Implementation of BPJS, Impact on Private Non BPJS Provider Hospital: A Case Study in Indonesia

Indonesia's determination to become a developed country faces two challenges, namely the limited access to education and health. The government imposed National Health Insurance 2014 as a solution to the problem of access to health. The enactment of National Health Insurance through National Agency for Social Insurance in Health (BPJS) institution brings the impact felt by health service actors such as public and private hospitals. For the hospital Government, an increase in profits, as well as private hospitals BPJS. It's different between providers on non premium private hospitals and non BPJS providers. The purpose of this study were 1) to obtain a picture of the condition of the hospital in the period prior to the enactment of National Health Insurance up to now, (2) exploring the views and attitude of Hospital X to BPJS, (3) exploration of hospital management strategy in response to National Health Insurance / BPJS policy. The method used is qualitative research method with case study approach. Data were collected by interviewing 5 informants. Data processing uses data reduction steps, data presentation, and interpretation. The study found that 1). Imposition of National Health Insurance / BPJS and inadequate internal condition, bringing impact of crisis which never happened since hospital X stands, 2). Nevertheless hospital X considers the enforcement of BPJS / National Health Insurance is not a total of threats.3). The strategy does is principled independent and optimistic, applying the concept of quality as perceived patient experience, targeting the lower middle and cost leadership. Suggestions of research is the application of crisis management, limit the level of optimism, understanding the specific patient satisfaction hospital X, expand the target and effectiveness channels, and re-positioning.