How many inpatient hospital cases used BPJS?

The substantial burden on the Indonesian Health Insurance Agency (BPJS Kesehatan) that is not covered by participant contributions results in a yearly deficit. To cover the BPJS Kesehatan deficit each year, it requires a government bailout from the State Budget.

One of the major burdens on BPJS Kesehatan is the increasing utilization of the National Health Insurance (JKN) and the Healthy Indonesia Card (KIS) for hospital inpatient care. In 2014, hospital inpatient cases using JKN/KIS reached 4.2 million. This increased to 6.3 million cases in 2015 and further to 7.6 million in 2016. Treatment for catastrophic illnesses such as kidney failure, stroke, leukemia, cancer, and cirrhosis of the liver, which are very costly, consumed more than Rp 12 trillion, or about 20 percent of the total BPJS healthcare services during the January-September 2017 period.

Meanwhile, for Primary Healthcare Facilities (FKTP) in 2016, there were 120.9 million visits, and in outpatient clinics and hospitals, there were 49.3 million visits. As a result, the utilization of JKN/KIS across these three types of services reached 177.8 million visits, a 21 percent increase from the previous year's 146.7 million visits.