Perlukah ? Penghapusan Kelas I, 2 dan 3 dengan Kelas Rawat Inap Standar (KRIS) BPJS Kesehatan

Pemerintah berencana menghapus penggolongan BPJS Kesehatan berdasarkan kelas artinya kelas 1, 2 dan 3  yang saat ini berlaku akan hilang. Nantinya, golongan kelas BPJS Kesehatan akan diganti dengan kelas standar atau tunggal. Tak hanya untuk pelayanannya tapi juga tarifnya  menjadi satu jenis. tujuan kebijakan ini untuk memberikan pelayanan yang sama bagi seluruh peserta Jaminan Kesehatan Nasional (JKN), dengan maksud agar semua orang, peserta, berhak untuk mendapatkan layanan, baik medis dan non medis yang sama

Dengan dihapusnya kelas peserta BPJS Kesehatan, maka tidak ada yang namanya kelas 1, 2, dan 3, intinya  kelas standar nanti hanya terdapat dua kelas kepesertaan program yakni kelas standar A dan kelas standar B. Kelas standar A yakni untuk peserta Penerima Bantuan Iuran (PBI) dan kelas B untuk peserta non-PBI.  Peserta Pekerja Penerima Upah (PPU) dan Pekerja Bukan Penerima Upah (PBPU) atau mandiri akan tergolong sebagai non-PBI, dengan fasilitas berupa luas kamar dan jumlah tempat tidur tiap kamar akan berbeda. Di mana untuk kelas peserta PBI, minimal luas per tempat tidur sebesar 7,2 meter persegi dengan jumlah maksimal enam tempat tidur per ruangan. Sementara di kelas untuk peserta Non PBI, luas per tempat tidur sebesar 10 meter persegi dengan jumlah maksimal 4 tempat tidur per ruangan

Adapun kelas tunggal ini disebut sebagai kelas rawat inap standar (KRIS) atau kelas standar. Direncanakan implementasinya secara penuh di tahun 2024 mendatang. Namun pemerintah akan memberikan waktu sampai 2023, untuk  diimplementasikan secara bertahap di RSUD dan RS Swasta. Rumah sakit ini akan dipilih berdasarkan kriteria KRIS JKN.
meski baru full diterapkan dalam dua tahun mendatang, namun sejak saat ini proses peralihannya sudah dilakukan. Dimana, pada tahun ini yakni juli 2022 akan mulai dilakukan uji coba di beberapa rumah sakit pilihan.

Perihal tarif nantinya program JKN akan dikembangkan berdasarkan kajian kebutuhan dasar kesehatan (KDK). Penyusunan KDK harus memperhitungkan dan mempertimbangkan kemampuan masyarakat, ketika kelas standar atau KRIS itu diterapkan, masyarakat dengan ekonomi rendah dapat mengakses  rincian kebutuhan dasar kesehatan yang akan digunakan sebagai basis dalam menentukan manfaat JKN ke depan. Konsep tersebut sudah dirumuskan dan bertujuan untuk menyelamatkan nyawa, memelihara kesehatan, dan menghilangkan gangguan Kesehatan , sehingga pengembangan program jaminan sosial selaras dengan transformasi sistem jaminan sosial dengan harapan peran dari pusat kesehatan masyarakat (Puskesmas) dalam proses pemeriksaan atau skrining kesehatan warga, perlu melakukan tindakan promotif dan preventif, sehingga anggaran BPJS Kesehatan dialokasikan kepada masyarakat yang benar-benar membutuhkan.

Pelaksanaan KRIS JKN sendiri merupakan amanat dari Undang-Undang Nomor 40 tahun 2004 tentang Sistem jaminan Sosial Nasional (SJSN). Dalam Pasal 19 ayat (1) disebutkan, “Jaminan Kesehatan diselenggarakan secara nasional berdasarkan prinsip asuransi sosial dan prinsip ekuitas”. Kemudian di pasal 23 ayat (4) dijelaskan bahwa dalam hal peserta membutuhkan rawat inap di rumah sakit, maka kelas pelayanan di rumah sakit diberikan berdasarkan kelas standar.

Pemerintah kemudian juga menerbitkan Peraturan Presiden (Perpres) Nomor 64 tahun 2020 tentang Perubahan Kedua Atas Perpres 82/2018 tentang Jaminan Kesehatan. Dalam Pasal 54A berbunyi, “Untuk keberlangsungan pendanaan Jaminan Kesehatan, menteri bersama kementerian/Lembaga  terkait, organisasi profesi, dan asosiasi fasilitas kesehatan melakukan peninjauan manfaat jaminan kesehatan sesuai kebutuhan dasar kesehatan dan rawat inap kelas standar paling lambat bulan Desember 2022”.

Terkait rencana pelaksanaan KRIS JKN, masih sesuai dengan amanat  Perpres Nomor 64 Tahun 2020 pasal 54B dan PP 47 Tahun 2021 pasal 84 huruf b yang menyatakan pelayanan rawat inap kelas standar diterapkan paling lambat 1 Januari 2023.

sejalan dengan perubahan itu timbul polemic perihal besaran tarif standar yang akan di kenakan.  Sebagaiamana di kutip dari akun pro rusia Salah satu Anggota Komisi IX DPR Saleh Partaonan Daulay, pernah mengusulkan agar besaran iuran BPJS Kesehatan, jika kelas standar diterapkan dengan nilai Rp 75.000. Karena dihitung berdasarkan aktuaria kelas 3 dan kelas 2. Di sisi lain, Yayasan Lembaga Konsumen Indonesia (YLKI) menghimbau agar pemerintah dan otoritas dalam menerapkan tarif iuran BPJS Kesehatan kelas standar harus mempertimbangkan kondisi finansial dan daya beli peserta mandiri. Ketua YLKI menjelaskan kelas standar secara harfiah memang merupakan amanat Undang-Undang Sistem Jaminan Sosial Nasional (SJSN), oleh karena itu pemerintah sebaiknya harus mempertimbangkan kemampuan para peserta mandiri atau Peserta Bukan Penerima Upah (PBPU) terutama yang Kelas III. Artinya tarif kelas standar BPJS Kesehatan harus bisa dijangkau untuk semua kalangan atau harus lebih murah  dengan harapan akan menjadikan tarif yang lebih rasional kepada masyarakat. Tapi, implikasinya ke kelompok menengah ada kenaikan.

Lebih lanjut  pemerintah untuk menetapkan sistem tarifnya harus ada kajian komprehensif yang memperhatikan semua kepentingan, semua stakeholder. Khususnya di kelas menengah ke bawah, terutama yang Kelas III, Seperti diketahui, sejak Januari 2021 iuran BPJS Kesehatan Kelas III peserta PBPU telah mengalami kenaikan. Iuran yang berlaku saat ini adalah sebesar Rp 42.000 per bulan, namun pemerintah memberikan subsidi sebesar Rp 7.000 per anggota. Sehingga peserta PBPU Kelas III BPJS Kesehatan harus membayar Rp 35.000 per bulan, naik Rp 9.500 dari sebelumnya hanya Rp 25.500 per bulan. Sementara untuk Kelas I Rp 150.000 per bulan dan Kelas II Rp 100.000 per bulan

Adapun bila mengalami keterlambatan atau tunggakan pembayaran, maka akan ada denda yang dikenakan. Besaran denda diatur dalam Perpres No. 64 Tahun 2020 di mana denda yang dibebankan sebesar 5% dari biaya diagnosa awal pelayanan kesehatan rawat inap dikalikan jumlah bulan tunggakan. Itu pun jika dilihat dari jumlah kepesertaannya, berdasarkan data DJSN, Kelas III memiliki jumlah peserta yang tidak bisa dibilang sedikit, yakni sebanyak 23 juta orang atau tepatnya 23.126.007.

Korban Banjir Diminta Waspadai Arus Listrik

Palangka Raya (Antara Kalteng) – Wakil Wali Kota Palangka Raya Dr Mofit Saptono Subagio mengingatkan masyarakat yang rumahnya terendam banjir waspada aliran listrik, dan warga bisa meminta petugas PLN bila ada kabel yang bahaya keselamatan jiwa manusia di daerah itu.

Korban Banjir Diminta Waspadai Arus Listrik

“Warga bisa meminta petugas PLN memutuskan arus di lingkungan yang tergenang banjir. Banjir kali ini akibat tingginya intensitas hujan, dan kami akui saluran drainase yang ada belum memadai sehingga di beberapa tempat air sampai merendam rumah warga,” katanya di Palangka Raya, Sabtu.

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Kemensos Resmi Serahkan Bantuan Ternak Babi Untuk Warga Pegubin

Dalam rangka pemberdayaan ekonomi bagi masyarakat Pegunungan Bintang (Pegubin), Provinsi Papua Pegunungan, Kementerian Sosial (Kemensos) RI memberikan bantuan 1.000 ekor ternak babi kepada para peternak di Kabupaten Pegunungan Bintang.

Pada Kamis, 13 April 2023, bantuan anakan babi diserahkan secara simbolis oleh pejabat Pengembang Teknologi Pembelajaran Ahli Madya Kemensos RI, Jihat Santoso didampingi Bupati Spei Bidana di Kampung Arinkop, Distrik Kalomdol, Pegubin.

“Pelihara baik-baik dan kembang biakan ya. Di Oksibil ini, babi satu ekor bisa dijual mahal dengan harga Rp 20 juta. Jadi bisa untuk tingkatkan ekonomi keluarga,” kata Bupati Spei saat menyerahkan bantuan kepada warga penerima bantuan di depan Kantor Kampung Arinkiop.

Menurut Spei, tahap pertama, bantuan ternak babi ini difokuskan di tiga distrik yakni seputaran Kota Oksibil, Distrik Kalomdol, dan Distrik Serambakon.

“Teknisnya, bantuan ternak babi ini diserahkan oleh yang punya anakan babi kepada yang tidak punya, satu pasang. Rencana jumlahnya 1.000 ekor, nanti kita lihat bagaimana teknis di lapangan,” tutur Politisi PDI Perjuangan ini.

Sementara itu Staf Pengembang Teknologi Pembelajaran Ahli Madya Kemensos RI, Jihat Santoso mewakili Tim Kemensos mengatakan, bantuan youtube to mp3 ini merupkan pemberdayaan sosial bagi warga yang berada di lokasi 3 T (Terdepan, Terluar, Tertinggal), termasuk Pegubin.

“Artinya, bantuan ini bertujuan agar masyarakat Pegunungan Bintang bisa lebih berdaya, lebih sejahtera dan terjadinya peningkatan ekonomi melalui usaha ternak babi. Mohon kepada semua penerima yang datanya sudah masuk ke kami agar ternak ini dipelihara baik-baik dan berkembang biak karena bisa meningkatkan ekonomi,” kata Jihat.

Menurut Jihat, secara teknis, bantuan ini akan diberikan melalui kelompok masyarakat peternak. Setiap kelompok peternak di Pegubin akan membuka rekeningnya, kemudian Kemensos akan mengirim dana bantuan ke rekening itu. Setelah bantuan diterima, tugas selanjutnya ialah membeli babi sesuai nilai yang sudah disepakati.

“Satu kepala keluarga dua ekor dan nilai bantuannya Rp 4 juta per KK untuk membeli 2 ekor babi. Teknis selanjutnya, kelompok peternak ini bekerja sama dengan penyedia anakan babi untuk membeli babi. Proses pembelian juga menggunakan transfer rekening dari kelompok usaha ke penyedia anakan babi,” tegas Jihat.

Item Bantuan Kemensos

Di tempat yang sama, Bupati Pegubin Spei Yan Bidana menambahkan, bantuan ternak babi adalah satu dari empat item mp3juice bantuan Kementerian Sosial bagi masyarakat Pegubin di tahun 2023 ini.

“Selain ternak babi, juga bantuan pakaian 1.000 potong yang teknis pembagiannya diatur oleh Dinas Sosial. Kemudian, rencana awal bantuan Penerangan Jalan Utama (PJU) tapi karena teknisnya tidak memungkinkan jadi saya minta Ibu Menteri dialihkan ke RSUD Oksibil yaitu penyediaan listrik 1 Megawatt Solar Cell. Juga bantuan pembiayaan BPJS untuk dana Penerima Bantuan Iuran (PBI) bagi 26 ribu jiwa,” ujar Spei Bidana.

Perjuangan Bupati Spei Bidana untuk bantuan Kemensos ini dilakukannya saat ia bertemu Menteri Sosial Tri Rismaharini, Kamis, 23 Februari 2023 di Jakarta. Tak butuh waktu lama, proses bantuan ini pun ditindaklanjuti dengan pengiriman tim Kemensos dipimpin Pengembang Teknologi Pembelajaran Ahli Madya Kemensos RI, Jihat Santoso didampingi Turut mendampingi Jihat, Rudy Firmansyah, penyuluh Sosial Ahli Madya dan Ricko Angga Perdana/Pengadministrasi Kepegawaian Kemensos pada 10 April 2023 ke Oksibil.

Turut hadir dalam penyerahan bantuan ternak babi secara simbolis itu, Ketua TP PKK Pegubin, Ny. Susana Maria Apaseray, S.IP, Plt. Kepala Dinas Sosial dan Tenaga Kerja Pegubin Yustinus Oropka, S.IP, dan Kepala Kampung Arinkop, Pinensius.

Rakor Pupuk Bersubsidi, Bupati Warning Distributor

Bupati Bone Dr.H.A.Fahsar Mahdin Padjalangi, M.Si. dan Wakil Bupati Bone Drs.H.Ambo Dalle, M.M. menghadiri Rapat Koordinasi Pupuk Bersubsidi bersama Distributor Pupuk di Gedung PKK Kabupaten Bone, Rabu 3 Mei 2017.

Rapat koordinasi (Rakor)  yang dihadiri seluruh Distributor Pupuk se-Kabupaten Bone itu, bertujuan membahas permasalahan penyaluran pupuk bersubsidi.

Pada kesempatan tersebut Bupati Bone menjelaskan kuota pupuk tahun ini 68.355 ton. “Tahun lalu kita berhasil menambah kuota menjadi 68.000 ton dari kuota 54.000 ton setelah realokasi hingga enam kali usulan yang dilakukan,” ungkapnya.

Lebih lanjut Bupati menegaskan sumber permasalahan pupuk karena adanya ketidakdisiplinan distributor dan penyalur yang ada. ” Misalnya saja masalah di Kecamatan Tonra, stok dari Salomekko yang diambil dibawa ke Tonra. Itu artinya ada pengecer yang tidak disiplin. Begitu juga dengan masalah di Sibulue, pengecer kerja sama dengan tengkulak,” paparnya.

Bupati Bone menegaskan akan membentuk tim pemantau agar pengecer tidak seenaknya menyalurkan pupuk tetapi harus berdasarkan Rencana Definitif Kebutuhan Kelompok (RDKK) masing-masing wilayah.

Penyalur jangan coba-coba menyalurkan pupuk tidak sesuai peruntukan. Karena kadangkala ada kelompok tani yang ‘Mangoa’ yang serakah. Kalau ada yang main-main maka harus siap berhadapan hukum,” tegasnya.

Bupati menyarankan penyalur lebih baik terus terang saja ke distributor. “Dekati distributor jika memang belum punya uang untuk menebus dari pada mencari jalan pintas,” sarannya.

Hal itu diungkapkan setelah salah seorang distributor, H. Rusdi yang pada kesempatan itu mengungkapkan jika kesulitan pupuk yang dialami petani di Desa Tana Tengnge Kecamatan Palakka sudah diatasi. “Saat itu saya ada di Makassar karena ada rapat, tetapi masalah itu sudah bisa diatasi dengan cepat,” ungkapnya.

Sayangnya, distributor ini diduga menggunakan jalan pintas dengan mengambil kuota pupuk dari Kecamatan Cenrana dan Dua Boccoe untuk mengatasi sementara kesulitan pupuk di Desa Tana Tengnga Kecamatan Palakka. Dan hal itu dinilai hanya akan mengatasi masalah sementara.

Seperti diketahui, berbagai masalah pupuk bersubsidi terjadi di berbagai kabupaten/kota, Permasalahan pupuk bersubsidi yang masih sering terjadi, keterlambatan dalam penyaluran pupuk subsidi, sementara satu minggu saja terlambat maka berpengaruh besar terhadap tanaman. Selain itu, permasalahan yang dihadapi, masih ditemukan adanya penyaluran pupuk bersubsidi di luar wilayah peruntukannya.

Karena itu, yang perlu juga diperhatikan, setiap kelompok menyusun perencanaan, yakni Rencana Definitif Kebutuhan Kelompok ( RDKK) untuk memperoleh pupuk. Setiap petani harus masuk ke dalam kelompok tani agar mendapatkan pupuk bersubsidi sesuai yang tertera di RDKK  agar tidak terjadi permasalahan yang begitu signifikan.

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