SUPPLIES MEDICINES MIGRANTS MINISTRY OF FINANCE NATIONAL GOVERNMENT NATIONAL REGULATIONS NATURAL DISASTERS NEIGHBORHOOD OUTPATIENT CARE OUTPATIENT CARE FACILITIES OUTPATIENT SERVICES PATIENT PERSONNEL EXPENSES POSITIVE IMPACTS POVERTY REDUCTION PRIMARY CARE PRIMARY HEALTH CARE PRIVATE INSURANCE PRIVATE INSURANCE SCHEMES PRIVATE PROVIDERS PRIVATE SECTOR PROBABILITY PROGRAM DESIGN PROGRAM EFFECTIVENESS PROGRAM EXPENDITURE PROGRAM IMPLEMENTATION PROGRAM OPERATIONS PROVIDER PAYMENT PUBLIC EXPENDITURE PUBLIC EXPENDITURE REVIEW PUBLIC FINANCIAL MANAGEMENT PUBLIC HEALTH PUBLIC HEALTHCARE PUBLIC HOSPITALS PUBLIC SERVICE QUALITY OF CARE RADIOLOGY REFERRALS REGIONAL GOVERNMENT REGIONAL GOVERNMENTS REHABILITATION REMEDIES RURAL AREAS SAFETY SANITATION SERVICE FACILITY SERVICE PROVIDER SOCIAL ASSISTANCE SOCIAL BENEFITS SOCIAL INSURANCE SOCIAL POLICY SOCIAL PROTECTION SOCIAL SECURITY SOCIAL SERVICE SOCIALIZATION STATE TREASURY SURGERY TOTAL EXPENDITURE TOTAL SPENDING TRAFFIC TREATMENTS UNEMPLOYMENT UNIVERSAL HEALTH INSURANCE COVERAGE URBAN AREAS VILLAGES VISITS WORKERS |
| spellingShingle |
ACCESS TO SAFE WATER ADMINISTRATION COSTS ADMINISTRATIVE EXPENDITURE ALLOCATION AMBULANCE AMBULANCE SERVICES BASIC HEALTH SERVICES BEDS BENEFICIARIES BUDGET ALLOCATIONS BUDGET DATA BUDGET EXECUTION BUDGET FORMULATION BUDGET IMPLEMENTATION BUDGET MANAGEMENT BUDGET YEAR CAPITATION CAPITATION BASIS CASH TRANSFERS CENTRAL GOVERNMENT CENTRAL GOVERNMENT BUDGET CENTRAL GOVERNMENT SPENDING CIVIL SERVANTS CLINICS COMMUNITIES COMMUNITY HEALTH COMMUNITY HEALTH CENTER COST EFFECTIVENESS CURATIVE HEALTH CARE DATA COLLECTION DENTAL TREATMENT DIAGNOSIS DIAGNOSTIC TESTING DISASTERS DISTRICTS DOCTORS DRUGS ECONOMIC CLASSIFICATION ECONOMIES OF SCALE ELIGIBLE BENEFICIARIES EMERGENCY UNIT EPIDEMICS EXCHANGE RATES EXPENDITURE LEVEL EXPENDITURES EXPOSURE FAMILIES FAMILY PLANNING FEE-FOR-SERVICE FEE-FOR-SERVICE BASIS FEMALE FINANCIAL ACCOUNTABILITY FINANCIAL CRISIS FINANCIAL MANAGEMENT FINANCIAL REPORTS FISCAL IMPLICATIONS FREE CARE GOVERNMENT REVENUES HEALTH ASSISTANCE HEALTH AUTHORITIES HEALTH CARE HEALTH CARE ACCESS HEALTH CARE CENTERS HEALTH CARE COSTS HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CARE SYSTEM HEALTH CARE UTILIZATION HEALTH CENTERS HEALTH CLINICS HEALTH COSTS HEALTH COVERAGE HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH INSURANCE HEALTH OUTCOMES HEALTH PROGRAMS HEALTH PROVIDERS HEALTH RESEARCH HEALTH SERVICE HEALTH SERVICE PROVIDERS HEALTH SERVICE PROVISION HEALTH SERVICE UTILIZATION HEALTH STATUS HEALTHCARE PROVIDERS HEALTHCARE SERVICES HEPATITIS B HOSPITAL BEDS HOSPITAL OWNERSHIP HOSPITAL STAFF HOSPITALIZATION HOSPITALS HOUSEHOLDS ILLNESS IMPROVEMENTS IN HEALTH INCOME INDIRECT COSTS INFANTS INFLUENZA INPATIENT CARE LOCAL BUDGETS LOCAL HEALTH CENTERS LOCAL REGULATIONS MEDICAL CARE MEDICAL SERVICES MEDICAL SUPPLIES MEDICINES MIGRANTS MINISTRY OF FINANCE NATIONAL GOVERNMENT NATIONAL REGULATIONS NATURAL DISASTERS NEIGHBORHOOD OUTPATIENT CARE OUTPATIENT CARE FACILITIES OUTPATIENT SERVICES PATIENT PERSONNEL EXPENSES POSITIVE IMPACTS POVERTY REDUCTION PRIMARY CARE PRIMARY HEALTH CARE PRIVATE INSURANCE PRIVATE INSURANCE SCHEMES PRIVATE PROVIDERS PRIVATE SECTOR PROBABILITY PROGRAM DESIGN PROGRAM EFFECTIVENESS PROGRAM EXPENDITURE PROGRAM IMPLEMENTATION PROGRAM OPERATIONS PROVIDER PAYMENT PUBLIC EXPENDITURE PUBLIC EXPENDITURE REVIEW PUBLIC FINANCIAL MANAGEMENT PUBLIC HEALTH PUBLIC HEALTHCARE PUBLIC HOSPITALS PUBLIC SERVICE QUALITY OF CARE RADIOLOGY REFERRALS REGIONAL GOVERNMENT REGIONAL GOVERNMENTS REHABILITATION REMEDIES RURAL AREAS SAFETY SANITATION SERVICE FACILITY SERVICE PROVIDER SOCIAL ASSISTANCE SOCIAL BENEFITS SOCIAL INSURANCE SOCIAL POLICY SOCIAL PROTECTION SOCIAL SECURITY SOCIAL SERVICE SOCIALIZATION STATE TREASURY SURGERY TOTAL EXPENDITURE TOTAL SPENDING TRAFFIC TREATMENTS UNEMPLOYMENT UNIVERSAL HEALTH INSURANCE COVERAGE URBAN AREAS VILLAGES VISITS WORKERS World Bank Jamkesmas Health Service Fee Waiver |
| geographic_facet |
East Asia and Pacific Indonesia |
| description |
Macroeconomic growth and incomes have
been on the rise since the Asian Financial Crisis (AFC), but
health service utilization and health outcomes in Indonesia
have been slower to improve. Jamkesmas could provide
valuable benefits by allowing cardholders to acquire
preventative, curative, and catastrophic health care
services without fees. When it promotes healthy households,
keeps students active, alert, and participating in their
education, returns adults to work sooner, and saves
households from the high costs of healthcare,
Jamkesmas' sizeable individual benefits should be
matched by increased social benefits resulting from a
healthy and productive population. Jamkesmas has been
provided to poor households, but many non-poor have also
received Jamkesmas benefits due to dual central and local
targeting processes which have led to frequent mismatches
and errors in coverage. Health service providers find
Jamkesmas difficult and costly to implement resulting in
fewer services provided, and funds spent, on Jamkesmas
beneficiaries. Local regulations regarding public health
center management often conflict with Jamkesmas mandates,
leaving health service providers confused and unwilling to
use Jamkesmas funds to provide Jamkesmas beneficiaries with
planned services. The future costs of an improved Jamkesmas
program have not been adequately publicized and
Jamkesmas' financial, fiscal, and political
sustainability is uncertain. |
| format |
Report |
| author |
World Bank |
| author_facet |
World Bank |
| author_sort |
World Bank |
| title |
Jamkesmas Health Service Fee Waiver |
| title_short |
Jamkesmas Health Service Fee Waiver |
| title_full |
Jamkesmas Health Service Fee Waiver |
| title_fullStr |
Jamkesmas Health Service Fee Waiver |
| title_full_unstemmed |
Jamkesmas Health Service Fee Waiver |
| title_sort |
jamkesmas health service fee waiver |
| publisher |
World Bank, Jakarta |
| publishDate |
2017 |
| url |
http://documents.worldbank.org/curated/en/631981468044113991/Jamkesmas-health-service-fee-waiver http://hdl.handle.net/10986/26696 |
| _version_ |
1764462514949586944 |
| spelling |
okr-10986-266962021-04-23T14:04:37Z Jamkesmas Health Service Fee Waiver World Bank ACCESS TO SAFE WATER ADMINISTRATION COSTS ADMINISTRATIVE EXPENDITURE ALLOCATION AMBULANCE AMBULANCE SERVICES BASIC HEALTH SERVICES BEDS BENEFICIARIES BUDGET ALLOCATIONS BUDGET DATA BUDGET EXECUTION BUDGET FORMULATION BUDGET IMPLEMENTATION BUDGET MANAGEMENT BUDGET YEAR CAPITATION CAPITATION BASIS CASH TRANSFERS CENTRAL GOVERNMENT CENTRAL GOVERNMENT BUDGET CENTRAL GOVERNMENT SPENDING CIVIL SERVANTS CLINICS COMMUNITIES COMMUNITY HEALTH COMMUNITY HEALTH CENTER COST EFFECTIVENESS CURATIVE HEALTH CARE DATA COLLECTION DENTAL TREATMENT DIAGNOSIS DIAGNOSTIC TESTING DISASTERS DISTRICTS DOCTORS DRUGS ECONOMIC CLASSIFICATION ECONOMIES OF SCALE ELIGIBLE BENEFICIARIES EMERGENCY UNIT EPIDEMICS EXCHANGE RATES EXPENDITURE LEVEL EXPENDITURES EXPOSURE FAMILIES FAMILY PLANNING FEE-FOR-SERVICE FEE-FOR-SERVICE BASIS FEMALE FINANCIAL ACCOUNTABILITY FINANCIAL CRISIS FINANCIAL MANAGEMENT FINANCIAL REPORTS FISCAL IMPLICATIONS FREE CARE GOVERNMENT REVENUES HEALTH ASSISTANCE HEALTH AUTHORITIES HEALTH CARE HEALTH CARE ACCESS HEALTH CARE CENTERS HEALTH CARE COSTS HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CARE SYSTEM HEALTH CARE UTILIZATION HEALTH CENTERS HEALTH CLINICS HEALTH COSTS HEALTH COVERAGE HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH INSURANCE HEALTH OUTCOMES HEALTH PROGRAMS HEALTH PROVIDERS HEALTH RESEARCH HEALTH SERVICE HEALTH SERVICE PROVIDERS HEALTH SERVICE PROVISION HEALTH SERVICE UTILIZATION HEALTH STATUS HEALTHCARE PROVIDERS HEALTHCARE SERVICES HEPATITIS B HOSPITAL BEDS HOSPITAL OWNERSHIP HOSPITAL STAFF HOSPITALIZATION HOSPITALS HOUSEHOLDS ILLNESS IMPROVEMENTS IN HEALTH INCOME INDIRECT COSTS INFANTS INFLUENZA INPATIENT CARE LOCAL BUDGETS LOCAL HEALTH CENTERS LOCAL REGULATIONS MEDICAL CARE MEDICAL SERVICES MEDICAL SUPPLIES MEDICINES MIGRANTS MINISTRY OF FINANCE NATIONAL GOVERNMENT NATIONAL REGULATIONS NATURAL DISASTERS NEIGHBORHOOD OUTPATIENT CARE OUTPATIENT CARE FACILITIES OUTPATIENT SERVICES PATIENT PERSONNEL EXPENSES POSITIVE IMPACTS POVERTY REDUCTION PRIMARY CARE PRIMARY HEALTH CARE PRIVATE INSURANCE PRIVATE INSURANCE SCHEMES PRIVATE PROVIDERS PRIVATE SECTOR PROBABILITY PROGRAM DESIGN PROGRAM EFFECTIVENESS PROGRAM EXPENDITURE PROGRAM IMPLEMENTATION PROGRAM OPERATIONS PROVIDER PAYMENT PUBLIC EXPENDITURE PUBLIC EXPENDITURE REVIEW PUBLIC FINANCIAL MANAGEMENT PUBLIC HEALTH PUBLIC HEALTHCARE PUBLIC HOSPITALS PUBLIC SERVICE QUALITY OF CARE RADIOLOGY REFERRALS REGIONAL GOVERNMENT REGIONAL GOVERNMENTS REHABILITATION REMEDIES RURAL AREAS SAFETY SANITATION SERVICE FACILITY SERVICE PROVIDER SOCIAL ASSISTANCE SOCIAL BENEFITS SOCIAL INSURANCE SOCIAL POLICY SOCIAL PROTECTION SOCIAL SECURITY SOCIAL SERVICE SOCIALIZATION STATE TREASURY SURGERY TOTAL EXPENDITURE TOTAL SPENDING TRAFFIC TREATMENTS UNEMPLOYMENT UNIVERSAL HEALTH INSURANCE COVERAGE URBAN AREAS VILLAGES VISITS WORKERS Macroeconomic growth and incomes have been on the rise since the Asian Financial Crisis (AFC), but health service utilization and health outcomes in Indonesia have been slower to improve. Jamkesmas could provide valuable benefits by allowing cardholders to acquire preventative, curative, and catastrophic health care services without fees. When it promotes healthy households, keeps students active, alert, and participating in their education, returns adults to work sooner, and saves households from the high costs of healthcare, Jamkesmas' sizeable individual benefits should be matched by increased social benefits resulting from a healthy and productive population. Jamkesmas has been provided to poor households, but many non-poor have also received Jamkesmas benefits due to dual central and local targeting processes which have led to frequent mismatches and errors in coverage. Health service providers find Jamkesmas difficult and costly to implement resulting in fewer services provided, and funds spent, on Jamkesmas beneficiaries. Local regulations regarding public health center management often conflict with Jamkesmas mandates, leaving health service providers confused and unwilling to use Jamkesmas funds to provide Jamkesmas beneficiaries with planned services. The future costs of an improved Jamkesmas program have not been adequately publicized and Jamkesmas' financial, fiscal, and political sustainability is uncertain. 2017-05-22T16:59:23Z 2017-05-22T16:59:23Z 2012-02 Report http://documents.worldbank.org/curated/en/631981468044113991/Jamkesmas-health-service-fee-waiver http://hdl.handle.net/10986/26696 English en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Jakarta Economic & Sector Work :: Public Expenditure Review Economic & Sector Work East Asia and Pacific Indonesia |