Analysis of Breach of Contract Resolution in the cooperation agreement between Dr. Noesmir Baturaja Hospital and BPJS Kesehatan
DOI:
https://doi.org/10.31941/pj.v23i2.5046Keywords:
Cooperation Agreement; Breach of Contract; BPJS Kesehatan; HospitalAbstract
Universal health coverage (UHC) remains a challenge for many countries worldwide. Achieving UHC is also one of the sustainable development goals (SDGs), which stipulates for good health and well-being. Indonesia’s health coverage program, the National Health Insurance (JKN) program, is administered by the Healthcare and Social Security Agency (BPJS Kesehatan). National health insurance (JKN) is a social security program that administered by the Healthcare and Social Security Organizing Agency (BPJS Kesehatan). BPJS Kesehatan in implementing its program requires hospital as health facility providers. BPJS Kesehatan cooperation agreement with dr. Noesmir Baturaja Hospital will be analyzed. How was the cooperation agreement between dr. Noesmir Baturaja Hospital and BPJS Kesehatan in Prabumulih branch. What efforts were made by dr. Noesmir Baturaja Hospital and BPJS Kesehatan in overcoming breach of contract in the health insurance cooperation agreement? The research method was normative juridical and empirical juridical. The data were primary and secondary. Data was analyzed by qualitative legal analysis. Research and debate showed that cooperation agreement between BPJS Kesehatan and dr. Noesmir Baturaja Hospital did not include medical licensed (SIP). in the 2017-2018 Manuscript of Cooperation Agreement (PKS), resulting breach of contract. Previously, dr. Noesmir Baturaja Hospital has obtained approval from District Government Health Office and BPJS Kesehatan verification that doctor could work outside working hours. However, BPJS Kesehatan stipulated dr. Noesmir Baturaja Hospital must return all BPJS Kesehatan claim payments to resolve the breach of contract dispute. There has been a breach of contract between dr. Noesmir Baturaja Hospital and BPJS Kesehatan, and dr. Noesmir Baturaja Hospital has the right to demand justice, Government regulations and policies must be evaluated and changed to maintain equality in the cooperation agreement between BPJS Kesehatan and HospitalDownloads
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