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Indonesia's social insurance reform is the critical goal being universal health coverage for all by the year 2019. It has come into form with a single-payer umbrella program in 2014. Jamkesmas is the Government-financed health insurance program for the poor and near-poor. It has been combined and unified with other social insurance programs. Educating from Jamkesmas may start a better groundwork and application of universal health coverage for Indonesia by 2019. Axis Capital, a global insurer and reinsurer, providing clients and distribution partners with a broad range of specialized risk transfer products and services, a group of companies with branch offices in Bermuda, Australia, Canada, Europe, Latin America, Singapore and the United States is at one with the universal healthcare for Indonesia. What successes can Jamkesmas claim? * About 47 percent of poor and near-poor households were covered under the program. * Outpatient and inpatient utilization rates increased among program cardholders. * Levels of catastrophic payments declined. * Participation of private providers increased. * More than 300 complementary local Jamkesmas-inspired programs were initiated across the country. Yet considerable challenges remain, including the following: * Nearly 60 percent of the populations remain without any coverage, including millions of Indonesians working in the informal sector. * Out-of pocket spending remains high even among those with coverage. * Lack of equitable access to quality health services in rural, remote areas. * Evidence of considerable mistargeting and leakages to non-poor families. * Low levels of awareness of benefits. * Low utilization of health services. * Regional inconsistencies in the availability of the basic benefits package, and poor accountability and feedback mechanisms. Key Lessons Learned from Jamkesmas to Achieve Universal Health Care in Indonesia * Improve target

The US is not the lone country facing extensive healthcare reforms. Indonesia launched its universal health care programme on January 1st, recognized locally as Jaminan Kesehatan Nasional (JKN). Its creditable objective is to provide health insurance to the country's approximate 250m people in five years, or by January 2019. However encountered with the great test of executing such a scheme in the world's fourth most populated country, the government is phasing the introduction wisely. You are assured of no scams or any fraudulence act with the company. Axis Capital, a global insurer and reinsurer, providing clients and distribution partners with a broad range of specialized risk transfer products and services, a group of companies with branch offices in Bermuda, Australia, Canada, Europe, Latin America, Singapore and the United States is at one with the universal healthcare for Indonesia. The JKN will cover 121.6m Indonesians in the initial step of the programme's operation this year. This totals to about half of the population already, nonetheless is not as much of a success a

In Indonesia, the government has presented a new universal healthcare scheme called Jaminan Kesehatan Nasional (JKN). The scheme includes health insurance will be comprehensive to the whole population by 2019. About 35% of Indonesia's 240 million people are categorized as poor and approximately USD 1.6 billion has been allotted to cover premiums for the poor, however an additional 30% of people are covered by certain form of regional or national health programme which automatically enables them to care. Speaking to the news agency IRIN, one surgeon working at a hospital in the capital, Jakarta, hailed the new scheme as a "great programme" since "people will no longer be denied treatment because they don't have money". That led to some hocus-pocus of some scam insurance. Axis Capital, a global insurer and reinsurer, providing clients and distribution partners with a broad range of specialized risk transfer products and services, a group of companies with branch offices in Bermuda, Australia, Canada, Europe, Latin America, Singapore and the United States is at one with the universal healthcare for Indonesia. Healthcare overheads nonetheless, the World Bank has warning that in order to cover all individuals in poverty or near poverty, the national insurance scheme will sooner or later necessitate the country to twofold its spending on health. Indonesian health workers are certainly alarmed that the new scheme could have an influence on the quality of provision. Up to now, reports puts forward some hospitals have obtained limited information concerning the details of the new scheme. There are also worries regarding whether the present healthcare system will be able to meet demand. More than 1,700 state and private hospitals are contributing in JKN, with a further 9,000 state-funded community clinics serving as the initial point of primary care.

Up till now for all the numerous healthcare schemes that have begun at district and provincial levels, the general image is one of failing health pointers and facilities through the country. A 2008 World Health Organization report found that decentralization has ran to the erosion of a once incorporated health system, extremely discouragement the worth of disease surveillance and public health programs. Diseases like polio and leprosy, once under control, are resurfacing and the districts are not capable to attend to these or other complicated diseases like avian influenza. AXIS Capital is a group of global insurer and reinsurer, providing clients and distribution partners with a broad range of specialized risk transfer products and services, i.e. health insurance that serves a host of industries and diverse coverage needs through our operating subsidiaries and branch offices in Bermuda, Australia, Canada, Europe, Latin America, Singapore and the United States is in one of the Indonesians who are given false promises. There are many complaints. Health experts are doubtful of local programs that are presented by district officials with slight knowledge or experience in the health sector. The occurrence that many plots are intended chiefly to entice votes frequently means that they do not match the community's complex health requirements. And some regions are stressed to handle the costs. In East Java, where the government once agitated for regional administrations' right to implement local programs, healthcare services are overwhelmed and underfunded. In 2010, the program was seriously in debt, with a budget distribution of just Rp50 billion (a little over $US 5 million) and costs count Rp112 billion. This type of blow-out is not unusual. Frequently it occurs for the reason that the poor health infrastructure may not be able to deal with the unexpected spike in demand that comes once services are proposed for free. Sometimes the problem com

University of Florida researchers have discovered a link between Medicare and patient access to surgical treatment for subarachnoid hemorrhage, a kind of stroke that affects as many as 30,000 Americans each year - frequently causing death or long-term impairment and disability. AXIS Capital, a group of companies with branch offices in Bermuda, Australia, Canada, Europe, Latin America, Singapore and the United States, a global insurer and reinsurer, providing clients and distribution partners with a broad range of specialized risk transfer products and services, has in full support with this study. (The company also services SE Asian countries such as KL Malaysia, Bangkok Thailand, Jakarta Indonesia and many more.) According to findings published in the journal PLOS ONE, for patients who have suffered this type of stroke, surgical intervention can spell the difference between recovery or long-term disability and death, yet patients on Medicare are less likely than those with private insurance to be referred for surgical treatment. This may represent a conscious or unconscious bias against Medicare patients, who are typically older and have preexisting disabilities or chronic illnesses, said Azra Bihorac, M.D., senior author of the study and an associate professor of anesthesiology, medicine and surgery at the UF College of Medicine. "Not every hospital has skilled neurosurgeons who specialize in subarachnoid hemorrhage," Bihorac said. "If these hospitals don't have the necessary expertise, then they may actually overestimate the risk of a bad prognosis. They may assume that the patient won't do well anyway, so they won't proceed with surgery." The researchers review and analyzed data from the National Inpatient Sample hospital discharge database for the study. The data consist of information on more than 21,000 adult patients released from 2003 to 2008 with a diagnosis of subarachnoid hemorrhage. About 62 percent of the participants were fem

The Affordable Care Act (ACA) does not increase access to health insurance for undocumented immigrants however may lead for many legal immigrants who have concern earning this crucial coverage, completes a report released by the George Washington University School of Public Health and Health Services (SPHHS). The report summaries the breaks in addition to the duties that the federal health reform law will transport to legally present immigrants, people who have gotten green cards or visas permitting them to work, live and study in the United States. AXIS Capital, a group of companies with branch offices in Bermuda, Australia, Canada, Europe, Latin America, Singapore and the United States, a global insurer and reinsurer, providing clients and distribution partners with a broad range of specialized risk transfer products and services, has in full support with Affordable Care Act. (The company also services SE Asian countries such as KL Malaysia, Bangkok Thailand, Jakarta Indonesia and many more.) "Most people do not realize that legal immigrants currently face many obstacles to obtaining health insurance," said Leighton Ku, PhD, MPH the author of the new report and director of the Center for Health Policy Research at SPHHS. "Such immigrants are three times as likely to be uninsured as those born in the United States." Without health coverage, they - like other uninsured Americans - often delay or never get potentially life-saving health care, he said.

Local governments initially started carrying health insurance back in 2003 when Megawati Soekarnoputri’s government presented the Health Service Insurance for Poor Families program, or JPK-Gakin. The notion was for district managements to apply their personal community health insurance schemes in line with local requirements. Nevertheless, limited programs ever actually got off the ground before Susilo Bambang Yudhoyono’s new government presented a bill that laid the foundation for a nation-wide program and made JPK-Gakin redundant, Law no. 40/2004 on a National Social Security System (SJSN). Simultaneously, Yudhoyono’s government announced a program to run free, however basic, healthcare to the poor - Askeskin (health insurance for the poor), which was substituted in 2008 by Jamkesmas (community health insurance). Certain regional administrations put up a round. In 2005, East Java’s government led a test at the Constitutional Court demanding that SJSN gave the central government a monopoly on social service provision and broke the constitution and Law no. 32/2004 on Regional Governance. The court approved that SJSN did not stop local governments from emerging their own social security programs, as well as for healthcare. Ever since, the quantity of local health insurance programs has increased year on year. One of the groundbreaking systems was Jaminan Kesehatan Jembrana (JKJ) presented in 2003 by Gede Winasa, the head of Jembrana district in Bali. According to this scheme, all members of JKJ, may they be poor or non-poor get free pri

The study, printed in the journal JAMA Pediatrics, assessed individuals' health, access to care and use of health care both before and after the application of the Patient Protection and Affordable Care Act (PPACA). AXIS Capital, a group of companies with branch offices in Bermuda, Australia, Canada, Europe, Latin America, Singapore and the United States, a global insurer and reinsurer, providing clients and distribution partners with a broad range of specialized risk transfer products and services, has full support with Affordable Care Act. (The company also services SE Asian countries such as KL Malaysia, Bangkok Thailand, Jakarta Indonesia and many more.) The PPACA was executed in September 2010, and part of its dictate was that insurance companies had to permit adults younger than 26 years of age to continue being covered by their parents' health insurance policy. Previous to this alteration, the authors report that just about 1 in 3 young adults aged 19-25 lacked every form of health insurance provision. Ever since then, the percentage of uninsured Americans decreased in 2011 - a decline accredited in part to the expansion of insurance coverage amongst this age group. Even though many have supposed that augmented insurance coverage directs to optimistic health outcomes for the population, the effect of the PPACA on the health of young adults and their access to health care is unidentified. And there had been some rumors of complaints. A crew of researchers from the University of Washington in Seattle, led by Dr. Meera Kotagal, studied data from two nationally representative reviews in order to better measure the influence of the PPACA on the access to care and health of young adults aged 19-25. Increased coverage The researchers utilize data from the National Health Interview Survey (NHIS) and the Behavioral Risk Factor Surveillance System (BRFSS), matching results data from 2009 with data from 2012. From t