One form of quality management is cost-efficiency. In term of cost-efficiency,  BPJS Kesehatan is developing a referral system. Fasilitas Kesehatan Tingkat Pertama (FKTP) acts as a gate keeper for the selection of cases that can treated at the first or second level of health care. Of course this is very important for the aspect of financing, because the cases handled by the second level of health care cost more. The fact is that 144 diagnoses that should be completed in FKTP were still referred to second level health care facilities.

In the implementation of the Indonesian Social Health Insurance (called JKN), that had been started on 1^st 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).

BPJS Kesehatan (Badan Penyelenggara Jaminan Sosial Kesehatan) is a public agency established to implement the social security programme. The ultimate vision of BPJS Kesehatan is "Universal Health Coverage"; to provide all participants with health care benefits and protection to meet the basic needs of health care. As Indonesia is fourth most populous country in the world there are a large number of participants, so BPJS Kesehatan is facing constraints in the participants' registration process.

In an archipelago country like Indonesia, the financial barrier is not the only barrier to healthcare access, but also the socio-geographical barrier. Health facilities are distributed unevenly throughout the nation, where hospitals are only available at the district level. The lack of infrastructure to reach the hospitals is another challenge for rural patients to receive treatment. On the other hand, there are sufficient numbers of primary healthcare facilities in the rural areas, which are not utilized optimally.

Being one of the largest coverage for health social security in the world, which covering almost 150 million memberships within its first year of implementation, the Social Health Security Agency of Indonesia (BPJS Kesehatan) is holding its commitment Indonesia 19s experience in conducting National Health Coverage (JKN) program.  Using the referral procedures (managed care) to deliver the health services to the members by using the primary care to the members as their first point of health service contact had BPJS Kesehatan facing challenging issues of administration and quality.

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Driven by a commitment to providing Australians with access to convenient and cost effective services, the Service Delivery Reform programme (SDR) was announced in 2009. This AUD $1.25 billion programme included transforming the delivery of government social welfare services and integrating three large, separate service agencies into the Department of Human Services (the department).

The Employees  Provident Fund Organisation (EPFO), under the Ministry of Labour & Employment, Government of India provides social security benefits to its members in terms of provident fund and old age pensions under the Employees' Provident Funds & Miscellaneous Provisions Act, 1952 (referred to as the Act hereafter), enacted by the Parliament of India, which extends to the whole of India except the state of Jammu and Kashmir.

The Social Security Corporation (SSC) launched an Excellence Award for Occupational Safety and Health in the year 2011 for the firms that comply with the occupational health and safety standards. This initiative included an award for individuals to encourage them to provide new ideas and contribute to raising awareness regarding occupational health and safety standards in the work place, and to decrease the probability of work accidents.

At its essence, becoming "performance-driven" is about motivating the entire work force -- including all employees, partners, suppliers, agents, and others inside and outside the organization; to work collectively to execute the strategy of the organization.

The aim of this practice is to effectively correlate corporate objectives with individuals' activities and tie employees 19 compensation to their achievement of specified targets which will be reflected in employees 19 appraisals.

The Public Authority for Social Insurance (PASI) board of directors have decided to develop and implement a Business Continuity Management System (BCMS) to help provide efficient and reliable social insurance and protection services, and to achieve its objectives through:
 

In order to achieve good corporate governance, the Risk Management Department developed an excel model for Risk Rating and Grading of the PASI investment portfolio for more effective risk management:
 

1. Design Risk Measurement Models:

Data is collected from PASI investments on a monthly basis to calculate the Yearly Volatility and Return.
 

2. Capital Asset Pricing Model (CAPM)

Calculation of Beta, Expected Return and Drift Rate.
 

The Social Security Corporation (SSC) has started to assess the work place according to the occupational health and safety standards since January, 2014. This initiative is based on the legislative reform that took place in the Social Security Law number (1) for the year 2014. This assessment also stems from the increase in the numbers of work place accidents and occupational diseases that have occurred. Therefore, the main objective of this initiative is to enhance the culture of occupational health and safety standards in the work place.

The Public Authority for Social Insurance (PASI) has been responsible for developing internal policies and procedures to facilitate customers' access to the deliverables set by the Social Insurance Law.

PASI's goal is to ensure that all policies and procedures are made available to all staff and that they are written in such a way as to clearly specify the policies and procedures for any given matter.