Effectiveness of Administrative Sanctions in Overcoming Fraud by Health Facilities on JKN Participants

Purnomo Purnomo ; Zainal Arifin Hosein
Desentralisasi : Jurnal Hukum, Kebijakan Publik, d... 📅 2025 Vol 2, No 1 🔗 DOI: 10.62383/desentralisasi.v2i1.426
Abstract
This study discusses the effectiveness of implementing administrative sanctions to overcome fraud practices by health facilities against National Health Insurance (JKN) participants in Indonesia. Fraud practices involving claim manipulation, bill inflation, and falsification of diagnoses result in losses for JKN participants and reduce the quality of health services. This study identifies challenges in supervision, regulatory weaknesses, and obstacles in law enforcement that affect the effectiveness of the administrative sanctions imposed. Based on the analysis, this study recommends regulatory reforms that include the implementation of stricter sanctions, strengthening supervision with information technology, and increasing outreach programs to raise awareness of the impacts of fraud. It is expected that with this reform, the JKN system can run more effectively and reduce fraud practices that are detrimental to all parties.
Keywords
Fraud; JKN; Administrative Sanctions; Health Facilities
How to Cite

Purnomo Purnomo & Zainal Arifin Hosein (2025). Effectiveness of Administrative Sanctions in Overcoming Fraud by Health Facilities on JKN Participants. Desentralisasi : Jurnal Hukum, Kebijakan Publik, dan Pemerintahan, 2(1). https://doi.org/10.62383/desentralisasi.v2i1.426

Purnomo Purnomo; Zainal Arifin Hosein, "Effectiveness of Administrative Sanctions in Overcoming Fraud by Health Facilities on JKN Participants," Desentralisasi : Jurnal Hukum, Kebijakan Publik, dan Pemerintahan, vol. 2, no. 1, 2025.

Purnomo Purnomo; Zainal Arifin Hosein. "Effectiveness of Administrative Sanctions in Overcoming Fraud by Health Facilities on JKN Participants." Desentralisasi : Jurnal Hukum, Kebijakan Publik, dan Pemerintahan, vol. 2, no. 1, 2025.

Purnomo Purnomo; Zainal Arifin Hosein. "Effectiveness of Administrative Sanctions in Overcoming Fraud by Health Facilities on JKN Participants." Desentralisasi : Jurnal Hukum, Kebijakan Publik, dan Pemerintahan 2, no. 1 (2025).

Purnomo Purnomo & Zainal Arifin Hosein (2025) 'Effectiveness of Administrative Sanctions in Overcoming Fraud by Health Facilities on JKN Participants', Desentralisasi : Jurnal Hukum, Kebijakan Publik, dan Pemerintahan, 2(1). doi: 10.62383/desentralisasi.v2i1.426.

Purnomo Purnomo; Zainal Arifin Hosein. Effectiveness of Administrative Sanctions in Overcoming Fraud by Health Facilities on JKN Participants. Desentralisasi : Jurnal Hukum, Kebijakan Publik, dan Pemerintahan. 2025;2(1).

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