In the implementation of the Indonesian Social Health Insurance (called JKN), that had been started on 1st of January 2014 based on the Health Ministry Regulation No. 69/2013 about health care payment standard that increased the capitation cost from Rp. 2.000 to Rp. 6.000,-. ( Rp 400 million to Rp 1.2 billion per month - USD 31 thousands to USD 93 thousands).
This increase has been expected to improve Primary Care Providers (PCP) quality and be a tool for measuring the quality indicators of PCP. The implementation of PFP in Pekanbaru was based on 4 indicators, which are: contact rate, ratio of non-specialist referrals, rate of participant migration from one PCP to another PCP, and the ratio of active participants in the disease management programme (DMP/Prolanis).
As a result, there is an increase in PCP quality of those 4 indicators as the evidence that the improvement of capitation cost by BPJS Kesehatan impacted on the PCP quality itself, hospital cost management, and social health insurance (SHI) participants' satisfaction that can be accountably measured.