Aspek Yuridis Penerapan Sanksi Adminisratif Bagi Pelaku Kecurangan (FRAUD) Dalam Program Jaminan Kesehatan Nasional
DOI:
https://doi.org/10.55606/jhpis.v1i1.1738Keywords:
Administrative Sanctions, Fraud, National Health InsuranceAbstract
The National Health Insurance Program is the Government's effort to provide guarantees so that health services are provided to Participants in the National Health Insurance Program. In its implementation, there is a risk in the form of fraud committed by unscrupulous persons. The consequence of fraud is the imposition of sanctions which are an important part of every law and regulation. One of the imposition of sanctions for perpetrators of fraud is administrative sanctions. Administrative sanctions that arise do not erase criminal sanctions in accordance with the provisions of the legislation. Administrative sanctions are considered to be far more effective in forcing people to comply with legal provisions governing business and industry and environmental protection than criminal sanctions. With the imposition of these sanctions it is expected to maintain the sustainability of the National Health Insurance Program
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References
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https://acch.kpk.go.id/en/component/content/article?id=672:korupsi-dalam-pelayanan-, diakses tanggal 20 Juli 2021 jam 10.00 wib
https://www.acfe.com/fraud-triangle.aspx , diakses tanggal 20 Juli 2021 jam 15.00 wib
Peraturan Perundang-Undangan
Undang-Undang Dasar 1945
Kitab Undang – Undang Hukum Pidana
Undang-Undang Nomor 40 Tahun 2004 tentang Sistem Jaminan Sosial Nasional (SJSN). Lembaran Negara RI Tahun 2004, Sekretariat Negara. Jakarta.
Undang-Undang Nomor 24 Tahun 2011 tentang Badan Penyelenggara Jaminan Sosial (BPJS). Lembaran Negara RI Tahun 2011, Sekretariat Negara. Jakarta
Peraturan Presiden Nomor 82 Tahun 2018 tentang Jaminan Kesehatan Nasional.
Peraturan Menteri Kesehatan nomor 16 tahun 2019 tentang Pencegahan dan Penanganan Kecurangan (Fraud) serta Pengenaan Sanksi Adminstrasi terhadap Kecurangan (Fraud) dalam Pelaksanaan Program Jaminan Kesehatan Nasional (JKN), Sekretariat Kabinet RI. Jakarta.
