The alleged practice of phantom claims in the National Health Insurance (JKN) system is now under sharp parliamentary scrutiny. A member of Commission IX of the DPR RI, Nurhadi, strongly condemned findings involving hundreds of fictitious patients, with potential state losses reaching tens of billions of rupiah. According to him, this action is not merely an administrative violation, but a betrayal of the constitutional mandate that harms healthcare access for underprivileged communities.
Nurhadi emphasized that BPJS Kesehatan funds consist of public contributions and the state budget (APBN), which should be managed for crucial medical services such as chronic disease treatment, childbirth, and elderly care. He considered it deeply unethical that while citizens are asked to pay their premiums dutifully, rogue actors use these funds for personal gain or corruption.
In his demand to law enforcement officials, Nurhadi called for the investigation to target not only field operators but also uncover the masterminds behind the fraudulent scheme. He stressed the need for transparency to trace all parties involved in verifying, approving, and benefiting from the illegal funds flow, including the potential involvement of internal actors.
Concerns over a potential iceberg phenomenon prompted the lawmaker from the NasDem Party faction to urge BPJS Kesehatan and the Ministry of Health to immediately conduct a national forensic audit. Strengthening digital-based anti-fraud systems and conducting a deep evaluation of claim verification mechanisms are seen as crucial steps to plug loopholes causing state fund leaks.
Furthermore, Nurhadi stated that Commission IX of the DPR RI will summon relevant parties to hold them accountable in an upcoming working meeting. He stressed that the state must intervene with full resolve to ensure that every rupiah of JKN funds is protected from healthcare mafia practices, thereby preserving public trust in the national health insurance system.
