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79,000 Potentially Fraudulent Health Insurance Claims Found

Low healthcare costs are believed to have caused alleged fraud in hospitals’ health insurance claims. Controlling the National Health Insurance-Healthy Indonesia Card (JKN-KIS) program’s healthcare costs is critical to ensuring the program’s sustainability.

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KOMPAS/RIZA FATHONI

People complete administrative procedures for their Healthcare and Social Security Agency (BPJS Kesehatan) health insurance on Monday (12/11/2018) at Siloam Hospital in Semanggi, Jakarta. The National Health Insurance-Healthy Indonesia Card (JKN-KIS) program enables people to obtain the same medical treatment as self-paying patients under a cross-subsidy scheme.

JAKARTA, KOMPAS – Low healthcare costs are believed to have caused alleged fraud in hospitals’ health insurance claims.

Controlling the National Health Insurance-Healthy Indonesia Card (JKN-KIS) program’s healthcare costs is critical to ensuring the program’s sustainability. Stricter controls should be implemented to uncover potentially inaccurate health insurance claims.

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