Facilitators and barriers to participation of the private sector health facilities in health insurance & government-led schemes in India

Abstract

Background: In India, policymakers are in an opined that expansion of public-funded health insurance is the key to achieve Universal Health Coverage (UHC). Despite untapped potential to be part of such government-run public-funded health scheme, many private service providers are reluctant to join in such scheme due to various reasons. This paper aims to evaluate facilitators, barriers and perception to participation of the private sector health facilities in Health Insurance & government-led schemes. Methods: Present study was conducted in 83 private hospitals of Vadodara city. Sampling frame was formed & with the use of random number table, 83 hospitals were selected randomly. Data collection was done in pre tested, pre formed questionnaire & respondents were the medical superintendent or the person in-charge of the hospital.Results: In the present study 30% & 26% of hospitals were enrolled for cashless private health insurance facility & government health schemes respectively. Social service, competition and increase clientele were the common reason sought for enrolment in government health schemes. Low & delayed reimbursement, bribe to clear payment, limited services covered, administrative issues were the common problems identified for nonenrolment. There was an association between a number of beds in the hospital & enrolment to government health scheme (p < 0.05). Availability of cashless private health insurance facility (p < 0.01) and satisfied with the current TPA model of health insurance (p < 0.05) were also found statistically significant. Conclusion: Timely & rational increase in remuneration, expanding the scope of services and use of appropriate technology for ease in administration is the need of an hour to engage vast service providers under the ambit of public-funded health insurance.

Determinan Ekonomi Terhadap Keikutsertaan Program Jaminan Kesehatan Nasional (JKN) Di Kota Madiun Tahun 2023

“…Karena status sosial dan ekonomi akan berdampak langsung terhadap perawatan kesehatan yang di ambil seperti tes diagnostik dan obat-obatan karena biaya dan cakupan perawatan 8 . Kenaikan premi di sektor asuransi kesehatan adalah tugas berat bagi pembuat kebijakan untuk membentuk kebijakan yang seimbang yang dapat memberikan perawatan kesehatan yang terjangkau dengan menjaga kelangsungan hidup(Dave et al, 2021).Pemerintah Indonesia untuk mencapai UHC dengan skema jaminan kesehatan untuk memperluas jalan kepada pelayanan kesehatan dan melindungi orang serta keluarga dari kemungkinan tidak dapat membayar premi (Jaminan Kesehatan Indonesia, 2019).Salah satu solusi untuk mengetahui manfaat mengikuti BPJS adalah melalui internet dan media sosial(Handayani et al, 2021). Peran pemerintah untuk membuat alternatif kebijakan yaitu dari pemerintah sangat diharapkan (Dartatnto et al, 2020) Jaminan Kesehatan Nasional (JKN) adalah sebuah skema yang berbentuk perlindungan kesehatan guna mendapatkan manfaat pemeliharaan kesehatan dan perlindungan dalam memenuhi kebutuhan dasar kesehatan yang diberikan setiap orang yang telah membayar iuran atau iurannya dibayar pemerintah.…”