The Social Security Administering Body for Health (BPJS Kesehatan) is now focusing its strategy on promotive and preventive aspects to control the surge in healthcare financing. This move was taken following last year's claim ratio record, which reached 108.27 percent, dominated by the costs of treating catastrophic diseases and other critical medical conditions.
As a concrete step, all Primary Healthcare Facilities (FKTP) have been instructed to enhance their role in monitoring patient therapy. The main focus is directed at chronic disease management, particularly hypertension and diabetes, through the strengthening of the Chronic Disease Management Program (Prolanis).
BPJS Kesehatan aims to increase service coverage through a 'contact rate' indicator of 150 per thousand National Health Insurance (JKN) participants. By strengthening monitoring at the primary level, it is expected that the risk of patient complications can be minimized so that the financial burden for advanced-level care can be better controlled.
