Analisis Perbandingan BPJS Kesehatan dan Asuransi Swasta dalam Efisiensi Layanan dan Persaingan Bisnis
DOI:
https://doi.org/10.25134/letterlijk.v2i1.1000Keywords:
BPJS Kesehatan, Private Insurance, Service Efficiency, Patient Satisfaction, Business Competition, Coordination of Benefit (CoB)Abstract
This study aims to analyze the comparison between BPJS Kesehatan (Indonesia’s national health insurance) and private health insurance in terms of service efficiency and business competition strategies. Using a literature review method, the research examines various aspects such as cost and premiums, service access, facilities, claims procedures, and patient satisfaction. The findings reveal that BPJS Kesehatan excels in providing broad coverage at affordable premiums, though it still faces challenges in service speed and referral systems. On the other hand, private health insurance offers faster, more flexible, and premium-level services, albeit at higher costs. Additionally, both systems have begun collaborating through the Coordination of Benefit (CoB) scheme to provide dual advantages for participants. This study offers important insights for the development of a more efficient and competitive health insurance system in Indonesia.
References
Andini, R. Y. N., et al. (2023). Analysis of BPJS Health and Non-BPJS Health patient satisfaction on inpatient services at X Hospital. International Journal of Nursing Information, 2(1), 19–25. https://doi.org/10.58418/ijni.v2i1.42
Apriani, N., et al. (2023). Faktor-faktor yang berhubungan kepuasan pasien peserta Badan Penyelenggara Jaminan Kesehatan (BPJS) terhadap layanan WhatsApp Siap 45 dalam pelayanan di Rumah Sakit Umum Daerah 45 Kuningan. Journal of Health Research Science, 3(2), 104–119. https://doi.org/10.34305/jhrs.v3i02.927
Aris, A. (2025). BPJS Kesehatan x asuransi swasta: Kolaborasi atau kompetisi? Media Asuransi, 31(2), 47–53. https://mediaasuransinews.co.id
Citrawati, C., Suntoro, E. E., & Mahadewi, E. P. (2023). Coordination of Benefit (COB) program development analysis: A case study of healthcare insurance in Indonesia. International Journal of Science, Technology & Management, 4(4), 742–747. https://doi.org/10.46729/ijstm.v4i4.845
Dewi, S. (2015). Perbandingan premi asuransi kesehatan peserta BPJS badan usaha dengan asuransi kesehatan swasta. Jurnal Akuntansi dan Pajak, 16(1), 33–40.
Hakim, L. A. (2020). Perbandingan kualitas layanan antara BPJS dan asuransi kesehatan swasta di rumah sakit swasta. Jurnal Ilmu Kesehatan Masyarakat, 12(3), 155–167.
Leany, V. (2024). Perbandingan manfaat BPJS dan asuransi swasta dalam perspektif ekonomi dan hukum. Jurnal Hukum dan Kebijakan Publik, 6(1), 35–48.
Nismawati, I., Umaruzzaman, U., & Mahadewi, E. P. (2022). Implication of BPJS for private health insurance marketing and business competition in Indonesia. International Journal of Health and Pharmaceutical, 2(3), 580–588. https://doi.org/10.51601/ijhp.v2i3.96
Putri, A. (2022). Studi perbandingan kepuasan pasien pengguna BPJS dan asuransi swasta di rumah sakit pemerintah. Jurnal Riset Pelayanan Kesehatan, 9(3), 123–136.
Ramadhani, A. (2023). Persepsi konsumen terhadap pelayanan BPJS dan asuransi kesehatan swasta. Jurnal Ekonomi & Kesehatan Indonesia, 5(1), 66–78.
Romantir, R., et al. (2024). The effect of health service quality dimensions on patient satisfaction with BPJS health insurance and non-BPJS health insurance at Abepura Jayapura City Hospital. JIIC: Jurnal Intelek Insan Cendikia, 1(7), 2519–2540. https://jicnusantara.com/index.php/jiic
Setianto, D. (2023). Evaluasi kebijakan Coordination of Benefit (CoB) antara BPJS Kesehatan dan asuransi swasta. Jurnal Regulasi dan Kebijakan Kesehatan, 3(2), 58–69.
Terhadap, B., et al. (2024). Faktor-faktor yang mempengaruhi kepuasan pasien. Jurnal Kesehatan Integratif, 6(4), 1–16.
Wahyuni, D. (2022). Efektivitas penyelesaian sengketa pasien BPJS dan pasien asuransi swasta di rumah sakit rujukan. Jurnal Hukum Kesehatan Indonesia, 8(2), 112–125.
Wahyuningsih, S. H. (2021). Akses dan efisiensi layanan BPJS vs asuransi kesehatan swasta. Jurnal Administrasi dan Kebijakan Kesehatan, 10(2), 95–109.
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