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1.GROUP 1 : SOCIAL SECURITY LAWS UU No 3 Tahun 1992 Tentang Jaminan Sosial Tenaga Kerja UU No. 40 Tahun 2004 Tentang Sistem Jaminan Sosial Nasional (UU.

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Presentation on theme: "1.GROUP 1 : SOCIAL SECURITY LAWS UU No 3 Tahun 1992 Tentang Jaminan Sosial Tenaga Kerja UU No. 40 Tahun 2004 Tentang Sistem Jaminan Sosial Nasional (UU."— Presentation transcript:

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2 1.GROUP 1 : SOCIAL SECURITY LAWS UU No 3 Tahun 1992 Tentang Jaminan Sosial Tenaga Kerja UU No. 40 Tahun 2004 Tentang Sistem Jaminan Sosial Nasional (UU SJSN). 2.GROUP 2: HEALTH LAWS UU No. 29 Tahun 2004 Tentang Praktek Kedokteran UU No. 36 Tahun 2009 Tentang Kesehatan UU No. 44 Tahun 2009 Tentang Rumah Sakit 3.GROUP 3 : PUBLIC ADMINISTRATION LAWS UU No. 39 Tahun 2008 Tentang Kementerian Negara UU No. 32 Tahun 2004 Tentang Pemerintahan Daerah APSHI - Bali, Oct 20102

3 KEY PRINCIPLES: P1 : Comprehensive desain, strategy and action for reform P2 : Participatory decision making process 3APSHI - Bali, Oct 2010

4 4©AE.Putri, KKJS MARTABAT, 2010 Social Security Reform

5 5 © A.E PUTRI, W.M. Manicki, KKJS MARTABAT, 2010 Healthcare reform process as a part of the economic transformation Health Providers Payment System Reform Health Providers Payment System Reform Providers Payment Mechanisms Reform Providers Payment Mechanisms Reform Economic/ Public Adminis- tration Reform Health System Reform Health System Reform Health Finance Reform Health Finance Reform Participation should not be Limited to Leaders Maximum Attention of Stakeholders Interactive Stakeholders Driven Process Health Care Stakeholders Involvement Cascade

6 66 P1 Extensive Review on: Askeskin/Jamkesmas, Askes-PNS, JPK Jamsostek, Local health ins schemes, Local health fin schemes, Others (e.g. Traffic ins) P1 Extensive Review on: Askeskin/Jamkesmas, Askes-PNS, JPK Jamsostek, Local health ins schemes, Local health fin schemes, Others (e.g. Traffic ins) P2 In depth analysis on: Regulation Organization & mgmt Contribution & benefit Membership Collection Pooling Contracting Active Purchasing Health Out comes Law Enforcement MIS P2 In depth analysis on: Regulation Organization & mgmt Contribution & benefit Membership Collection Pooling Contracting Active Purchasing Health Out comes Law Enforcement MIS P3 Identify a universal health insurance function to be integrated into national health policy P3 Identify a universal health insurance function to be integrated into national health policy Potential Problems Analysis Potential Problems Analysis Market Structure Market Structure P4 DESIGN & PLANNING Draft guidelines, tools, procedures as inputs for drafting technical articles for IRR for health insurance P4 DESIGN & PLANNING Draft guidelines, tools, procedures as inputs for drafting technical articles for IRR for health insurance P5 Regulatory drafting process outside MOH: Harmonize with relevant regulation and other component of NSSS Law Public hearing P5 Regulatory drafting process outside MOH: Harmonize with relevant regulation and other component of NSSS Law Public hearing Existing healthcare infrastructure & possible reform Institutional Development MIS Development MIS Development P1-2 Review and Analyze Regulation and policies impact NHIP P1-2 Review and Analyze Regulation and policies impact NHIP © A.E PUTRI, S.Soejitno, KKJS MARTABAT, 2010

7 P1 Review National Administrations, Healthcare Providers, Regulations, Plans, and Programs related to Healthcare Policy and Health Financing P1 Review National Administrations, Healthcare Providers, Regulations, Plans, and Programs related to Healthcare Policy and Health Financing P2 SWOT Analysis of National Administrations, Healthcare Providers, Regulations, Plans, and Programs related to Healthcare Policy and Health Financing P2 SWOT Analysis of National Administrations, Healthcare Providers, Regulations, Plans, and Programs related to Healthcare Policy and Health Financing P3 Draft Models of Integrated Healthcare Delivery System to be Regulated for National SHI P3 Draft Models of Integrated Healthcare Delivery System to be Regulated for National SHI Potential Problems Analysis Potential Problems Analysis Organisational Design Organisational Design Job Analysis Job Analysis P4 Propose Organization Charts and Task Distribution to be Regulated for National SHI P4 Propose Organization Charts and Task Distribution to be Regulated for National SHI P5 Draft Tools, Procedures, Standards, and Guidelines for Institutional Capacity Strengthening to Execute SHI as mandated by NSS Law P5 Draft Tools, Procedures, Standards, and Guidelines for Institutional Capacity Strengthening to Execute SHI as mandated by NSS Law © A.E PUTRI, S.Soejitno, KKJS MARTABAT,

8 APSHI - Bali, Oct 20108


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