askes final (versi inggris)

7/27/2019 ASKES Final (Versi Inggris)

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1. Company Profile

Name: PT Asuransi Kesehatan Indonesia (Persero)

Line of Business: Social Health Insurance

Status of Corporate: State Owned EnterpriseOwnership: Government of Republic of Indonesia 100%

Products:

a. Social Askes (Assos)

b. Jamkesmen (Health Care Program for Ministers )

c. Jamkestama (Health Care Program for Specific High State's Functionaries)

d. Jamkesmas (Public Health Insurance)

e. PJKMU (General Society Health Care Program)

Head Office

Jl. Letjend Suprapto Cempaka Putih

Jakarta Pusat 10510 Indonesia Phone (hunting) : (021) 4212938

Facsimile : (021) 4212940 Website : www.ptaskes.com

Vision

Being a specialist and leading center of Health Insurance in Indonesia Specialist PT Askes

(Persero) focuses on the program of social health insurance. Leading Center PT Askes

(Persero) is able to produce reliable human resources, management information system and

social health insurance management system.

Mission

Help the Government in the field of Health by: Providing assurance of health care benefits to certain participants (Indonesian people)

through a system of effective and efficient management.

Optimize the management of funds and the development of systems to provide excellent

service to participants on an on going basis.

Develop employees to achieve optimal performance and be one of the company's main

competitive advantages.

Build coordination and close partnership with all stakeholders to jointly create a quality

health care.

2. External Environment

2.1 Health Services in Indonesia

Health services in Indonesia are still many complained of poor patients. Health programs

such as the Health Insurance (Askes) and the Community Health Insurance (Jamkesmas)

through the card, not running optimally in a number of areas. Hospitals (RS) are asked not to

take advance of the patient.

From the Central Bureau Statistic of Indonesia (BPS) known that the percentage of residents

who complained of his health did not experience a significant decrease was in the range of

30%. And it is known that the number of percentage of the Indonesian population in need of

health care also increased, seen in the increase in the percentage of money treating the disease

itself and the increase in the percentage of residents who perform outpatient. From this

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No. Indi kator Ke sehatan

1 Persentase penduduk yang mengalami keluhan

kesehatan sebulan yang lalu

25,49 24,41 26,51 26,68 28,15 30,90 33,24 33,68 30,97 29,31

2 Persentase penduduk yang mengobati sendiri 58,78 64,35 72,44 69,88 71,44 65,01 65,59 68,41 68,71 66,82

3 Persentase penduduk yang menggunakan obat

tradisional

30,24 30,67 32,87 35,52 38,3 28,12 22,26 24,24 27,58 23,63

4 Persentase penduduk yang berobat jalan sebulan yang

lalu

38,22 38,62 38,21 34,43 34,13 44,14 44,37 44,74 43,99 45,80

5 Persentase penduduk yang rawat inap setahun terkahir 0,93 n.a - - - 2,35 2,51 2,10

2001 2003 2004 20053) 2006 2007 2010 20112008 2009

information shows that there are still many Indonesian people whose need optimal health care

to address health complaints.

Table: Indonesian health indicators (in%). Sources: www.bps.go.id

Getting sick is a "luxury" that poor Indonesians cannot afford because medical services and

medicines could cost them a fortune in this country. If a family member is ill, ones

admission to hospital, on average will cost over 100 percent of household income. And quite

often the family is forced to sell a house to pay the medical bills. So, its no surprise if people

are saying "If you are the poor in this country, you cannot afford to fall sick. But, there is a

hope for the poor because the government is now runing a plan to provide all poor people

with health insurance in 2014, so that every body in the country will then have access to

health care. "

2.2 Insurance Developments In Indonesia

The insurance industry in Indonesia has grown rapidly in recent years. Insurance industry

grows up to 2012 the number of life insurance companies sector by 43 companies, and

insurance companies as much as 80 corporate sector losses. Meanwhile both the insurance

industry sector revenues life and loss until the third quarter of 2012 increased by 25.6%

(source: http://www.solopos.com).

But currently, however, around 36.88 percent of the country,s 238 million population is still

not covered by government health insurance. Health insurance coverage in 2011 reached

63.12 percent of the 237.6 million total Indonesian population. The remaining 36.88 percent

has not yet been covered.Many people who are not yet covered by the health insurance

system have to pay directly to health service providers. This could make people become poor,

while health service providers could tend to give poorer service to make big profits.

2.3 Sistem Jaminan Sosial Nasional (SJSN)

Expectations of the Indonesian people who want social security to their lives, will soon be

realized after the enactment BPJS for organizing the National Social Security System (SJSN).

This desire is inspired by other countries, such as Canada and Germany.

In countries which had already imposed the UU of Social Security, the people have gainedhealth insurance, pensions and employment. In fact, some of these countries also provide

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guarantees for those who do not have jobs. Therefore, the presence of these BPJS welcomed

by a number of people, of course is understandable. Because ideally all people of Indonesia

will be protected to the social security.

Prinsiple & Purpose of SJSN:

Principle: humanity, benefits, and social justice Purpose: Provide guarantees optimal, feasible for the participants and members of

their families.

SJSN Programs:

Health Insurance

Accident Insurance

Old Age Security

Retirement Security

Death Benefit

To help realize the national health care for all program, the parliament passed Law Number

24/2011 on the Social Security Agency (BPJS), in October 2011. The law was a government

initiative to improve the peoples welfare through a health and employment security system.

The law calls for the creation of a Social Security System that will be operated by an agency

to be formed by merging two state-owned companies, namely PT Jamsostek which will

manage employment accident benefit, old age insurance, pension fund, and death insurance

and PT Askes which was engaged in health insurance. PT Jamsostek is becoming BPJS

Ketenagakerjaan and PT Askes is becoming BPJS Kesehatan. The process to merge the two

companies is subject to a deadline on January 1, 2014. The law will create a single state

entity in 2014 that will cover health care. Those with a regular income will have to pay

monthly premiums, while the government will pay premiums for people who are poor or

unemployed. The BPJS Law requires that they make fundamental changes in their operations

in order to qualify as BPJS social security providers, including greater budgetary

transparency and a change to non-profit status.

This fundamnetal changes is called by transformation. Transformation means characteristic

changes that align to BPJS philosophy. Chacaracteristic changes such as changes in

organizational structure, standart operating procedure, organizational culture, etc.

The intention of this transformation is to manage participants funds into benefits. When

social security was managed by stated owned company its philosophy did not align with

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UUD RI 1945. The aims of state owned company are to contribute to the national economy

and state revenues and to pursue profit.

3. Internal Environment

For PT Askes (Persero), true commitment to social security in health is not happening at themoment, at a knock Act has BPJS. Determination for change has happened since 2004, when

the publication of UU Social Security (SJSN) which states that Askes (Persero) is the

manager of social security in the health sector in the National Social Security System in

Indonesia. The momentum was a turning point in the company's 44-year-old to transform and

prepare.

Starting on January 1, 2014, PT Askes will enter a new era as the Social Security Agency(BPJS) Health. Era is not just a change of clothes, but need to balance the changes to the

service system is maintained properly.

There are some things that to be considered when PT Askes is transforming to BPJS

Kesehatan, such as:

- Adjusting in corporate culture, changing in vision and mission, since there is a

differintiation between Askes as owned state company and as a BPJS Kesehatan. As a

state owned company, PT Askes must contributes to the national economy and makes

profit. But as a BPJS Kesehatan, Askes should considers 9 principles, such as: gotong

royong (mutual relationship), keterbukaan (transparancy), kehati-hatian

(circumspection), nirlaba (non-profit), akuntabilitas (accountability), profitabilitas

(profitability), membership is mandatory, trust funds, and fund management results

are used for the benefit of participants.

- When he is as a state owned company, he must report to state owned ministry, but as

BPJS, he must report to President. Moreover, as state owned company, the board of

directors was chosen by ministry, but as BPJS this postion will be chosen by president

and DPR. So there will be an adjusting in resources and management.

- To cover larger number participants, Askes needs to adjust his resouces (such as his

employee, his facilities, etc.

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- To adjust his resources, Askes also needs larger capital. All of Askes asset,

liabilities, etc will belongs to BPJS Kesehatan. Whereas at the end of year fiscal 2012,

Askes profit was declined. So, BPJS Kesehatan will face other resources barrier.

- In the other hand, the fluctuation of IDR currency rate will influence the price of

medicines, the price of hospitals service, the price of medical equipments, etc.During 2010-2012, PT Askes has been doing some service improvements. In 2010, PT Askes

has a program to improve the image service, Askes develop and improve his masterfile, he

aslo improves his IT system so in this year Askes has a real time integration information

management between Askes and his hospital partners. He also has a barcode system which

help askes toprovide his participants data faster and easier. Askes has a good network to

cover all of Indonesia region, Askes has a branch representative in every region in Indonesia.

Askes also has enough media communication which make him easier to get closer with his

participants, such as hotline service, bulletin, etc. Asken has arujukan program, the purpose

of this program are to utilize the Puskesmas function and to help the participant to get the

easier and faster handling.

But as as state owned company who has a powerful support from government, Askes does

not capable enough to build a partnership with hospital, clinic, drug store, etc. We can see it

from the number of private hospital who has a partnership contract with Askes, and there is

no clinic who has a contract partnership with Askes. There is no good partnership with

Puskesmas, so most of participants do not want to check their condition to Puskesmas. They

directly go to the hospital, Askes Service centre hospital has more work load, so they can not

give the best performance. This experince that make a bad image for Askes.

4. Internal Problem PT Askes

According to the results of our group interview with Mrs. Andayani Budi Lestari

who served as the Head of Marketing Division of PT AsKes until January 2013,

and now she served as Regional Head of Central Java - Yogyakarta, there are

some internal issues that need attention due to the transformation of PT Askes be

BPJS Health January 1, 2014 later. And dissemination of information regarding

the change itself is done in stages. Starting with socialization by Top

Management to senior manager, then proceed to the manager, then proceed to the

employees, this way reached for moving the role of leader of PT Askes as people

manager, where the responsible supervisor on each of his subordinates.

At first Askes employees worried about the change, fearing their position would be

threatened, worried the company does not need them anymore. But in the end the employees

also feel calm and really participate in the transformation because they were given an update

on the process and the existing development. Company did a survey of all status changes

perubahanm pegawaitentang perception concerns what is experienced, as well as the input

and desires of employees cultural and structural transformation that occurred in the company.

In addition the company also communicate about employee rights will not be reduced even

may increase to employees and their families in order to really understand the process and do

not panic if there are negative issues surrounding the issue of transformation is going tohappen. the vision mission will change because the current Askes vision is "To be the number

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one insurance company in Indonesia" is not in accordance with the Health BPJS which is not

a company that must compete to be number one but have to provide health insurance for all

Indonesian people. Until now the vision and mission is still in the drafting process, so that on

1 January 2014 the mission vision can be used.

Remember if transformed into health BPJS will serve all the people of Indonesia, PT Askesrequires more human resources for the smooth operation process. It was a new problem for

PT Askes due course Askes to prepare large-scale recruitment, which will be followed by

training and coaching. From now PT Askes already preparing for it, companies are designing

the right program for recruiting, training, and coaching. Besides the old employees are also

prepared to adapt to the new team members are certainly not easy to work with new people in

large quantities.

When our group asked whether Mrs. Andayani with the change of corporate culture, she said

that will not change the corporate culture, new people coming into perusahaanlah Yag must

adapt to the corporate culture Askes. The most substantial changes due to this transformation

is Askes form itself. This case concerns the authority of PT Askes later after being BPJS

Health became public body must have greater authority and a stronger position because it is

supported by law is stronger too. Obviously these changes have made PT Askes more power

in the future.

5. Changes Model (Kotter)

From external and internal factors above, we analyze how the changes made using 8 stage

process of creating major change by Kotter:

1. Establishing a sense of urgency

As has been said earlier that Indonesia already has rules on social security set out in theNational Social Security System, but with Social Security is only part of the Indonesian

people who have obtained health insurance, 36.88% have not yet obtained health insurance.

Though this guarantee of protection will be the responsibility of the government that is set

up in the Constitution (section 28H). Countries that have similar rules on social security as

well as Canada, German, Australia, has implemented social protection to all its citizens.

Therefore, the Indonesian government issued a regulation on the establishment of Health

Security Agency (BPJS). With this program, the government of Indonesia provides the

opportunity for Askes who has 43 years services in health insurance business for the people

of Indonesia as the insurance carrier for all Indonesian people.

With the change of BUMN into BPJS, where the amount of the member become larger, this

is a potential opportunity for Askes to grow and improve themselves because their

performance will be monitored directly by the president and parliament. But this

opportunity will be a boomerang for Askes, when Askes could not prepare itself well.

Because the entire society to ensure the health of Indonesia, which is substantial,

widespread throughout Sabang to Merauke, and the diversity of the population profession, it

is not easy and differ significantly to the previous Askes business which focused on health

insurance for civil servants, Ministers, etc. Because of this new BPJS will officially

launched by government in January 2014, it is currently running 2 challenges, which is

prepare for these changes and keep the focus on running the business now. Potential crisis

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they are in charge of creating a way how to change in accordance with the rules of Social

Security and Health BPJS, how the changes run smoothly, etc. To monitor the performance

of OPT Askes form the Daily Activity Monitoring System (DAMS).

6. Generating short term winsOne of the ways in which askes preparing itself for the changes to BPJS Kesehatan, which

will provide non-profit health insurance for all the people of Indonesia, is to improve the

quality of their services has already described above, through the development of

management information systems, the education ambassador of Askes, the Askes Centre.

Measurement of the quality improvements have been started in early 2012, which includes

visibily measurements, such as Customer Satisfaction Index, Customer Compliance Index

and level of health. And at the end of 2012, it has managed to gain 88.13 for Customer

Satisfaction Index, and then managed to get an A for the level of health. This is what makes

the whole Askes still hiring employees without reducing their rights.

For step 7 and 8 have not been done by Askes.

6. Change Recomendation

1. Vision and Mission Changes

We recommend the establishment of a new Vision and Mission determined immediately prior

to 1 January 2014. So that on 1 January 2014, the vision and the mission is in conformity

with the purposes and forms of health BPJS PT Askes.

Original vision Askes: Being a specialist and leading center of Health Insurance in

Indonesia Specialist PT Askes (Persero) focuses on the program of social health insurance.Leading Center PT Askes (Persero) is able to produce reliable human resources, management

information system and social health insurance management system.

Vision can be changed to: Being a public body that ensures public health services throughout

Indonesia. This vision is reflected in changes in the form of business entity that initially

Askes into BPJS Kesehatan.

The mission should be changed and consist of 9 elements of SJSN; gotong royong (mutual

relationship), keterbukaan (transparancy), kehati-hatian (circumspection), nirlaba (non-

profit), akuntabilitas (accountability), profitabilitas (profitability), membership is mandatory,

trust-funds, and fund management results are used for the benefit of participants.

2. Network and Service Improvement

From collected data, the number of private hospital networks Askes today is as much as 269

networks (source: www.bumn.go.id). While in Indonesia, there are approximately 544 private

hospitals (source: mix.co.id), still about 50% of private hospitals in Indonesia have not been

incorporated with Askess health network. In related to the basic of BPJS Kesehatans

founding goals, equitable health services in Indonesia, PT Askes should undertake the

development of the network number for the purpose BPJS Kesehatan can be realized. In

addition, an increasing number of network is also followed by an increase in the use of

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services such as Askes s member card is not difficult and can be synergized between its data

throughout the health network such as hospitals, pharmacies and other health services.

3. Marketing Side

In order to BPJS Kesehatans socialization can be more evenly spread throughout thecommunity and Indonesia, Askes should promote with the form of advertisements in the print

and electronic media. PT Jamsostek has already socialized BPJS Ketenagakerjaan lately.

As we know, BPJS Kesehatans new program will be

fully implemented on 1 January 2014. Currently in

BPJS Kesehatans product introduction is still in the

introductory phase. At this stage people are expected

to know what exactly BPJS Kesehatan and what they

will get with this Askes transformation. At this

stage, more aggressive marketing activities are

expected to have wide appeal. One of the promotions

program is to advertise in the mass media that is currently enjoyed by the Indonesian

communities such as television advertisements, newspapers and flyers distribution at

hospitals or Askes health networks.

4. Human Resource Development

Due to transformation to BPJS, PT. Askes starts the new step of business-life cycle: survive.

In this early stage, what it should do is to invest more in building the human resources

systems. As the nature of the business is service, they should invest largely on people. They

need to upgrade and update their human resources. Recruitment, training and development,and succession planning are the most vital part in human resources area that they must

concern on. As a governmental board, it is not their concern to set up a new salary and

compensation packages due to the compliance to governments salary standard.

In recruitment and selection matters, they should focus on how to recruit talented people. In

order to do that, they should make competency model and dictionary. So, they could notice

what kind of competencies could match to their recruitment strategy.

In the training and development, they should design training methods. Mainly, they should

conduct basic training because it is one of the most important training they should provide in.

Basic training is urgent for new employee in order to give them what kind the organization is

and what competency they need to succeed. They must be well-informed since the very

beginning because it is the prerequisites for them to well-performed.

Although they are a new organization, they must have succession planning. It is a plan that

content of career path, in every job or position available within the organization. It provides a

clear view of what are the positions and how to achieve those. However, in order to build up

a succession planning, it is very important that they must build a strong structure first. One of

those is organizational structure.

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