The Global Budget payment method was adopted because of the annual increase in healthcare costs, which requires for cost control to guarantee that expenditures are reasonable and resources are distributed fairly without reducing the standard of service. A global budget system provides hospitals the flexibility to utilize the budget to enhance healthcare while also providing financing stability for a predetermined period of time. In 2018, BPJS Kesehatan initiated a pilot project to integrate the INA CBGs and Global Budget mixed-method hospital payment system (global budget). Purworejo Regency is one of the areas designated as a pilot for the Global Budget payment system's deployment. The outcomes of the Hospital performance indicators in the first semester review were less than ideal. As a consequence, it is required to conduct study into the Hospital's readiness to implement the Global budget Payment System. A descriptive design and a qualitative methodology were used in the research. The management of four hospitals in Purworejo Regency is the topic of the study. Observations and interviews were used to explore the readiness of hospitals in implementing the Global Budget payment system in terms of health facilities perception, Quality Control and Cost Control strategies, Global Budget calculations, and patient satisfaction through the results of the Walk Through Audit. Through the four key variables mentioned above, the scoring technique is used to evaluate the readiness of hospitals to implement the Global Budget payment system. The modified CCCEAR (California Community Clinic EHR Evaluation and Readiness) tool is used for the readiness assessment, which has three readiness levels: 1) not ready (score 0-33), 2) moderately ready (34-66), and 3) definitely ready (67-100). Result : According to a qualitative examination of data from observations and interviews, the hospital received scores of 26 from assessor II and 24 from assessor I, positioning it in the second range. This demonstrates that the hospital fits into the category of being not ready and that it has not considered about developing a more comprehensive and in-depth plan for implementing the Global Budget payment system as well as how to create capacity to enable successful adoption and implementation. Conclusion : The hospital is not yet at its highest level of readiness to proceed with adopting the Global Budget payment system in Purworejo Regency, according to the findings of scoring on four variables of hospital readiness.
The Minister of Health Regulation (PMK) Number 16 of 2019 concerning Fraud Prevention in the National Health Insurance Program (JKN) as a substitute for Minister of Health Regulation Number 36 of 2015 is still being evaluated and studied in its implementation. According to the mandate of PMK Number 16 of 2019, there is still the possibility of fraud in the implementation of JKN that has not been demonstrated and followed up on by the Fraud Prevention Team (TPF). Analyze PMK policy Number 16 of 2019 and investigate for other policy options so that their implementation works properly. The Bardach Criteria are used in the study to weight the alternative policy options that will be recommended next. The analysis result indicated that PMK Number 16 of 2019 is still stagnant, and optimizing the JKN TPF function is more feasible at this time, particularly that the PMK revision will require more time and be more complicated.
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