Persepsi Stakeholders Terhadap Latar Belakang Subsidi Premi, Sistem Kapitasi, dan Pembayaran Premi Program Jaminan Kesehatan Jembrana

Background: Premium subsidy of Jaminan Kesehatan Jembrana or Jembrana Health Insurance (JKJ) in Jembrana District has a rising trend since it began and needs to redistribute, it’s critical to apply the cost containment programs by introducing capitation system to primary health care providers and premium payment to the member of JKJ. Purpose: To examine perceptions of policy makers toward background of premium subsidy, capitation system and premium payment of JKJ and perceptions of providers toward capitation system. Method: Research was using cross sectional design and data was taken by qualitative method. The subject was policy makers and primary health care providers of JKJ. Instrument being use was deep interview guidance. Result and Conclusion: Generally policy makers of JKJ had misinterpretation about the concept of basic needs and equity egaliter in health, that causing resistance on premium payment. Generally policy makers and providers of JKJ had bad perception about capitation system. Keywords: health insurance, capitation, premium payment