IDENTIFIKASI DAN MITIGASI RISIKO STRATEJIK MENGGUNAKAN IFE-EFE MATRIX: STUDI KASUS BPJS KESEHATAN

Dewi Hanggraeni, Dea R. Triana, Luna S. Kuswanto, M. Iqbal Alfarisi, Renata H. Rahayu

Abstract


This study identifies and analyzes strategic risks experienced by the Badan Pengelola Jaminan Sosial (BPJS) Kesehatan. This health insurance program has a deficit due to the number of claims exceeding income and there is no detection system for the number of claims that are not appropriate. This research is explanatory by using the IFE-EFE Matrix as a basis for identifying and mitigating the strategic risk of BPJS Kesehatan. The Analysis results shows the need for more accurate and transparent calculations, intense socialization, pricing of tariff should be adjusted to the ability of the people, as well as a fraud detection system by BPJS Kesehatan.

Keywords: Strategic Risk; IFE and EFE Matrix; BPJS Kesehatan, UCS Thailand



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References


Asian Scientist Newsroom. (2019, march 14). Zika Virus Endemic In Thailand, Study Shows.

Badan Pusat Statistik. (2019). Berita Resmi Statistik: Pertumbuhan Ekonomi Indonesia Triwulan IV-2018. Jakarta: Badan Pusat Statistik RI.

Barr, N. (2010). Long-term Care: A Suitable Case for Social Insurance. Social policy & administration, 359-374.

BPJS Kesehatan. (2017). Laporan Keuangan. Jakarta: BPJS Kesehatan.

CEIC. (2019). Thailand Penghasilan Pajak. Retrieved from Ceic Data:

CNN Indonesia. (2019, October 18). Aturan Tarif BPJS Kesehatan Terbit Usai Pelantikan Jokowi.

David, F. R., & David, F. R. (2016). Strategic Management : A Competitive Advantage Approach, Concept and Cases. South Caroline: Pearson Education.

Dwidienawati, D., & Abdinagoro, S. B. (2018). Generosity's antecedents and outcomes - A proposed relationship generosity and intention in Indonesia's BPJS Kesehatan. Journal of Business and Retail Management Research (JBRMR), Vol. 12 Issue 2, 49-59.

Fitra, S. (2019, August 12). Biang Defisit yang Membuat Iuran BPJS Kesehatan Naik. Retrieved September 27, 2019, from Katadata.co.id: https://katadata.co.id/telaah/2019/09/12/biang-defisityang-

membuat-iuran-bpjs-kesehatan-naik

Grunow, M., & Nuscheler, R. (2014). Public and private health insurance in Germany: The ignored risk selection problem. Health Economics, 670-687.

Hadyan, R. (2019, September 23). BPJS Watch : Tunggakan BPJS Kesehatan ke Rumah Sakit Tembus Rp13 Triliun! Retrieved September 29, 2019, from Bisnis.com:

Hanggraeni, D. (2016). Manajemen Risiko Perusahan Teintegrasi Berbasis ISO 31000: Teori dan Hasil Penelitian. Jakarta: Lembaga Penerbit Fakultas Ekonomi dan Bisnis Universitas Indonesia.

Hanvoravongchai, P. (2013). Health Financing Reform in Thailand: Towards Universal Coverage Under Fiscal Constraints. Universal Health Coverage Studies.

Herlina, K. (2019, August 22). BPJS Kesehatan defisit, berikut faktor penyebabnya menurut Menkeu.

ICW. (2018, February 19). Dana Kapitasi Sanagt Rawan Dikorupsi Kepala Daerah dan Birokrat Daerah.

Ika, A. (2018, August 28). Dugaan Korupsi Dana BPJS, Kepala Dinkes Ditetapkan Sebagai Tersangka.

Khoirunisa, R. (2019, June 22). Kartu BPJS Nonaktif Karena Data Ganda Begini Cara Mengatasinya.

Kiffman, M. (2006). Risk selection and complementary health insurance: the Swiss approach.

International Journal Of Health Care Finance And Economics [Int J Health Care Finance Econ],

-170.

Kiffman, M., & Roeder, K. (2011). Premium subsidies and social health insurance: Substitutes or complements? Journal of health economics, 1207-1218.

Kompas.com. (2017, November 09). Thailand Kekurangan Tenaga Perawat dan Apoteker. Retrieved

Kompas.com. (2019, S September). Iuran BPJS Kesehatan Naik 100 Persen Mulai 1 Januari 2020.

Lokobal, A., Sumajouw, M. D., & Sompie, B. F. (2014). Manajemen Risiko Pada Perusahaan Jasa Pelaksana Konstruksi di Propinsi Papua. Jurnal Ilmiah Media Engineering Vol.4 No.2, 109-118.

Mango, D. (2007). An Introduction to insurer strategic risk topic 1: risk management of an insurance enterprise. Enterprise Risk Analysis, Guy Carpenter & Company, 144-172.

NHSO. (2017). Annual Report. Thailand: NHSO.

Ojiako, U. (2012). Examining thematic elements. Management Research View, 90-105.

Olivia, G. (2019, July 31). Ada Indikasi Kecurangan, Pemerintah Minta BJS Kesehatan Perbaiki Sistem JKN.

Pitselis, G. (2006). Risk Based Capital, Supervision of Solvency and Cross-Section Effect models. Greece: Department of Statistics & Insurance Science.

Rejda, G., & McNamara, M. (2014). Principles of Risk Management and Insurance. Kiadas, 12.

Setiawan, S. (2019, September 13). Jeritan RUmah Sakit hingga Klinik untuk BPJS Kesehatan . Retrieved

Seung Chun Paek, N. M. (2016). Thailand Universal Coverage Scheme and its Impact on Health-Seeking Behaviour. Springer Plus.

Silva, I. D., & Sumarto, S. (2018). Child Malnutrition in Indonesia: Can Education, Sanitation and Healthcare Augment The Role of Income. Journal of International Development, 837-864.

Sindo, K. (2019, September 3). Masalah BPJS Kesehatan Bukan Sekedar Premi. Retrieved September 3, 2019,

Smith, V. H. (2016). Producer insurance and risk management options for smallholder farmers. World Bank Research Observer, 271-289.

Sparrow, R., Poel, E. V., Hadiwidjaja, G., Yumna, A., Warda, N., & Suryahadi, A. (2014). Coping With The Economic Consequences of Ill Health in Indonesia. Health Economics, 719-728.

Stevens, G. A., Finucane, M. M., Paciorek, C. J., Flaxman, S. R., White, R. A., Donner, A. J., . . . On Behalf of Nutrition Impact Model Study Group. (2012). Trends in mild, moderate, and severe stunting and underweight, and progress towards MDG 1 in 141 developing countries: a systematic

analysis of population representative data. Lancet, 824-834.

Sukmana, Y. (2019, August 22). Akar Masalah Defisit BPJS Kesehatan, Peserta yang Sudah Meninggal Pun Bisa Klaim. Retrieved September 23, 2019,

Sukmana, Y. (2019, September 2). Jika Iuran Tak Naik, Defisit BPJS Kesehatan Bisa Capai Rp77,9

Suryanto, Plummer, V., & Boyle, M. (2016). Financing Healthcare in Indonesia. Asia Pacific Journal of Health Management 2016; 11: 2, 33-37.

Tarigan, A. P., & Mahfud, M. K. (2015). ANALISIS PENGARUH KEMAMPUAN MEMBAYAR KLAIM, PROFITABILITAS, RISIKO UNDERWRITING, DAN REASURANSI TERHADAP SOLVABILITAS PERUSAHAAN ASURANSI (Studi Pada Perusahaan Asuransi Yang Terdaftar

di Bursa Efek Indonesia Periode 2008-2013). Diponegoro Journal of Management.

Teh, I. (2015). Universal Healthcare Coverage in Indonesia. The Economist.

Tempo.co. (2019, October 8). Kemenkeu: 16 Juta Peserta Mandiri BPJS Kesehatan Menunggak Premi.

Tulung, J. E., Saerang, I. S., & Pandia, S. (2018). The influence of corporate governance on the intellectual capital disclosure: a study on Indonesian private banks. Banks and Bank Systems, 13(4), 61-72.

Wahyuni, S. (2012). Conducting Qualitative Research. In S. Wahyuni, Conducting Qualitative Research. Jakarta: Salemba.

Wicaksono, A. (2019, August 22). Defisit BPJS Kesehatan DIramal Bengkak Jadi Rp28,5 T di 2019.

Widyastuti. (2019, August 6). Korupsi Dana BPJS 7,7 Miliar, 2 Pejabat RSUD Lembang Ditangkap.

Zhu, J. (2014). Quantitative Models for Performance Evaluation and Benchmarking. Data Envelopment Analysis with Spreadsheets. Massachusetts: Springer.




DOI: https://doi.org/10.35794/jmbi.v6i3.26678

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