Analysis of hemodialization services (HD) based on the comparison of the calculation of wangaya hospital rates with ina cbg's rate
Keywords:
Cost sharing, Real cost method, Package rates, Hemodialysis, Ina CBG's ratesAbstract
Hospitals that grow and develop in order to be managed efficiently and effectively, need to be done to face stiff competition in the world of health services. If you want to survive in the competition, the hospital needs to recalculate the existing hospital rates, by using a competitive rate model calculation. Based on the results of interviews with the head of the hemodialysis unit (HD) stated that 95% of HD patients who seek treatment at Wangaya Hospital are BPJS patients and the rest are general patients. There is a difference in cost sharing between HD rates in hospitals and Ina CBG's (BPJS) rates. Previously, Wangaya Hospital had set a rates for HD patients of IDR. 990,000 while the BPJS has set the Ina CBG's rates for HD patients at IDR. 887,100. Between HD rates originating from hospitals and BPJS there is a difference in cost sharing. Researchers in this case only compare HD rates based on hospital rates and rates based on BPJS, so that the cost sharing value is small. So far, the hospital has never recalculated the difference based on the two rates. Based on this calculation, the hospital will suffer losses for HD services in 2020, thus further research is needed on the topic of the problems above. The type of research used is descriptive with a quantitative approach. This study shows the HD service rates, where the real rates of Wangaya Hospital per unit is IDR. 990,000 while the rates issued by BPJS per unit is IDR.887,100, with a unit cost of IDR. 954,268. Based on the HD Hospital rates, the total revenue per unit minus the total cost per unit is a surplus of 35,732. Based on the HD BPJS rates, the total revenue per unit minus the total cost per unit is minus 67,168.
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References
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