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 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.

Bibliographic Details

Main Author:	World Bank
Format:	Report biblioteca
Language:	English en_US
Published:	World Bank, Jakarta 2012-02
Subjects:	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,
Online Access:	http://documents.worldbank.org/curated/en/631981468044113991/Jamkesmas-health-service-fee-waiver http://hdl.handle.net/10986/26696
Tags:	Add Tag No Tags, Be the first to tag this record!