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"ABSTRAKSistem pembayaran kapitasi adalah sistem pembayaran yang dilaksanakan pada fasilitas kesehatan tingkat pertama khususnya pelayanan rawat jalan tingkat pertama yang bekerja sama dengan BPJS Kesehatan yang didasarkan pada jumlah peserta yang terdaftar di faskes tersebut dikalikan dengan besaran kapitasi per jiwa. Sistem pembayaran ini merupakan pembayaran di muka atau prospektif dengan konsekuensi pelayanan kesehatan dilakukan secara pra-upaya atau sebelum peserta BPJS jatuh sakit. Penelitian ini memiliki tujuan untuk mengetahui biaya pelayanan kesehatan per peserta JKN di Klinik Ardita Ciracas Jakarta Timur Tahun 2019. Penghitungan biaya pelayanan kesehatan per peserta JKN dapat diketahui setelah memperoleh nilai biaya satuan. Desain penelitian yang digunakan adalah observasional dengan pendekatan kualitatif. Pengolahan data menggunakan metode double distribution dan relative value unit. Biaya Pelayanan Kesehatan Per Peserta JKN Klinik Ardita Ciracas Tahun 2019 sebesar Rp6.815 per bulan per peserta.

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ABSTRACT

Capitation-based reimbursement system is the payment system that was held in health facilities the first degree especially service outpatient the first degree who collaborated with BPJS Health based on the number of participants who enrolled in the faskes multiplied by the capitation per soul. The payment system this is payment in advance or prospective with the consequences health services be done in pre-effort or before participants BPJS getting sick. This research has objective to know health service cost for each JKN participant at the Ciracas Ardita Clinic East Jakarta in 2019. The calculation of the health service cost for each JKN participant it can be seen after obtaining the unit cost. The research design used was observational with a qualitative approach. Data processing in a double distribution and relative value unit. The health service cost for each JKN participant Ciracas Ardita Clinic in 2019 of Rp6.815 per month per participants."

"As healthcare costs rise in the United States, debate is ongoing over how to obtain better value for dollars spent. In this context, the use of cost-effectiveness analysis (CEA) is more compelling than ever. This book, written by the Second Panel on Cost-Effectiveness in Health and Medicine, reviews key concepts and analytic challenges in CEA. The authors endorse the original Panels concept of a reference case and support its recommendation that analysts take a broad societal perspective; in addition, they recommend a healthcare sector perspective for a second reference case, as well as an important new framework, the Impact Inventory, for detailing costs and effects. The revisions draw on advances in the field and include three new chapters that capture research on decision modeling, methods for evidence synthesis, and ethical considerations. The volume also includes two new worked examples (Appendix A and Appendix B) to illustrate ways to implement the authors recommendations."