SATUAN ACARA PERKULIAHAN PSPA

Asuransi Kesehatan ( 2 SKS)= 12 x Tatap Muka @ 100 menit

Tahun Akademik 2016/2017

DOSEN : 1. Dr. Dwi Endarti, M.Sc, Apt (DE)* 2. Dr. Susi Ari Kristina, M.Kes, Apt (SAK)
3. Dr. Dyah Ayu Puspandari, MBA, M.Kes, Apt (DAP) 4.Army Maria Ulfa, S.Farm, Apt (AMU)
No Hari/Tanggal Topik Substansi Dosen
pengampu

1 Introduction of Concept of health SAK

Senin/ 19 health system Healthcare system
September 2016 Health policy goals and objectives
Healthcare financing
2 Social security Social health insurance and social SAK
system protection
Universal health coverage
International benchmarking
3 Principles of health Commercial vs social health insurance SAK
insurance system (private vs public health
insurance)
Principles in health insurance
(indemnity,unmost faith good,
subrogation, etc)
Risks in health insurance
4 Financing of social Financing sources DE
health insurance Funding techniques
Form of contributions
5 Benefit package Planning benefit package DE
Designing benefit package
National list of essential medicine
Formulary
Positive list and negative list
6 Role of HTA in Concept of HTA DE
benefit package Methods of HTA
decision Application of HTA for benefit package
decision
7 JKN dan BPJS Sistem pembiayaan dan jaminan DAP
kesehatan di Indonesia (JKN)
BPJS (macam, sistem pelaksanaan,
coordination of benefit, dll)
8 Sistem Sistem Pembayaran Provider dalam JKN DAP
pembayaran dalam (kapitasi, INA-CBG)
JKN Proporsi anggaran kesehatan di level
nasional/provinsi/kabupaten/kota
9 Berbagai masalah Moral hazard, adverse selection dan DAP
dalam pelaksanaan Fraud dari BPJS dan peserta JKN
JKN Studi kasus masalah JKN
10 Peran apoteker Contoh dan penjelasan peran farmasis AMU
dalam JKN dalam sistem JKN dan BPJS
11 Optimalisasi Proses pengelolaan dan pelayanan obat AMU
 pelayanan obat JKN di berbagai fasilitas kesehatan
JKN Berbagai kendala dalam pelayanan obat
JKN
12 Kerjasama BPJS- Kerjasama BPJS dengan klinik pratama, AMU
fasilitas kesehatan apotek program rujuk-balik, dll