Thursday, April 26, 2012

The Medical Loss Ratio (MLR) Report—Just Fiddling While Rome is Burning

Today’s headline was, “Millions Expected To Receive Insurance Rebates Totaling $1.3 Billion.”The Kaiser Family Foundation estimates that 3.4 million people in the individual market will receive $426 million in consumer rebates because of the Affordable Care Act's new MLR rules. In the small group market 4.9 million enrollees will see $377 million in rebates, and 7.5 million people will get $540

Thursday, March 29, 2012

What Would Individual Health Insurance Cost if the Court Strikes the Mandate Down and Still Requires Insurers to Cover Everyone?

With the Supreme Court justices sounding like they might strike the mandate down, this is a question I've been getting a lot lately.I have pointed to New Jersey as a real life example of what can happen when insurance reforms take place but there is no incentive for consumers to buy it until the day they need it.In 1992, New Jersey passed health insurance reform that required insurance carriers

Wednesday, March 28, 2012

If the Supreme Court Overturns the Individual Mandate

First, trying to predict how the Court will rule is at best just speculation. I know what Justice Kennedy said both today and yesterday and it certainly doesn’t look good for the Obama administration and upholding at least the mandate.But I will remind everyone, based upon oral arguments, most Court watchers expected a ruling in favor of the biotech industry on a recent case involving health care

Thursday, March 8, 2012

Will the Pace of Innovative Change Overtake the Financial Imperative to Slash Spending?

I thought it was worth passing along the comments by Jim Tallon, president of New York's United Hospital Fund, in a recent post.Tallon reflected on an international meeting he attended with health care leaders from a number of industrial nations--"nations whose health care systems, indeed underlying philosophies, ranged from market orientation through hybrids to government authority:" "Across

Sunday, February 26, 2012

"Five Myths About Medicare"

I recommend you read John Rother's recent op-ed in the Washington Post, "Five Myths About Medicare."John argues that each of these statements is a myth:Medicare is inefficient and fails to control costs--the CBO has projected that per capita spending will grow only 1% more than inflation over the next decade.The well-off don't pay enough for their Medicare benefits--working age premiums as well

Wednesday, September 9, 2009

Studi Asuransi Kesehatan


Minat Utama Kebijakan Pembiayaan dan Manajemen Asuransi/Jaminan Kesehatan merupakan salah satu Program Pasca Sarjana Fakultas Kedokteran Universitas Gadjah dalam kelompok Ilmu Kesehatan Masyarakat. Untuk memberikan kesempatan kepada masyarakat untuk mendalami kebijakan pembiayaan kesehatan dan manajemen asuransi/jaminan kesehatan, saat ini telah dilakukan pembukaan pendaftaran Mahasiswa Baru. Informasi selanjutnya dapat dibaca dalam brosur berikut.

Wednesday, August 19, 2009


Workshop diselenggarakan di Gedung KPTU Lt 3 Fakultas Kedokteran UGM Jl. Farmako Sekip Utara Yogyakarta tanggal 14-15 Agustus 2009. Setelah mengikuti workshop ini diharapkan peserta dapat :
1.Memahami Sistem Pembiayaan di Indonesia
2.Memahami Konsep dan Implementasi Sistem Jaminan Kesehatan Daerah
3.Mengetahui Langkah-langkah Pengembangan Sistem Jaminan Kesehatan Daerah
4.Mengetahui Berbagai Variasi Sistem Jaminan Kesehatan Daerah dari berbagai
Pemerintah Daerah di Indonesia
5.Memahami Konsep dan Implementasi Konsep Desentralisasi dalam Sistem Jaminan
Kesehatan Daerah
6.Memahami Coordination of Benefit antar` Sistem Jaminan Kesehatan Daerah dan Sistem
Jaminan Kesehatan Masyarakat (Jamkesmas)

Jumlah peserta 41 orang dari seluruh Indonesia (Daftar Peserta dapat didownload di bawah). Draft dan alamat Transfer of knowledge dan diskusi diantara peserta berlangsung intensif dan berbobot. Dalam acara ini pula dibahas mengenai 3 draft (dapat didownload)rancangan produk hukum tentang penyelenggaraan jaminan sosial dan jaminan kesehatan di Indonesia yaitu: 1) RUU Badan Penyelenggara Jaminan Sosial, 2) Rencana Peraturan Presiden tentang Penyelenggaraan Jaminan Kesehatan, 3) Rencana Permenkes tentang Penyelenggaraan Jaminan Kesehatan.
Hasil diskusi dan masukan peserta atas ketiga draft rancangan produk hukum tersebut akan dikirim ke decision maker yang terkait.

Berikut disampaikan dalam halaman terpisah tentang:
1. RUU BPJS dan Naskah Akademik (versi Menkokesra)
2. RUU BPJS(download disini)
3. Hasil Masukan Peserta atas 3 Draft Rancangan Produk Hukum(download disini)
4. Daftar Peserta Workshop(download disini)
5. Alamat Pengiriman Masukan (download disini)