scholarly journals Perlindungan Hukum dan Pemenuhan Hak Pekerja pada Program Jaminan Kesehatan Nasional

2020 ◽  
Vol 15 (1) ◽  
pp. 83-92
Author(s):  
Tedi Sudrajat
Keyword(s):  
Health Insurance ◽  
Social Security ◽  
Analysis Method ◽  
Advanced Level ◽  
Social Security Program ◽  
Informal Workers ◽  
Protection Scheme ◽  
Service Guarantees ◽  
Insurance Program ◽  
The Social

Badan Penyelenggara Jaminan Sosial (BPJS) berlaku pada tahun 2014, namun sampai saat ini masih banyak pemberi kerja dan pekerja yang kurang paham dengan program yang diselenggarakan BPJS Kesehatan, dan penerapannya masih belum dikategorikan optimal. Hal yang menarik dianalisis adalah Pertama, bentuk perlindungan pekerja dalam program Jaminan Kesehatan Nasional (JKN) dan Kedua, persoalan dalam penerapannya. Tulisan ini menggunakan jenis penelitian Yuridis Normatif dengan pendekatan perundang-undangan dan pendekatan analisis serta dianalisis secara normatif kualitatif. Dalam tulisan ini diketahui terdapat perubahan dari program Jaminan Sosial Tenaga Kerja (Jamsostek) ke BPJS kesehatan yang berimplikasi penerapan jaminan dan pelayanan kesehatan bagi pekerja. BPJS membuat prosedur yang dapat meningkatkan keterjangkauan peserta pekerja terhadap pelayanan kesehatan secara berjenjang dari fasilitas pelayanan Kesehatan (fasyankes) tingkat pertama ke  tingkat lanjut. Terlepas dari hal tersebut, terdapat beberapa persoalan hukum dalam penerapan program JKN meliputi persoalan dari aspek kepesertaan, penggunaan kartu kesehatan dan jaminan pelayanan kesehatan. Social Security Administrative Bodies (referred as BPJS) established in 2014, but until now there are still many employers and workers who are not aware of the programs held by BPJS Kesehatan, moreover the implementation was still not optimal. The problems studied were first, the form of worker protection in the National Health Insurance program and second, legal issues in its implementation. This manuscript used Normative Juridical research with statute approach, analytical approach and qualitative analysis method. In this manuscript, it known that there is a change from the Workers’ Social Security program to BPJS Kesehatan which has implications for the implementation of health insurance and services for workers. After the enactment of the BPJS Law, there are protection scheme for health insurance for both formal and informal workers. In addition, the BPJS provides a mechanism that can increase the affordability of workers to tiered health services from the first level to the advanced level. Meanwhile, there are several obstacles in the implementation of the Social Security program which include constraints on the aspects of participation, use of health cards and health service guarantees.

scholarly journals Medico-economic impact of enhanced rehabilitation after surgery: an exhaustive, nation-wide claims study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Frédéric Bizard ◽  
Thierry Boudemaghe ◽  
Laurent Delaunay ◽  
Lucas Léger ◽  
Karem Slim
Keyword(s):  
Health Insurance ◽  
Social Security ◽  
Cost Reduction ◽  
Average Length ◽  
Insurance Program ◽  
Health Insurance Program ◽  
The Social ◽  
The Mean ◽  
Medico Economic ◽  
The Cost

Abstract Background Study of the medico economic impact of enhanced rehabilitation after surgery (ERAS), by comparing the cost of patient care with or without ERAS, both from the point of view of the hospitals and the Social Security Health Insurance Program. Methods Retrospective longitudinal study on matched data from March 1, 2019 to December 31, 2019. The data are extracted from the French prospective payment system. We studied 12 of the most commonly performed in ERAS business segments. The primary outcome was the reduction of the average length of hospital stay and its implications on production costs and excess capacity. We also studied the impact on hospital incomes and Social Security Insurance Program expenses. The potential gain in hospital days was computed by comparing the length of stay of ERAS and non-ERAS cases. The cost reduction was estimated using the mean number of avoidable days of hospitalization, and the mean cost of the stays obtained from the national cost study. Finally, we studied an approximation of the additional expense for the Social Security Health Insurance Program on costs standardized by applying public sector rates. Results The average length of stay reduction attributed to ERAS is 1.45 (CI 95% 1.42 to 1.48) day per stay, translating to a cost reduction for the hospitals of € 1060 (CI 95% 995 to 1125) per patient and a total of €65 million (CI 95% 61 to 69). At the same time, the additional expenses for the Social Security Insurance Program can conservatively be approximated to € 1.6 million, breaking into a € 2.2 million increase partially compensated by cost savings of € 0.6 million over subsequent stays for complications. Overall, for each percent of additional ERAS activity over the scope of the study, the marginal cost reduction for the hospitals can be estimated to € 1.8 million (CI 95% 1.7 million to 2.0 million). Conclusions Associated with previously known clinical benefits for the patients, these convincing results in terms of economic gain strongly support expanding the adoption of ERAS.

scholarly journals Analisis Yuridis Atas Penggabungan PT Taspen (Persero) dan PT Asabri (Persero) pada Badan Penyelenggara Jaminan Sosial

2020 ◽  
Vol 2 (1) ◽  
pp. 1-12
Author(s):  
Wahyudi Prima Putra ◽  
Suhaidi Suhaidi ◽  
Jelly Leviza ◽  
Marsella Marsella
Keyword(s):  
Social Security ◽  
Old Age ◽  
Social Security System ◽  
Security System ◽  
Social Security Program ◽  
Informal Workers ◽  
The Social ◽  
Social Security Act ◽  
Pension Payments

The transformation becomes an important vocabulary since last seven years in Indonesia, precisely since the enactment of the National Social Security System (Social Security Act) on October 19, 2004.  Persero four state-owned social security program organizers PT Askes, PT Asabri, PT Jamsostek and PT Taspen  will be transformed into BPJS . Asabri program is part of the rights of soldiers and police members on a decent income. Asabri programs and programs pension payments transferred by Asabri PT and old age savings program and programs pension payments transferred from TASPEN PT is part of the program in accordance with that law. With the inclusion of informal workers in the social security system which has clearly not been recorded, it will take time and a very large cost.

scholarly journals Semi-supercentenarians in the United States

2020 ◽  
pp. 191-201
Author(s):  
Bert Kestenbaum
Keyword(s):  
United States ◽  
Health Insurance ◽  
Social Security ◽  
The United States ◽  
Online Resources ◽  
National Death Index ◽  
Insurance Program ◽  
Health Insurance Program ◽  
The Social

AbstractThis chapter discusses in detail the procedure followed to identify a 1-in-10 sample of persons born between 1870 and 1899 who resided in the United States at the time of their death at ages 105–109 for men and 108 or 109 for women. We tabulate the characteristics of these “semi-supercentenarians” and offer some observations about the level of their mortality. The procedure for identifying semi-supercentenarians consists of (1) casting a net to find candidates and then (2) determining for which candidates can both date of birth and date of death be validated. The net used to find candidates in the United States is different from the nets typically used in other counties: in the United States we use the file of enrollments in the federal government’s Medicare health insurance program. Some of the information needed for the verification step comes from another administrative file – the Social Security Administration’s file of applications for a new or replacement social security card. Verification of the date of death is accomplished by querying the National Death Index. Dates of birth are verified by using online resources to access the records of several censuses conducted many decades earlier.

The Politics of Social Security Expansion: Social Security Disability Insurance, 1935–1986

1989 ◽  
Vol 1 (3) ◽  
pp. 233-260 ◽  
Author(s):  
Edward Berkowitz ◽  
Daniel M. Fox
Keyword(s):  
Social Security ◽  
Disability Insurance ◽  
Social Security Disability Insurance ◽  
Social Security Program ◽  
Insurance Program ◽  
The Social ◽  
Political Consensus ◽  
History Of ◽  
Social Security Disability ◽  
The U.S

In 1956 President Eisenhower signed an amendment to the social security program that created disability insurance. His action marked the end of a sharp debate over disability insurance and the beginning of two decades of consensus concerning the program. Thirty years later, however, major issues have arisen in the disability insurance program that closely resemble the disputes that preceded its passage. Consensus no longer prevails about the goals and administration of the program. In this paper, we describe the history of the social security disability program in terms of an illusive search for a political consensus.2 We first examine the U.S. Senate's 1956 debate over disability insurance. This debate provides a convenient summary of the ingredients of the compromise that sustained the consensus of the next two decades. Then, in an effort to explain what was at stake in 1956, we review discussions about disability that had taken place previously in bureaucratic and professional circles. We next examine the post- 1956 expansion of disability insurance, and we conclude with the dissolution of the compromise.

Mediasi Kepuasan Kerja dan Stres Kerja pada Hubungan antara Program Jamsostek dan Kinerja Karyawan Studi Kasus pada Perusahaan Swasta di DIY dan Solo

2013 ◽  
Vol 3 (1) ◽  
pp. 75
Author(s):  
Eny Sulistyowati ◽  
Totok Danangdjojo
Keyword(s):  
Job Satisfaction ◽  
Social Security ◽  
Job Stress ◽  
Work Stress ◽  
Program Performance ◽  
Social Security Program ◽  
Mediating Role ◽  
The Social ◽  
The Relationship

<span><em>This study aims to explain the influence of the Social Security </em><span><em>program on performance and job satisfaction and job stress as a mediating </em><span><em>variable. In addition, this study also describes the effect of job satisfaction on </em><span><em>the performance and the effect of work stress on performance. The relationship of </em><span><em>each variable in this research is to be measured by conducting a survey on 145 </em><span><em>employees of private companies that included in Social Security program on </em><span><em>DIY and Solo. Then the path analisys used to test the effect of social security </em><span><em>program performance in mediation by job satisfaction, performance and job stress</em><span><em>, job satisfaction, and examines the effect on the performance and the effect of </em><span><em>work stress on performance. The results showed that the social security program </em><span><em>significant positively affects job satisfaction and performance. Job satisfaction was </em><span><em>also positively and significantly affect performance. Even though mediating role </em><span><em>of job satisfaction in the relationship between social security program performance </em><span><em>partial. Because merely direct relationship between social security program with </em><span><em>greater performance than the mediating role of job satisfaction. Social Security </em><span><em>program did not significantly affect the stress of work, as well as job stress did </em><span><em>not significantly affect performance. Therefore, the mediating role of work stress </em><span><em>on the relationship between social security program with the performance did not </em><span><em>occur. Individual differences and work experience may be a factor that causes no </em><span><em>significant relationship between the two variables.</em></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span><br /></span>

scholarly journals Revealing the Legal Protection of Patients Social Security Administration Agency of Health in Sanglah and Balimed Hospitals Denpasar

2020 ◽  
Vol 7 (2) ◽  
pp. 102-110
Author(s):  
RA Tuty Kuswardhani ◽  
I Nyoman Budiana
Keyword(s):  
Health Insurance ◽  
Social Security ◽  
National Health Insurance ◽  
National Health ◽  
Legal Protection ◽  
The Elderly ◽  
National Formulary ◽  
Social Security Administration ◽  
Curative Therapy ◽  
The Social

Social Security Administration Agency of Health has a National National Health Insurance formulary, but in reality patients do not get drugs according to the National Health Insurance National Formulary. Therefore, the aims of this study are to determine the legal protection of patients of the Social Security Administration Agency of Health for the elderly in curative therapy in hospitals according to the national formulary of National Health Insurance at Sanglah Hospital and Balimed Hospital, and to know the responsibilities undertaken by the Social Security Administration Agency of Health in fulfilling its obligations for patients the Agency for the Implementation of the Social Health Insurance of the elderly in curative therapy in accordance with the national formulary of the National Health Insurance. This study uses a participatory observational (empirical-observational) empirical legal research method. Sampling with purposive sampling and data collection techniques using triangulation techniques. In principle, legal protection must refer to legal certainty, fairness and benefits for the population participating in the Social Security Administration Agency of Health for the elderly so that it is not impressed that Balimed Hospital and Sanglah General Hospital and the Social Security Administration Agency of Health make a service to consumers who are not good. The legal responsibility that should be obtained by the participants of the Social Security Administration Agency of Health for the elderly in Balimed Hospital and Sanglah Hospital Denpasar which is currently not maximally received by patients participating in the Social Security Administration Agency of Health for the elderly at Balimed Hospital and Sanglah Hospital.

The Social Security Program of the United States

1936 ◽  
Vol 30 (3) ◽  
pp. 455-493 ◽  
Author(s):  
Joseph P. Harris
Keyword(s):  
Social Security ◽  
Old Age ◽  
Social Insurance ◽  
The United States ◽  
Economic Security ◽  
Social Security Program ◽  
Unemployment Compensation ◽  
The Social ◽  
Old Age Assistance ◽  
State Unemployment

The Federal Social Security Act, which may be regarded as the central core of the social security program, is an omnibus act, containing the following features: (1) a national, compulsory oldage insurance plan, covering all employees except certain exempted groups; (2) two measures designed to stimulate the states to enact state unemployment compensation laws, namely, (a) a uniform nation-wide tax upon employers, against which a credit is allowable for contributions made to approved state unemployment compensation plans, and (b) subsidies to the states to cover the administrative costs of unemployment compensation; and (3) grants-in-aid to the states for old-age assistance, pensions for the blind, aid to dependent children, child welfare, maternal and child health, vocational rehabilitation, and public health activities. It is estimated that each of the two forms of social insurance will apply to about 25,000,000 wage-earners, and, when the maximum rates become effective in 1949, will involve annual contributions of nearly $3,000,000,000. This amount is approximately equal to the normal annual expenditure of the federal government prior to 1930. In addition, the grants-in-aid to the states were estimated by the actuaries of the President's Committee on Economic Security to reach a total of a half-billion dollars annually within a few years.History of the Federal ActWhen, in a message to Congress on June 8, 1934, the President indicated that he would submit a program of social insurance for consideration at the following session, the Wagner-Lewis unemployment insurance bill and the Dill-Connery old-age assistance bill were pending. Shortly afterwards, the President, by executive order, created the Committee on Economic Security, consisting of the Secretaries of Labor (chairman), Treasury, and Agriculture, the Attorney-General, and the Federal Emergency Relief Administrator. This committee appointed Professor Edwin E. Witte, of the University of Wisconsin, as executive director, and proceeded to build up a staff of actuaries and experts to study the whole problem of economic insecurity, and to prepare recommendations.

Factors associated with willingness to pay for health insurance and pension scheme among informal economy workers in low- and middle-income countries: a systematic review

2020 ◽  
Vol 48 (1) ◽  
pp. 17-37
Author(s):  
Jairous Joseph Miti ◽  
Mikko Perkio ◽  
Anna Metteri ◽  
Salla Atkins
Keyword(s):  
Systematic Review ◽  
Health Insurance ◽  
Social Security ◽  
Willingness To Pay ◽  
Informal Economy ◽  
Middle Income ◽  
Content Type ◽  
Informal Workers ◽  
Middle Income Countries ◽  
Pension Schemes

PurposeThe purpose of this paper is to establish the main factors influencing willingness to pay for health insurance and pension schemes among informal workers in low- and middle-income countries (LMICs). Historically, informal economy workers have been excluded from social protection coverage. There is a growing need, interest and policy discourse in LMICs to extend social security to informal economy workers. However, little is known about informal workers' willingness to pay (WTP) for social security services in different LMIC settings.Design/methodology/approachThe authors conducted a systematic review and searched five databases from 1987 to 2017. Included papers focused on “social security”, “social insurance”, “pension”, “informal economy”, “informal sector” and “informal workers” in LMICs. Authors conducted independent data appraisal and data extraction. A total of 1790 papers were identified. After exclusion, 34 papers were included in the analysis. Given the heterogeneous results, the authors performed a narrative synthesis to consolidate the findings of the different studies.FindingsIn total, 34 studies from 17 countries were included in the review, out of which 23 studies focused on health insurance, 7 studies on pension schemes and 4 studies on social security in general. The study showed that income and trust were associated with WTP for both health insurance and pension schemes. In addition, family size, age, education and residential area were common factors for both forms of social security. For health insurance, experience of sickness, attitude and presence of medical doctors as well as distance from the healthcare facility all played a role in determining WTP. For pension schemes, low and flexible contribution rates, benefit package, government subsidies and quality of administration of the schemes influenced enrolment and contributions.Research limitations/implicationsMore evidence is needed for WTP for pensions among informal workers.Practical implicationsThe findings show that socio-economic differences, scheme-type (health or pension) and level of trust influence WTP for health insurance or pension among informal sector workers. The review results suggest that the factors influencing WTP for health insurance and pensions interplay in a complex web of relations. More evidence is needed on WTP for pensions among informal workers.Social implicationsFurther studies are particularly needed on the interrelationship of the influences to WTP, including gender issues, access barriers and socioeconomic factors, among program design issues for social security.Originality/valueThis paper is based on a systematic review methodology and contributes to the discourse on extending social security to informal economy workers based on evidence from various countries.

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