Background: Disposition of implementers to changes in hospitals payment system policies has become an important issue in the implementation of the Indonesia National Health Insurance (NHI) program. The change from fee for services to a prospective payment system in the form of the Indonesia Case Based Group (INA-CBG) have caused low acceptance from clinicians. On the other side there was potential for fraud in the hospitals claim collection scheme published by the corruption eradication commission. The objective of this study was to analyze the effect of disposition of implementers on financial pressure and fraud intention. Methods: The study used an observational analytic approach with a survey method, where researchers conducted observations, interviews and questionnaires. The research variables consist of disposition of implementers, financial pressure, and fraud intention. The research respondents were 110 physicians in charge of patients in 12 hospitals in East Java Indonesia. Data were analyzed by path analysis. Result: The direct causal effect of the disposition of implementers regarding the INA-CBG payment system in hospitals to financial pressure had a value of p = 0.001 and B =-0.332. Conclussion: Disposition of implementers to changes in hospitals payment systems had a significant effect on financial pressure and fraud intention. A negative beta indicated that the disposition of implementers will have an effect on increasing financial pressure.

Original languageEnglish
Pages (from-to)689-696
Number of pages8
JournalIndian Journal of Forensic Medicine and Toxicology
Issue number4
Publication statusPublished - 1 Oct 2020


  • Disposition of implementers
  • Financial pressure
  • Indonesia Case Based Group


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