Analysis of the Determination of Hospital Tariff Rates for BPJS Patients Diagnosed with Typhoid Fever at Ananda Blitar General Hospital
DOI:
https://doi.org/10.5281/zenodo.15307370Keywords:
BPJS Kesehatan, Hospital Rates, Typhoid FeverAbstract
Background: The determination of hospital tariffs is a crucial aspect in the sustainability of healthcare facility operations, especially within the payment system of the Social Security Agency for Health (BPJS Kesehatan) based on Indonesian Case-Based Groups (INA-CBGs). This study aims to analyze the influence of the type of medical services provided by doctors, length of stay (LOS), medication costs, and laboratory costs on hospital rates for BPJS patients diagnosed with typhoid fever at Ananda Blitar General Hospital. Methods: This study uses a quantitative method with a cross-sectional approach. The sample consisted of 291 patients selected through stratified random sampling based on the class of care. Secondary data were obtained from the BPJS e-Claim and the Hospital Management Information System (SIMRS) for the period from August 1, 2021, to July 31, 2024. The analysis was conducted using dummy linear regression to identify the influence of each variable on hospital rates. Results: The research results show that the type of medical services provided by doctors, LOS, medication costs, and laboratory costs have a significant impact on hospital rates with a significance value of 0.000 < (α=0.05). Conclusions: The results of the regression test show that the type of medical services provided by doctors has the greatest influence, followed by LOS, medication costs, and laboratory costs.
Downloads
References
Badan Penyelenggara Jaminan Sosial Kesehatan. (2015). Laporan Tahunan BPJS Kesehatan 2015.
Baker, L. C., & Brown, S. (2016). The Impact of Physician Services on Hospital Pricing. Health Services Research, 51(1), 255–269.
Dewi, R.S., & Wulandari, Y. (2018). Analisis Penetapan Tarif Pelayanan Kesehatan pada Pasien BPJS di Rumah Sakit. Jurnal Administrasi Kesehatan Indonesia, 6(1), 45–58.
Diah Ekawardhani, D. (2021). Dampak Biaya Laboratorium Terhadap Kesenjangan Tarif INA-CBGs dan Biaya Riil Diagnosis Leukemia.
Diana Sari, Rini Mutia Sari, dan S. M. (2018). Hubungan Biaya Obat dan Lama Rawat Pasien Di RSUD Dr. H. Abdul Moeloek Provinsi Lampung Tahun 2018.
Halim, A., & Widyastuti, S. (2020). Cost Analysis of Laboratory Services in Indonesian Hospitals: Implications for Hospital Tariffs. Journal of Healthcare Management, 65(2), 115–128.
Heryana, A. (2019). Akuntansi Biaya Pelayanan Kesehatan. Akuntansi Biaya Pelayanan Kesehatan, September, 1–9. https://www.researchgate.net/profile/Ade-Heryana/publication/336025003_Ade_Heryana_Akuntansi_Biaya_Pelayanan_Kesehatan/links/5d8b6adba6fdcc2554978209/Ade-Heryana-Akuntansi-Biaya-Pelayanan-Kesehatan.pdf
Hosizah, Y. M. (2018). SISTEM INFORMASI KESEHATAN II. 312.
Kementerian Kesehatan RI. (2023). Peraturan Menteri Kesehatan Republik Indonesia No. 3 Tahun 2023 Tentang Standar Tarif Pelayanan Kesehatan Dalam Penyelenggaraan Program Jaminan Kesehatan. Permenkes No. 3, 1–721.
Lee, J. H., & Lee, Y. S. (2020). Impact of Length of Stay on Hospital Costs and Reimbursement Rates: Evidence from Korea. International Journal of Health Economics and Management, 20(2), 113–127.
Mahendradhata, Y., Trisnantoro, L., Listyadewi, S., Soewondo, P., MArthias, T., Harimurti, P., & Prawira, J. (2017). The Republic of Indonesia Health System Review (Vol. 7, Issue 1).
Saragih, T. S. (2020). Analisis Dampak Penetapan Tarif Pelayanan Kesehatan BPJS Terhadap Keuangan Rumah Sakit. Jurnal Keuangan Dan Perbankan, 14(3), 233–246.
Schaeffer, J., & Petersen, C. (2017). The Effect of Length of Stay on Hospital Costs and Charges. Health Services Research, 52(5), 1920–1935.
Suharmiati, S., Handayani, L., & Roosihermiatie, B. (2019). Analisis Biaya Obat Unit Rawat Jalan pada Rumah Sakit Badan Layanan Umum (BLU)/ Badan Layanan Umum Daerah (BLUD) di Indonesia. Jurnal Kefarmasian Indonesia, 126–139. https://doi.org/10.22435/jki.v9i2.1369
Sutomo, A., & Hidayat, A. (2019). Evaluasi Pelaksanaan Jaminan Kesehatan Nasional (JKN) dalam Pelayanan Kesehatan di Rumah Sakit. Jurnal Manajemen Pelayanan Kesehatan, 4(2), 78–89.
More
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Wisnu Winoto, Ratna Wardani, Agusta Dian Ellina (Author)

This work is licensed under a Creative Commons Attribution 4.0 International License.