Commitment-Based Capitation as Indonesia’s Model For Performance-Based Payment System for Primary Care Providers

After a year of Indonesia’s national health security program (Jaminan Kesehatan Nasional or abbreviated as JKN), in 2015 BPJS Kesehatan instituted Pay for Performance (P4P) scheme in the capitation system for primary care providers. P4P in Indonesia is named Kapitasi Berbasis Komitmen Pelayanan (KBK) or Commitment-Based capitation, as means to designate commitment of primary care providers to deliver primary care services comprehensively. Unfortunately, resistance from primary care providers hindered its full execution. Agreements reached that the KBK would be postponed until 2016 and applied only for state primary care providers or state community centers (Puskesmas) in provincial capitals. In 2017, all Puskesmas had applied KBK, exception to those in remote areas. In 2018, all private primary care providers are intended to implement the KBK. Three indicators in the KBK system are contact rate, percentage of active DMP-member visits and non-specialized referral ratio. The three indicators reveal improvement from January 2017 to December 2017 thus showing an improvement in primary care providers role as gate keepers and care coordinators. Nevertheless, challenges still emerge and improvements are essential to take place.

Authorize publication by ISSA
Yes
Award Year
2018
Contact address
Jl. Letjen Suprapto
Cempaka Putih
P.O. Box 1391/JKT
ID- Jakarta Pusat 10510
Indonesia
Contact email
sekban@bpjs-kesehatan.go.id
Country
Guideline
Main country
Main region