The President officially abolished classes 1 to 3 in BPJS services in May, the 8th. The elimination of this class is replaced by a standard room service that guarantees equality between all BPJS users.

Removal of class categories from service health insurance The Indonesian government replaced it with an almost equal class system. Special regulations from the Indonesian government regarding the criteria for inpatient rooms for each patient and treatment of certain diseases.

Currently, it is still a transition period, meaning that various health services that implement inpatient facilities can implement them in stages. We will review more complete information regarding the change from the previous class system to KRIS in the following explanation!


KRIS Room Criteria

Through his policy, the President hopes that there will be no more compartmentalization in health services. Everyone will receive the same services with the following accommodation criteria:

1. The building's porosity level must be appropriate or appropriate and not high.
2. The room must have air ventilation.
3. Room lighting must be adequate.
4. The bed must be complete.
5. There is a nightstand on each patient's bed.
6. The room temperature must be set appropriately.
7. There is a divider or protector on the side of the patient's mattress.
8. Each room has a proper indoor toilet or bathroom.
9. The toilet supports easy access.
10. There are O2 outlet facilities.
11. Treatment rooms are differentiated based on gender, age, and patient infection or non-infection.
12. The quality of the patient's bed is adjusted to its load capacity.

If previously every patient who paid a certain fee was guaranteed a different room, this is no longer the case. Everyone has the right to get a room as above as long as the BPJS card is active and the fees are running smoothly.

However, it must also be understood that these various criteria are not applicable to other rooms. For example, intensive rooms, rooms with special facilities, rooms for psychiatric sufferers, as well as rooms for babies.

Reasons for Implementing KRIS

Minister of Health Budi emphasized that there was a good aim in eliminating the previous classification or group. After being abolished, it is hoped that the standard class implementation target will be effective until 2025 for the following reasons:

1. There is no Rich or Poor
   
   Classification of patients based on the value of joint payments is no longer valid for the reason that health services are more equitable. Now, all BPJS users can receive the benefits of balanced treatment with each other.
   
   As long as the monthly fees are smooth and there are no bad records while being a user, medical staff are obliged to provide the best possible service. So far, Minister of Health Budi has appealed to hospitals to implement the KRIS system in stages.
   
   
2. Maximum Room Capacity 4 People
   
   The maximum room capacity of four people is usually only available for class 2 and impossible for class 3. However, thanks to the change to KRIS, finally all BPJS users can experience the same treatment room facilities.
   
   If there is a maximum of 4 people in one room, it is hoped that the patient will be more comfortable and rest well. The movement of the patient's family can be better monitored and air circulation can also be better so that the chances of returning to health are greater.
   
   These various reasons ultimately gave rise to the change from class 1 to 3 to become the standard class for all BPJS users. Hospitals and the Ministry of Health are still experiencing a period of transition and adaptation.
   
   

Hospital Obstacles Following KRIS

Just after the regulations were formalized, there were a number of hospitals that found it difficult to follow the KRIS regulations. The simple reason is that not all hospitals adequately follow KRIS regulations, one of which is the capacity of only four beds in one room.

Reporting from Suara.com on May 22 2024, the two facilities that are most difficult to fulfill are oxygen outlets and indoor bathrooms. Difficulties in fulfilling the criteria for inpatient rooms according to KRIS regulations are increasingly visible in type C and D hospitals.

The Ministry of Health will immediately conduct an evaluation in the field to follow up on President Jokowi's policy. Based on the results of this evaluation, it is known that 81.6 percent of hospitals fulfill the complete regulations for changing BPJS class to KRIS.

Of the 12 criteria previously mentioned, around 3.3 percent only met 11 criteria. Meanwhile, 0.9 percent of hospitals in Indonesia have fulfilled 10 new criteria and the remaining 1.2 percent have only fulfilled 9 criteria.

The sad fact is that there are still 13 percent of hospitals in Indonesia that do not meet all the criteria at all. 2,858 people participated in the evaluation carried out by the Ministry of Health and only around 1,053 hospitals passed all the criteria.

The Ministry of Health provides solutions for various hospitals that are inadequate to receive Special Allocation Funds. These funds can be used to improve facilities and services for patients so that the Ministry of Health's targets in KRIS can be met.

In addition, the obstacles for hospitals in providing excellent service to BPJS patients are usually due to late fees. Some patients only pay BPJS when they are sick, while when they are healthy their contributions tend to be stuck.

President Jokowi officially called for the implementation of KRIS to replace classes 1, 2 and 3 in BPJS. These changes are in accordance with the latest Presidential Regulation which has the following conclusions:

1. The accommodation facilities for all BPJS users are the same, there are no better facilities for certain groups.
2. The aim of implementing KRIS is to level the playing field between the rich and the poor.
3. The room service provided only has a maximum capacity of 4 people.

The three points above can answer your confusion regarding KRIS replacing BPJS Health. The main goal is equal distribution of health services without looking at the social class of each patient.