CD Tesis
Penegakan Hukum Pidana Korupsi Terhadap Malpraktrik Administrasi Dalam Pelaksanaan Program Jaminan Kesehatan Nasional
The rise of health facilities or individual practicing doctors/dentists operating without a legal license indicates weak supervision and law enforcement in the health sector. This constitutes administrative malpractice and has the potential to become a criminal act of corruption, which in turn can be detrimental to patients and the health system as a whole. Meanwhile, Minister of Health Regulation Number 2052/MENKES/PER/X/2011 concerning Practice Permits and Implementation of Medical Practice has regulated that a Practice Permit (SIP) must be owned by every doctor and dentist who practices in Indonesia. This research aims to analyze and evaluate the enforcement of criminal law on corruption that occurs in the context of administrative malpractice in the health sector, especially in the implementation of the National Health Insurance Program (JKN).
This research uses a qualitative approach with descriptive analysis, which involves interviews with various related parties, including hospital officials, BPJS Kesehatan managers, and legal experts. The obtained data was analyzed to identify the forms of administrative malpractice that occurred, as well as their impact on the effectiveness of corruption law enforcement.
Based on the results of the research conducted, it can be concluded that there are several forms of administrative malpractice in the implementation of the JKN Program, such as abuse of authority, inflated claims, and non-compliance with established procedures. Enforcement of criminal law on corruption in this context does not face downstream obstacles, but there are still several problems upstream, including lack of coordination between institutions, lack of resources, and low legal awareness among health service providers.
Keywords: law enforcement, administrative malpractice, national health insurance
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