BPJS Kesehatan Faces Rp2 Trillion Deficit, Here Are the Causes

The National Health Insurance (JKN) programme, managed by BPJS Kesehatan, is currently facing serious financial challenges. There is presently a cash flow gap of Rp2 trillion due to an imbalance between premium income and the cost of healthcare services.

The President Director of BPJS Kesehatan, Prihati Pujowasklo, explained that BPJS Kesehatan is currently able to collect funds amounting to Rp14 trillion per month. However, the cost of healthcare services reaches Rp500 billion per day, which is equivalent to Rp16 trillion per month.

“Based on those calculations, there is a cash flow gap of approximately Rp2 trillion,” said Prihati during a visit to Dustira Hospital, Cimahi City, on Wednesday (16/9).

Prihati emphasised that this deficit is not caused by a single factor, but is rather an accumulation of various complex issues. To ensure the long-term sustainability of the JKN programme, Prihati hopes that the government can provide a fund injection of Rp20 trillion. This step is considered crucial to closing the existing financial gap.

For information, the coverage of BPJS Kesehatan membership has now reached 98.6 per cent of the total Indonesian population, with an active participant rate of 80.6 per cent. The programme is supported by a collaborative network of 23,000 clinics and 3,200 hospitals, serving an average of 2 million service transactions every day.

According to BPJS Kesehatan data, out of more than 285 million JKN participants or approximately 98.8 per cent of the Indonesian population who are registered, around 54 million people are recorded as having inactive status.