BPJS Kesehatan Partners with KPK to Strengthen Integrity-Based JKN Governance

In an effort to reinforce its commitment to clean, transparent, and accountable management of the National Health Insurance (JKN) Programme, BPJS Kesehatan held an audience with the Corruption Eradication Commission (KPK). The meeting served as a momentum to strengthen collaboration in building a corruption prevention system, enhancing a culture of integrity, and bolstering efforts to prevent and handle fraud within the JKN Programme ecosystem. BPJS Kesehatan President Director Prihati Pujowaskito stated that strengthening governance is an inseparable part of maintaining the sustainability of the JKN Programme. With membership coverage exceeding 285 million people, he noted that the programme’s administration must be supported by a robust governance system, including internal oversight, risk management, transparency, compliance, and fraud prevention efforts. “The JKN Programme manages participants’ trust funds, which must be accounted for transparently and accountably. Therefore, we continuously strengthen organisational governance, build a culture of integrity, and tighten synergy with the KPK so that the JKN Programme’s administration becomes cleaner, more professional, and provides optimal benefits for all participants,” Pujo said on Wednesday (8/7/2026). Pujo explained that BPJS Kesehatan is reinforcing its integrity culture through the implementation of an Anti-Bribery Management System (SMAP) with ISO 37001 standards, strengthening the Gratification Control and Anti-Bribery Unit (UPGAP), implementing a Whistleblowing System (WBS) based on ISO 37002, conducting regular 3600 Integrity Awareness Programmes, and providing education on the code of ethics, gratification, anti-bribery, and compliance culture for all BPJS Kesehatan Ambassadors. As of 1 June 2026, there were more than 285 million JKN participants, covering over 98 per cent of Indonesia’s population. To support services for participants, BPJS Kesehatan has partnered with 23,682 First-Level Health Facilities (FKTP) and 3,221 hospitals and main clinics spread across Indonesia. “This large scale of administration demands strengthened governance and a control system capable of maintaining public trust in the JKN Programme,” Pujo said. Beyond strengthening internal controls, BPJS Kesehatan is also building an integrity-based healthcare service ecosystem with partner health facilities. Pujo added that this commitment is outlined in the Cooperation Agreement (PKS), which includes principles of honest, transparent, and accountable service delivery free from fraudulent or deviant practices. Pujo stated that fraud prevention efforts must be carried out comprehensively through collaboration among all stakeholders, from regulators and law enforcement officials to health facilities and the public. He noted that fraud not only impacts the financial aspect but can also reduce the effectiveness of utilising the Social Security Fund, which is a mandate from all JKN Programme participants. “Therefore, prevention must be a priority through system strengthening, increased compliance culture, continuous education, and close synergy with the KPK and all stakeholders,” Pujo said. For Pujo, strengthening synergy with the KPK is a strategic step in reinforcing JKN Programme governance. This synergy is realised through strengthening the Central JKN Fraud Prevention Team, extending the memorandum of understanding between BPJS Kesehatan and the KPK, supporting the implementation of the Indonesia Healthcare Anti-Fraud Forum (INAHAFF), and strengthening coordination in handling fraud cases. BPJS Kesehatan Supervisory Board Chairman Stevanus Adrianto Passat said the Supervisory Board has a mandate to ensure the JKN Programme is administered effectively, accountably, transparently, and with integrity. Therefore, the Supervisory Board is strengthening risk-based and integrity-based supervision through oversight of internal controls, risk management, compliance, and the effectiveness of internal audit functions so that potential irregularities can be prevented early. “We view that preventing corruption and fraud must be an inseparable part of JKN Programme governance. For this reason, synergy with the KPK is very important in strengthening BPJS Kesehatan’s integrity system, starting from reinforcing the anti-corruption culture, gratification control, conflict of interest management, strengthening the Whistleblowing System, to increasing internal oversight capabilities. Through this collaboration, we hope the JKN Programme’s governance becomes stronger, more accountable, and capable of maintaining public trust in one of the national strategic programmes,” said Stevanus. On the same occasion, KPK Chairman Setyo Budiyanto appreciated the various efforts made by BPJS Kesehatan to strengthen governance and the integrity system of the JKN Programme. He noted that several recommendations from KPK studies over recent years have been followed up, including various improvement measures to minimise potential fraud in healthcare service delivery. Setyo assessed that the digital transformation carried out by BPJS Kesehatan together with health facilities has made it easier for participants to access healthcare services. The use of digital applications and service integration is considered capable of increasing the efficiency of administrative processes while strengthening the transparency of the JKN Programme’s administration. “We see many improvements have been made by BPJS Kesehatan. Service digitalisation not only provides convenience for participants but also serves as an important instrument in strengthening oversight and minimising potential irregularities that need to be developed so that JKN Programme governance becomes even better,” said Setyo. Setyo added that BPJS Kesehatan manages the Social Security Fund derived from participants’ mandates, so the entire management process must be accounted for with high integrity.