Urgensi Kriminalisasi Perbuatan Kecurangan (Fraud) dalam Pelaksanaan Program Jaminan Kesehatan di Indonesia

Solehuddin Solehuddin

doi:10.19184/idj.v4i1.39490

Solehuddin Solehuddin Universitas Brawijaya, Indonesia

DOI: https://doi.org/10.19184/idj.v4i1.39490

Abstract

In this study, the author discusses one of the problems regarding the Urgency of Criminalization of Fraud in the Implementation of the Health Insurance Program in Indonesia. The purpose of this study is to determine the urgency of criminalization of fraud in the implementation of health insurance programs in Indonesia and to determine the ideal concept of criminalization of fraud in the implementation of health insurance programs in Indonesia. The research method uses normative legal research, which is a process for finding legal rules, legal principles, and legal doctrines in order to answer the legal issues faced by the approach in this study using a research approach carried out a statutory approach (statute approach) and a conceptual approach (conceptual approach). The results of this study are Handling Fraud in the Implementation of the Health Insurance Program aims to provide a reference for Participants, BPJS Health, Health Facilities or health care providers, drug and medical device providers, and other stakeholders in organizing efforts to prevent and handle fraud in a systematic, structured and comprehensive manner so that the implementation of the Health Insurance program can run effectively and efficiently. So far, the prevention and handling of fraud is only the imposition of administrative sanctions against fraud in the implementation of the health insurance program, so it is very important to criminalize fraud in the implementation of the health insurance program in Indonesia.

Keywords: Fraud, Health Insurance Program, Prevention

References

Buku:
Andi Hamzah, Asas-Asas Hukum Pidana, Rineka Cipta, Jakarta, 2001.
Barda Nawawi Arief, Kebijakan Hukum Pidana, PT. Citra Aditya Bakti, Bandung, 2002.
Hazewinkel-Suringa, Inleiding, dikutip dari PAF Lamitang dan Theo Lamintang, Dasar-dasar Hukum Pidana di Indonesia, Ctk Pertama, Sinar Grafika, Jakarta, 2014.
Hullsman, Dikutip dari Roeslan Saleh, Dari Lembaran Kepustakaan Hukum Pidana, Sinar Grafika, Jakarta, 1988.
Kementerian Kesehatan Republik Indonesia, Buku Pegangan Sosialisasi Jaminan Kesehatan Nasional Dalam Sistem Jaminan Sosial Nasional, (Jakarta: Kementerian Kesehatan, 2013).
Lilik Mulyadi, 2010, Seraut Wajah Putusan Hakim dalam Hukum Acara Pidana Indonesia, Bandung: PT Citra Aditya Bakti.
Muladi, Kapita Selekta Hukum Pidana, Badan Penerbit Universitas Diponegoro, Semarang, 1995.
Mardjono Reksodipuro, Kriminologi dan Sistem Peradilan Pidana Kumpulan Karangan Buku Kedua, Pusat Pelayanan Keadilan dan Pengabdian Hukum Lembaga Kriminologi Universitas Indonesia, Jakarta, 1997.
Moeljatno, Perbuatan Pidana dan Pertanggungjawaban Dalam Hukum Pidana, Bina Aksara, Yogyakarta, 2002.
M Cherif Bassiouni, “Substantive Criminal Law”, Dikutip dari Barda Nawawi, Bunga Rampai Kebijakan Hukum Pidana, Citra Aditya Bhakti, Bandung, 1996.
Moh Hatta, Kebijakan Politik Kriminal Penegakan Hukum dalam Rangka Penanggulangan Kejahatan, Pustaka Pelajar, Yogyakarta, 2010.
Rusli Effendi, “Masalah Kriminalisasi dan Dekriminalisasi dalam Rangka Pembaruan Hukum Nasional” dalam BPHN, Simposium Pembaharuan Hukum Pidana Nasional Indonesia, Binacipta, Jakarta, 1986.
Soedarto, Hukum dan Hukum Pidana, Alumni, Bandung, 2007.
Soedarto, Kapita Selekta Hukum Pidana, Alumni, Bandung, 1986.
Soerjono Soekanto, Kriminologi: Suatu Pengantar, Ctk Pertama, Ghalia Indonesia, Jakarta, 1981.
Soetandyo Wignjosoebroto, “Kriminalisasi dan Dekriminalisasi: Apa yang Dibicarakan Sosiologi Hukum tentang Hal Ini, disampaikan dalam Seminar Kriminalisasi dan Dekriminalisasi dalam Pembaruan Hukum Pidana Indonesia”, Fakultas Hukum UII, Yogyakarta, 15 Juli 1993.

INTERNET :
Pusat Informasi Jaminan Kesehatan Indonesia, “Makna JKN”, ( http://jkn.jamsosindonesia.com/jkn/detail/pusat-informasi-jkn#.WnQBILiYnTQ. Diakses 31 Maret 2022).
Asuransime.com, “Pengertian Asuransi Kesehatan Secara Menyeluruh, (http://asuransime.com/pengertian-asuransi-kesehatan-secara-menyeluruh/. Diakses 31 Maret 2022).
http://repository.unika.ac.id/26880/2/18.C2.0001--Luciana%20Dewi-BAB%20I_a.pdf, diakses tanggal 3 April 2022 pukul 19.00WIB.
https://galihendradita.wordpress.com/2019/08/12/jenis-kecurangan-fraud-oleh-fasilitas-kesehatan-atau-pemberi-pelayanan-kesehatan/, diakses tanggal 3 April 2022, pukul 19.05WIB.