{
    "success": true,
    "data": {
        "id": 1664189,
        "msgid": "58-million-inactive-participants-bpjs-continues-to-strengthen-jkn-data-validity-1775645627",
        "date": "2026-04-08 17:15:52",
        "title": "58 million inactive participants, BPJS continues to strengthen JKN data validity",
        "author": "",
        "source": "ANTARA_ID",
        "tags": "",
        "topic": "Social Policy",
        "summary": "BPJS Kesehatan reports 58.32 million inactive JKN participants, primarily due to unpaid premiums and data updates, with 13.48 million from non-payment and 44.84 million from government-funded shifts. The agency is enhancing data validation amid rising claims ratios exceeding 100% and fiscal pressures on local governments, while supporting national social-economic data verification and service transformations like the iDRG payment system. These efforts aim to ensure the sustainability of Indonesia's national health insurance programme amid upcoming changes in premium subsidies.",
        "content": "<p>Jakarta (ANTARA) - BPJS Kesehatan states that the number of inactive\nNational Health Insurance (JKN) participants currently stands at 58.32\nmillion, caused by various factors, making the strengthening of\nparticipant data validity one of the aspects continuously being\noptimised.<\/p>\n<p>\u201cOf that number, 13.48 million individuals are inactive due to\noverdue premiums, while 44.84 million come from the deactivation of\nPremium Assistance Recipients (PBI) and participants funded by local\ngovernments. Data updates over the past two months have also led to the\ndeactivation of around 11 million participants, some of whom have\ntransitioned to independent participants,\u201d said BPJS Kesehatan Chief\nExecutive Prihati Pujowaskito during a Hearing with Commission IX of the\nHouse of Representatives (DPR RI) in Jakarta on Wednesday.<\/p>\n<p>Pujo explained that low compliance with premium payments particularly\noccurs among Non-Wage Workers (PBPU) or the informal sector due to low\nwillingness to pay and unstable financial capacity.<\/p>\n<p>\u201cIn addition, the reduction in transfer funds to regions also has the\npotential to affect the fiscal capacity of local governments in\nfulfilling their JKN premium payment obligations,\u201d he stated.<\/p>\n<p>\u201cNevertheless, the resilience of the Social Security Fund (DJS)\nremains above 100 percent. However, the claims ratio since 2023 has\nreached 104.72 percent, indicating increasing financial pressure. This\ncondition is driving BPJS Kesehatan to strengthen premium collection and\nparticipant data validity as the foundation for the programme\u2019s\nsustainability,\u201d he elaborated.<\/p>\n<p>He also added several current issues faced by BPJS Kesehatan, such as\nthe deactivation of APBN-funded PBI in June 2025 and February-March\n2026, which will impact risk profile shifts and a decline in active\nparticipants.<\/p>\n<p>\u201cTherefore, we continue to support ground-checking conducted by the\nMinistry of Social Affairs, the Central Bureau of Statistics, and the\nCoordinating Ministry for Human Development and Culture (Kemenko PMK)\nregarding the National Single Social-Economic Data,\u201d said Pujo.<\/p>\n<p>In addition, BPJS Kesehatan is currently undergoing service\ntransformation in the form of changing the INA CBGs payment system to\niDRG, as well as implementing referrals based on service capabilities\nand Standard Inpatient Class (KRIS).<\/p>\n<p>\u201cCurrently, the write-off of overdue premiums is also in process,\nsupported by a Presidential Regulation (Perpres) being prepared jointly\nwith Kemenko PMK,\u201d said Pujo.<\/p>",
        "url": "https:\/\/jawawa.id\/newsitem\/58-million-inactive-participants-bpjs-continues-to-strengthen-jkn-data-validity-1775645627",
        "image": ""
    },
    "sponsor": "Okusi Associates",
    "sponsor_url": "https:\/\/okusiassociates.com"
}