Organization of medical and economic control of the volume and cost of medical care in the system of compulsory health insurance in 2021

The article is devoted to the current problem of interaction in fulfilling the obligations of all participants of compulsory health insurance to pay for and provide medical care in accordance with the amendments made to Federal Law No. 326-FL of 29 November 2010 (as amended on 08 December 2020) «On Compulsory Health Insurance in the Russian Federation» and entered into force on January 1, 2021. The authors focus on the issue of granting of the territorial compulsory health insurance fund new powers to conduct medical and economic control and abolishing these powers from medical insurance organizations. According to the amendments, all volumes of medical care provided to the insured population of the subject of the Russian Federation, both on the territory of insurance and outside it, as well as medical care provided outside the territory of insurance, are the subject of medical and economic control by the territorial fund. Starting from 2021, the form of the contract for the provision and payment of medical care for compulsory health insurance, approved by Order of the Ministry of Health of the Russian Federation No. 1417n of 30 December 2020, has also changed. Unlike the previous form of contract concluded between an insurance medical organization and a medical organization, the current document provides for the participation of three parties in contractual relations: the territorial fund, insurance medical organizations, medical organizations. The agreement contains provisions providing for the obligation of the territorial fund to carry out medical and economic control of registers of accounts and accounts submitted by medical organizations to pay for medical care provided within the framework of the basic and territorial compulsory health insurance programs. The article presents the results of the control carried out with the analysis of the identified violations in the provision by medical organizations of the Ryazan region of invoices and registers of invoices for payment of medical care provided for January 2021, identifies problematic points in the information interaction between participants of compulsory insurance in the implementation of this function of the territorial fund.

Evaluasi Sistem Informasi Dosen pada ITB Stikom Bali Menggunakan Metode PIECES (Performance Information Economics Control Efficiency and Service)

ITB STIKOM BALI is an educational institution that uses a lecturer information system to help work. However, there are still some obstacles regarding how effective the lecturers' satisfaction is in using the Lecturer Information System. This research is focused on the analysis of the effectiveness of satisfaction using the Lecturer Information System as measured by the PIECES variables. The population of this study includes all active lecturers who use the lecturer information system as many as 155 people. The samples were determined by applying the SRS (Simple Random Sampling) technique using tables developed by Isaac and Michael. Of the 155 populations based on the 10% significance calculation selected to get a total of 99 samples, data collection was carried out by giving a questionnaire to all samples and there were as many as 93 people that returned it. The technique used to evaluate the Lecturer Information System is the PIECES method which focuses on 6 variables; Performance, Information, Economic, Control, Efficiency, and Service. This technique is more suitable to use and can focus on measuring the accuracy of each variable. To measure the level of user satisfaction from each variable, the questionnaire had 17 statements using a Likert scale to determine the value of the user's opinion on the system. The results of the analysis were obtained from the calculation of the questionnaire value of all respondents using the satisfaction calculation formula developed by Kaplan and Norton. From the reference criteria for the assessment of satisfaction, the results of the analysis show that the average value is 3.4 - 4.91, which means that users are satisfied using the Lecturer Information System with details of the scores on the variables Performance 4.19, Information 4.16, Economic 4.26, Control 3.85, Efficiency 4.23, and Service 4.21. It can be concluded that the use of Lecturer Information Systems statistically shows that it is quite effective. After getting the results of the value of each variable, a summary of recommendations will be given based on the smallest value in the sub-variables in each variable that received dissatisfied and very dissatisfied responses from the average questionnaire value.

Distributed Autonomous Economic Control Strategy for Microgrid Considering Event Triggering Mechanism

To fully adapt to the distributed access of renewable energy, microgrid technology has been developed rapidly. Aiming at the coordination and efficient regulation of distributed resources in microgrid, this paper proposes a distributed autonomous economic control strategy for microgrid considering event triggering mechanism. First, a distributed autonomous economic control architecture is built to provide a distributed operation architecture for optimal regulation of the microgrid. Secondly, a distributed secondary control strategy based on the consensus control theory is established to realize the economic allocation of active power as well as safe and stable operation of the microgrid. On this basis, an event trigger protocol based on the consensus error of the control variables is constructed, which is conductive to reduce redundant communication. The stability of the event trigger protocol is deduced by means of Lyapunov function analysis. The simulation analysis based on the equivalent microgrid verifies that the proposed control strategy can reduce redundant communication and acquire fair distribution of reactive power and active power among DGs, realizing distributed, economical and safe operation of microgrid.

Drivers of the Formalization of Banking Supervision

In this chapter, the drivers of the formalization of banking supervision are examined from seven perspectives: (a) charter requirements, (b) banknote issuance, (c) liability rules, (d) ensuring the public’s trust, (e) financial crises, (f) economic control, and (g) financial globalization. Our analysis shows that formalization occurred in response to the shifting needs of the time/era and that the formalization process was basically incremental. Notably, financial crises, which are generally considered to be the primary drivers of major regulatory and supervisory reforms, did not always play a leading role in the formalization of banking supervision. It should also be noted that from a historical perspective, regulation and supervision were not “natural” responses to a dysfunctional banking system. Rather, the formalization of banking supervision was the product of complex political actions negotiated by relevant stakeholders with divergent interests in a specific social, political, and economic environment.

ANALISIS BISNIS CENDERAMATA DAN JASA PERJALANAN WISATA MENGGUNAKAN BUSINESS MODEL CANVAS (BMC) DAN METODE PIECES

The use of information technology in the marketing of souvenirs and travel services based on the e-commerce concept can reach a wider market share via the internet. In the context of Micro, Small, and Medium Enterprises, the dynamics of entrepreneurship are holistic, so they need to be studied contextually. This article aims to analyze the business processes of Souvenirs and Travel Services that are carried out conventionally using the Business Model Canvas to determine the strengths, weaknesses, threats, and opportunities. Then analyze the aspects of Performance, Information, Economic, Control, Efficiency, and Services in Souvenirs and Travel Services businesses. This research uses descriptive qualitative methods. The data collection techniques used were in-depth interviews, observation, and document study. Meanwhile, data processing uses triangulation techniques. This study indicates that the adoption of information technology can support the operations of MSMEs in reducing marketing costs and providing convenience in terms of transactions and communication via digital platforms. Adopt the e-Commerce concept through the WordPress application, especially using the WooCommerce plugin and 3CX Live Chat on the website has made the transaction process and communication easier between sellers and consumers. The convergence between traditional and digital businesses can improve the performance of MSMEs.Pemanfaatan teknologi informasi dalam pemasaran bisnis cenderamata dan jasa perjalanan wisata berdasarkan konsep e-commerce dapat menjangkau pangsa pasar yang lebih luas melalui internet. Dalam konteks Usaha Mikro Kecil Menengah (UMKM), dinamika berwirausaha bersifat holistik sehingga perlu dikaji secara konstekstual. Artikel ini bertujuan menganalisis proses bisnis cenderamata dan jasa perjalanan wisata yang dilakukan secara konvensional menggunakan Business Model Canvas (BMC) untuk mengetahui kelebihan, kelemahan, ancaman dan peluang. Kemudian mengidentifikasi dan menganalisis aspek Performance, Information, Economic, Control, Efficiency, and Services (PIECES) pada usaha cenderamata dan jasa perjalanan wisata yang telah mengadopsi konsep e-commerce. Penelitian ini menggunakan metode kualitatif deskriptif. Hasil penelitian ini menunjukkan bahwa adopsi teknologi informasi dapat mendukung operasional UMKM dalam mereduksi biaya pemasaran serta memberikan kemudahan dalam hal transaksi maupun komunikasi melalui platform digital. Adopsi konsep e-commerce melalui aplikasi WordPress, khususnya penggunaan plugin WooCommerce dan 3CX Live Chat dalam website CV. Xindotour telah memudahkan proses transaksi dan komunikasi antara penjual dan konsumen.

Die Entwicklung des „Steuerstaates“: Ursprung, Aufstieg und Ende eines finanzwirtschaftlichen Fortschrittsparadigmas

For decades, the Schumpeterian tax state was considered the central paradigm of Fiscal Sociology. However, it increasingly fails to meet many of the conceptual challenges of contemporary public finance. To demonstrate this, the paper undertakes a double re-contextualization of the discourse on public finance. Its development is traced back to evolutionary thinking, which Joseph Schumpeter updated around 1918. However, and following the rise of democratic capitalism after 1945, thinking about the tax state became intertwined with economic control. Its socio-political specifics were marginalized. Since the Great Recession of 2008/2009 and widening fiscal crises in advanced capitalist economies, this discursive narrowing has again become the subject of political and economic controversies.

THE POSITION OF DAUGHTERS IN BALINESE CUSTOMARY INHERITANCE SYSTEM FROM GENDER EQUALITY PERSPECTIVE

The equality of men and women in the inheritance system is a concern in the development of Balinese customary law. Basically, Balinese indigenous people adhere to a patrilineal kinship system. As a consequence, the line is drawn from the father and the heirs are only boys, while girls can only enjoy the assets of their parents as long as they are not married. This condition certainly reduces women's access to economic rights. Whereas, the economic control is very important in life. In this research, two issues are discussed, namely the inheritance system according to Balinese customary law and the struggle for gender equality through the position of women as heirs. Decree of the Pesamuhan Agung Majelis Utama Desa Pakraman Bali Number 01 / KEP / PSM-3 / MDP Bali / X / 2010, dated October 15, 2010 provides opportunities for girls to become heirs with limited provisions. Even so, the position of women as heirs in Balinese customary law is still difficult to be implemented. This is due to a very strong patriarchal culture that places men in higher power relations.

Evaluasi penggunaan website “Gizi Sehat” dengan metode PIECES

Latar Belakang: Pola makan yang tidak sehat dapat menyebabkan berbagai macam penyakit bahkan dapat menyebabkan kematian. Salah satu cara untuk menjaga kesehatan adalah dengan mengatur pola makan karena terdapat makanan yang baik untuk kesehatan dan makanan yang perlu dibatasi untuk dikonsumsi. Agar dapat mempermudah penderita penyakit tertentu dalam menentukan jenis makanan yang dianjurkan dan dibatasi untuk dikonsumsi maka diperlukan adanya aplikasi berbasis website yang diberi nama website “Gizi Sehat”. Website ini berisi informasi tentang jenis penyakit, jenis diet, serta rekomendasi makanan yang dianjurkan dan dibatasi untuk dikonsumsi serta mudah diakses melalui smartphone, seperti tablet dan handphone. Tujuan: Penelitian ini bertujuan untuk mengevaluasi penggunaan website “Gizi Sehat” menggunakan metode PIECES. Adapun sasaran website ini adalah orang dewasa dengan penyakit penyerta. Metode: Desain penelitian yang digunakan, yaitu deskriptif kuantitatif menggunakan teknik sampling snowball. Subjek yang digunakan adalah orang dewasa berusia 20–40 tahun yang ada di Kabupaten Jember. Instrumen yang digunakan adalah kuesioner yang akan disebarkan secara online dalam bentuk google form. Hasil: Hasil yang didapatkan dari penilaian responden terhadap beberapa aspek pada website “Gizi Sehat” antara lain aspek performance 83,75% (sangat layak), information 83,5% (sangat layak), economic 90,50% (sangat layak), control 86% (sangat layak), efficiency 82% (sangat layak), dan service 87,40% (sangat layak). Kesimpulan: Penilaian yang dilakukan responden menunjukkan bahwa website “Gizi Sehat” yang dievaluasi menggunakan metode PIECES (Performance, Information, Economic, Control, Efficiency, Service), dapat dikategorikan sangat layak dari semua aspek penilaian.