BPJS PBI Participant Disabled, Commission IX of the DPR asks the Government to Form a Task Force at the Hospital

Member of Commission IX of the House of Representatives, Zainul Munasichin, asked the government to form a task force or a special one-stop team that could solve the problem of deactivation of BPJS Health Membership for Fee Recipients (PBI) directly at each hospital.

He said, in the context of deactivation of PBI membership, the Ministry of Health and BPJS Health are basically only users (users) of data sourced from the Ministry of Social Affairs as the party that implements the policy.

Even so, Zainul emphasized the importance of maintaining cohesiveness and inter-institutional synergy.

"Don't let it be because you feel like you're just a user, then you feel like you're throwing responsibility at each other. We have to stay solid and together find solutions so that the community is not harmed," said Zainul, Thursday, February 12.

Based on the available data, continued Zainul, of the approximately 11 million PBI participants who were disabled, there were approximately 120 thousand patients in the catastrophic category. He assessed that the data should have been mitigated from the beginning through proactive steps from BPJS Kesehatan.

"BPJS has detailed data on participants, including catastrophic patients. If from the beginning the data of 120 thousand catastrophic patients were presented as a comparison to the Ministry of Social Affairs, the deactivation process would be more careful. The Ministry of Social Affairs will have comparative data before making a decision," he explained.

Zainul emphasized that in the next three months, the most crucial stage is the validation of 11 million data of PBI participants who have been deactivated. For this, he proposed the formation of an ad hoc team or task force at hospitals, especially government hospitals with a large number of BPJS PBI participants.

"I imagine there is a one-roof team at the hospital, consisting of BPJS, Health Service, and Social Service elements, which can immediately solve the problem on site. So when a patient comes and it turns out that his membership is disabled, clarification and assessment can be done right then, without having to go back and forth to take care of the administration," he explained.

Zainul also reminded that there was no case where the actual PBI patient who was in the category of desil 4 and below was actually deactivated because it was considered to be in the desil 5 and above. According to him, the clarification mechanism in place is very important so that the community is not burdened.

"Don't let patients who should be entitled to be asked to go home to take care of the administration in a tiered and hierarchical manner. Many of our people are unable to deal with such bureaucratic processes," he said.

Zainul hopes that with proactive, collaborative, and data-based steps that are accurate, the issue of validating PBI membership can be resolved thoroughly without causing new turmoil later.

"With this special team during the three-month transition period, problems can be resolved directly at the hospital," he concluded.