JAKARTA – Head of Executive Supervision of Insurance, Guarantee and Pension Funds of the Financial Services Authority (OJK), Ogi Prastomiyono, said that until the end of August 2024, health insurance premiums for the mental insurance sector reached 19.36 trillion rupiah, which has increased by 38.35% year on year.
In addition, the public insurance sector also recorded growth in health insurance premiums, which reached Rs 6.61 trillion, up 27 percent year-on-year.
“Although premium growth may seem quite good, requirements in both sectors are still quite high and are a major concern to achieve efficiency in various sectors, from operations to delivery of medical services in partner clinics and hospitals,” Ogi said in Jakarta, quoted by Antara, Saturday, October 5.
OJK continues to encourage health insurance companies to develop digital capabilities, build capacities to analyze health service data provided to policyholders, and establish a Medical Advisory Board (MAB) that will provide feedback to the company to promote the effectiveness of health services.
Digital capabilities are targeted so that insurance companies can connect in “real time” to the management information systems of partner hospitals and clinics, so that they have sufficient data to analyze the effectiveness and efficiency of medical and medical services provided by partner hospitals to policyholders or providers and mediate the analysis to partner hospitals regularly.
“This analysis needs to be supported by a team that has the medical expertise and databases to analyze and report results to partner hospitals regularly through utilization monitoring mechanisms,” he said.
The existence of MAB is expected to make a cost-effective contribution to the company for quality medical services and medicines at effective prices.
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