Analysis of Managed Care In Primary Health Care Services In Indonesian Health Insurance Management

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Discussion

Systematic review assesses managed care models and health service delivery in Indonesia, indicating room for improvement.

Findings indicate increased spending efficiency and access to health services through capitation payment and INA-CBGs.
Key evidence highlights challenges like infrastructure gaps, workforce distribution issues, and referral barriers in the system.
Assessment using systematic literature review of 30 articles from 2016-2025 reveals both progress and challenges in managed care implementation.
Improving digital health technologies and monitoring systems may enhance service quality and sustainability of health services.

Widyadhari et al. (2025) studied this question.

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