Hospitals in the Storm: From Regulatory Challenges, National Health Security Resilience to Digital Readiness

JAKARTA - The Indonesian Private Hospital Association (ARSSI) emphasized that the success of the National Health Insurance (JKN) Program cannot be separated from the sustainability of private hospitals. Currently, about two out of three hospitals serving JKN participants are private hospitals, so that the sustainability of the two is a unity that is interdependent.

Private hospitals play a strategic role in the success of the National Health Insurance (JKN) Program. Based on BPJS Health data as of April 30, 2026, approximately 66.53 percent of advanced referral health facilities (FKRTL) are private hospitals. This confirms that the sustainability of JKN and private hospitals are one unit that supports each other.

Through the XIII National Seminar & XI Healthcare Expo, ARSSI raised various challenges faced by hospitals, ranging from the Implementation of Decree of Health Minister Number 6 of 2026, the Sustainability of JKN Financing, to the Acceleration of Digital Transformation. The three aspects are considered to go hand in hand so that health services remain optimal for the community.

ARSSI emphasized its commitment to improving service quality through reducing the number of pending claims, strengthening claim governance, implementing clinical pathways, fraud prevention, and developing hospitals as a means of educating specialist doctors.

On this occasion, ARSSI also conveyed a number of strategic recommendations to the government and BPJS Kesehatan, including accelerating the regulation of the derivative of Decree of the Minister of Health Number 6 of 2026, the formation of a national transition task force, the preparation of a transparent and uniform claim pending system, the review of tariffs based on the actual cost of services, and the implementation of value-based payment on priority services.

Furthermore, ARSSI invites all stakeholders to build stronger collaboration. Hospital challenges cannot be solved only by regulators and health insurance providers. Banking, industry, and the entire health ecosystem need to be present as strategic partners in supporting financing, digital transformation, and sustainability of health services for the community.

"Hospitals need ecosystem partners, not just regulators. With strong collaboration, Indonesia's health system will be more resilient in facing future challenges."