How the Ministry of Health Aims to Reduce Cost Disparities Between Hospitals

The Ministry of Health is continuously making efforts to encourage the standardisation of hospital service tariffs. This is being implemented to reduce cost disparities between hospitals in various regions.

The Director of Referral Health Service Governance at the Ministry of Health, Ockti Palupi Rahayuningtyas, stated that tariff standardisation remains a priority and needs to be implemented within Presidential Regulation (Perpres) Number 59 of 2024. Under this regulation, healthcare facilities will apply the Indonesian Diagnosis Related Groups (iDRG) tariff.

“Once the National Health Insurance Presidential Regulation is signed, the INA-CBGs (Indonesian Case Based Groups) payment system will be replaced by iDRG, which will be categorised into strata: basic, intermediate, main, and comprehensive,” she explained during the Health Insurance Ecosystem Forum 2026 on Wednesday (3/6/2026).

iDRG is a payment mechanism for healthcare services provided to facilities, transitioning from the previous INA-CBGs system. iDRG groups diagnoses and medical procedures based on the similarity in the use of service resources. This system is used to determine the amount of INA-CBGs claim payments to healthcare facilities, particularly for inpatient services under the National Health Insurance (JKN) scheme.

She revealed that every region is mandated to establish a national tariff pattern, which is updated every two to three years. “By unifying the structure of the tariff pattern, we hope the gap will not be too wide. I believe we will continue to evaluate this continuously so that the disparity between regional tariffs is minimised,” said Ockti.

Ockti explained that currently, patients at hospitals with BPJS Kesehatan membership are charged INA-CBG rates, which serve as the standard set between hospitals. “This is the government’s effort to ensure that tariffs remain uniform across all regions,” Ockti concluded.