LESSON LEARNED FROM THE UNITED STATES: IMPROVING HEALTH COVERAGE IN A PRIMARY CARE

Abstract

The universal health coverage in Indonesia is organized by Badan Penyelenggara Jaminan Kesehatan (BPJS), which gives health protection to the population as in medical insurance. This health coverage is essential to protect and maintain the quality of health in the Indonesian population. However, there were some burdens for universal health coverage, including the accessibility to National Health Insurance (JKN). Therefore, we may learn about improving health coverage in the United States, which is well known for Medicare and Medicaid, —the center of the US medical insurance. There are at least three main lessons to learn from medical insurance in the US, such as enrollment for medical insurance, sliding fee discount program, and cost analysis for fee-for-service in health care. Despite the difference in health system and population between the United States and Indonesia, these lessons could be tailored to reduce the burden to the universal health coverage in Indonesia.