Data from University of Indonesia Advance Knowledge in Diabetes Mellitus (The Impact of Performance-based Capitation On Diabetes Care: Evidence From Indonesia’s National Health Insurance Program): Nutritional and Metabolic Diseases and Conditions – Diabetes Mellitus

2026 FEB 18 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Current study results on Nutritional and Metabolic Diseases and Conditions - Diabetes Mellitus have been published. According to news reporting out of Depok, Indonesia, by NewsRx editors, research stated, “Indonesia’s National Health Insurance (JKN) introduced the Performance-Based Capitation scheme (Kapitasi Berbasis Komitmen, KBK) in 2015-2016 as a supplement to the existing capitation system and scaled it nationally in 2019. This study evaluates the impact of KBK on Diabetes Mellitus (DM)-related primary care utilization using 2015-2020 BPJS Kesehatan sample data, as DM alone accounted for IDR 8.23 trillion (USD 499 million) in JKN claims in 2022, raising concerns about the JKN financial sustainability.”

Our news journalists obtained a quote from the research from the University of Indonesia, “We employ a Regression Discontinuity in Time (RDiT) design to estimate causal effects, using a donut hole specification to address anticipation bias, applying alternative bandwidths for sensitivity analysis, and conducting placebo tests to assess robustness. Our findings indicate modest but significant improvements in primary care utilization at Puskesmas, particularly in contact rates (3.3% points), visit rates (6.9% points) and visit frequency (3.1% points). However, KBK had minimal impact on private clinic (klinik pratama), with most utilization metrics remaining insignificant, except for a 6.3% point increase in visit frequency. Additionally, despite increased service utilization at primary health care (FKTPs), referral rates to Advanced Referral Healthcare Facilities (FKRTLs) did not significantly decline. The study concludes that while KBK has led to some improvements, it has not fully met its objectives.”

According to the news editors, the research concluded: “Accordingly we recommend strengthening outcome-based performance indicators, mandating Prolanis enrollment for DM patients, and reformulating capitation incentives to better align with provider behavior and capacity.”

This research has been peer-reviewed.

For more information on this research see: The Impact of Performance-based Capitation On Diabetes Care: Evidence From Indonesia’s National Health Insurance Program. International Journal of Health Economics and Management, 2026;26(1). International Journal of Health Economics and Management can be contacted at: Springer, One New York Plaza, Suite 4600, New York, Ny, United States.

Our news journalists report that additional information may be obtained by contacting Teguh Dartanto, University of Indonesia, Faculty of Economics and Business, Res Cluster Poverty Social Protect & Dev Econ, Dept. of Economics, Campus Ui Depok, Depok 16424, West Java, Indonesia.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1007/s10754-025-09407-5. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

(Our reports deliver fact-based news of research and discoveries from around the world.)