Dr. Atik Nurwahyuni, SKM, MKM

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atikn.akk@gmail.com

Dr. Atik Nurwahyuni, SKM, MKM

Assistant Professor, Department of Health Policy and Administration

Biography

Dr. Atik Nurwahyuni is a Lecturer at the Department of Health Policy and Administration, Faculty of Public Health, Universitas Indonesia. She specializes in healthcare tariff analysis, National Health Accounts, and health insurance economics. Her work has contributed significantly to hospital financing studies and JKN policy development at both national and regional levels.

Expertise

 

Health Economics & Health Financing

Education

  • Bachelor of Public Health, Universitas Indonesia
  • Master of Public Health Management, Universitas Indonesia
  • Ph.D., Health Economics, Universitas Indonesia

Working Experience

  • Member, Pricing Team – Ministry of Health RI (tariff setting), 2022 – Present
  • Member, National Health Account Team – Ministry of Health RI, 2020 – Present
  • Trainer / Instructor, Unit cost, DRG system & hospital efficiency training, 2017 – Present
  • Trainer / Facilitator, DRG payment system & hospital management training, 2006 – Present
  • Lecturer, Health Economics, Health Insurance, Cost Accounting, Provider Payment System, FKM UI, 2004 – Present
  • Member, Global Budget Team – Ministry of Health RI, 2025
  • Researcher, Health Financing Activity (USAID, NHA & Disease Account), 2019 – 2023
  • Researcher, Piloting Global Budget for JKN, 2018 – 2022
  • Member, Pricing Team – Ministry of Health RI (pricing layanan kesehatan), 2012 – 2019
  • Researcher, Impact Evaluation JKN & DRG system, 2017 – 2019
  • Researcher, Optimisation of Strategic Purchasing BPJS, 2016
  • Researcher, Evaluation of INA-CBG & DRG system, 2015 – 2016
  • Researcher, Development of Clinical Pathway INA-CBG, 2013 – 2014
  • Researcher, Analysis of Jamkesda & JKN Integration, 2012
  • Researcher, Analysis of Benefit Package & Cost Estimation JKN, 2011
  • Vice Chairman, Health Working Group (TNP2K), 2010 – 2012
  • Researcher, Analysis of INA-DRG & Jamkesmas Implementation, 2010
  • Researcher, National Health Account, 2007
  • Researcher, Unit Cost Puskesmas Bogor, 2006

International Publications

Projection of diabetes morbidity and mortality till 2045 in Indonesia based on risk factors and NCD prevention and control programs

Health Care Spending for Cardiovascular Disease under National Health Insurance Scheme in Indonesia Before and During COVID-19.

DETERMINANT OF LOYALTY OF EXECUTIVE CLASS PATIENTS AT AMBULATORY SERVICES AT SILOAM HOSPITALS TB SIMATUPANG DURING COVID-19 PANDEMICS.

NEONATE OUTCOME AND RESPONSE TIME FOR EMERGENCY CESAREAN SECTION: A SCOPING REVIEW.

Determinants of Smoking Behavior in Indonesia in 2019 (2019 SUSENAS Data Analysis)

Cost of Hemodialysis for Chronic Renal Failure Patients in The Era of UHC: Literature Review

The Digital Health Utilization to Improve Successful Treatment of Tuberculosis Patient in Developing Countries: Literature Review

The Effect of Utilizing Health Operational Assistance Funds on Children’s Health Efforts Through an Integrated Health Center (IHC) in Indonesia Based on 2014 IFLS Data

Analysis of clinical pathway implementation on pneumonia case in PMI Bogor Hospital

Analysis of typhoid fever clinical pathway implementation in the era of national health insurance in Indonesia

Variance analysis of acute myocardial infarction clinical pathway in the era of national health insurance

Determinants of household food security in rural areas in Indonesia (Susenas data analysis, 2017)

The evaluation of acute appendicitis clinical pathway

Universal health coverage in Indonesia: concept, progress, and challenges

A study of readmission rates and the implementation of National Health Insurance

Fragmentation of PTCA with stent treatment in the DRG payment system under Indonesia’s JKN Program: Analysis of Claim Data JKN 2023. APACPH 2025

National Publications

KAJIAN LITERATUR TERHADAP REMUNERASI DAN KINERJA TENAGA KESEHATAN: DAMPAK DAN TANTANGAN

Analisis Klaim Pending, Verifikasi dan Audit Pascaklaim Jaminan Kesehatan Nasional.

Evaluasi KPI Terhadap Maturitas BLU: Studi Kasus Poltekkes Pontianak dan Poltekkes Surakarta. 

Analisis Efisiensi Biaya Melalui Implementasi Clinical Pathway Tindakan Appendectomy: Scoping Review.

Analisis Implementasi Clinical Pathway pada Pasien Demam Dengue: Systematic Literature Review

Review Literatur: Analisis Penyebab Pending Claim Berkas BPJS Kesehatan Pelayanan Rawat Inap di Rumah Sakit.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PEMANFAATAN RAWAT INAP TINGKAT LANJUT PASIEN BALITA DENGAN DIAGNOSIS PNEUMONIA: ANALISIS DATA SAMPEL BPJS KESEHATAN TAHUN 2022. 

ANALISIS KEJADIAN POSTPARTUM PADA PELAYANAN PERSALINAN (ANALISIS DATA SAMPEL BPJS KESEHATAN 2022). 

Pelayanan Teknologi Reproduksi Berbantu di Negara Berkembang: Sebuah Systematic Review. 

ANALISIS KELENGKAPAN RESUME MEDIS DAN KETEPATAN KODING LAYANAN OPERASI KANKER PAYUDARA DI RUMAH SAKIT KANKER DHARMAIS TAHUN 2022. 

Analisis Klaim Rawat Inap RSUD Kebayoran Baru November 2022 – April 2023: Pendekatan Sistem. 

Penyusunan Rencana Strategis Bisnis RSUD Kebayoran Baru: Rencana Strategi Pemasaran. 

STRATEGI EFISIENSI RUMAH SAKIT DI ERA JKN: LITERATURE REVIEW. 

NEONATE OUTCOME AND RESPONSE TIME FOR EMERGENCY CESAREAN SECTION: A SCOPING REVIEW. 

BIAYA PENGOBATAN PASIEN RAWAT INAP COVID-19 DI RUMAH SAKIT X TAHUN 2021. 

DAMPAK IMPLEMENTASI CLINICAL PATHWAY PADA PERAWATAN PASIEN STROKE DI RUMAH SAKIT: A SCOPING REVIEW.

Penerapan Telemedicine untuk Program Rujuk Balik Jaminan Kesehatan Nasional di Masa Pandemi Covid-19. 

Analisis Minimalisasi Biaya Obat Antihipertensi antara Kombinasi Ramipril-Spironolakton dengan Valsartan pada Pasien Gagal Jantung Kongestif di Rumah Sakit Pemerintah XY di Jakarta Tahun 2014

Analisis Pembiayaan Kesehatan Bersumber Pemerintah di Kota Serang Tahun 2014–2016

Inpatient Readmission Insidence of National Health Insurance Patients at Partner Hospitals of BPJS-Health in Sukabumi 2015

The Completeness and Accuracy of Clinical Coding for Diagnosis and Medical Procedure on the INA-CBGs Claim Amounts at a Hospital in South Jakarta

The effectiveness of using sweet beverages tax to reduce obesity: a systematic review

Compliance with Clinical Pathway for Cesarean Section Before and After the Implementation of JKN in Hospital X

Occurrence and Preventability of Adverse Drug Events in Hospitalized Patients: A Systematic Review

The Implications of National Health Insurance on District Public Hospitals Performance: Financial Analysis

Analysis of Capitation Payment in Primary Health Care in Bogor District

Research Project

iDRG Tariff Setting, 2023 – Present

Health Financing Activity, USAID (NHA & Disease Account), 2019 – 2023

Piloting Global Budget for JKN, 2018 – 2022

GHE2 – Impact Evaluation of JKN and Adoption of DRG Payment on Health System Performance, 2017 – 2019

Quality of Maternal and Neonatal Health Care in JKN Program, 2019

GIZ SP – Mixed-methods to Assess CCT Program Operation & Impact, 2018

BPJS Health – Moral Hazard and Benefits Package Design, 2018

BPJS Health – Quality of Care, Provider Payment and Rating Systems, 2018

Development of App for Pre Clinical Pathway and Evaluation of Clinical Pathway, 2017

Payment for Performance Based on Quality Services Indicator in Hospital, 2017

The Pattern of Hospital Management Adaptation in National Health Insurance Era, 2017

Optimisation of Strategic Purchasing for BPJS Kesehatan, 2016

Evaluation of INA-CBG Classification (Case Study CMG I), 2016

Consequences of the Implementation of DRG Payment System, 2015

Model Development of Inpatient Tariff in Hospital Based on INA-CBG (Case Study CMG O), 2015

Development of Clinical Pathway in INA-CBG Implementation, 2014

Institutionalization of Benefit Package Premium and Government Contribution Estimation Model, 2013

Development of Clinical Pathway in INA-CBG Implementation, 2013

Analysis of Local Health Insurance and Its Integration into National Health Insurance, 2012

Study on Benefit Packages and Cost Estimation of a National Health Insurance Programme, 2011

Analysis of Claim Data of DKI Jakarta Provincial Health Insurance Programmes (Jamkesda), 2011

Analysis of The INA-DRG Implementation in Jamkesmas, 2010

Evaluation of Program Jaminan Kesehatan Masyarakat Umum (PJKMU) PT. Askes, 2010

Analysis of INA-DRG for PT. Askes, 2009

Study on Health Care Financing Funded by State Owned Company – National Health Account, 2009

Cost Analysis for Community Mental Health Program in Puskesmas in Aceh Province, 2009

Analysis of the Introduction of INA-DRG Based on G-DRG Introduction Experience, 2008

Analysis of German DRG Introduction (From Policy to the Development), 2008

National Health Account, 2007

Cost Analysis Based on DRG’s in DKI Jakarta, 2007

Unit Cost Measurement for Community Health Center Service in Bogor District, 2006

Need and Appropriate Assessment of Curriculum for Health Insurance Management FKM UI, 2005

Development Model for Standard Inpatient Claim Form on Diagnosis Basis for Health Insurance in Jakarta, 2004

Strategic Planning for Medical Check Up in Pertamina Jaya Hospital, 2000

Consultancy Project

National Health Insurance Global Budget Team, Ministry of Health RI, 2025

Writing, Management and Publication Team for BPJS Kesehatan Scientific Journal, 2025

Workshop on Unit Cost Calculation for Puskesmas Services Using Activity Based Costing (ABC) Method, 2025

Disease Classification and INA-Grouper Team at Health Care Facilities, Ministry of Health – BKPK, 2024

Review on Presidential Decree No. 36/2023 Concerning Social Security Roadmap 2023–2024, 2024

Feasibility Study of Alternatives on Cost Sharing for JKN Participant, 2024

Disease Account 2022 – National Health Account, 2024

INA-CBGs Tariff Setting, 2022

Costing Analysis in 7 Public Hospitals, DKI Jakarta Province, 2021

Costing Analysis in 8 Public Hospitals, DKI Jakarta Province, 2021

Costing Analysis of Ambulance Care (AGD) Services, DKI Jakarta Province, 2019

Strategic Planning of International Nurse Academy in Musi Banyuasin 2007–2012, 2007

International Hospital Musi Banyuasin, 2007

Evaluation of Accuracy of Askeskin Service Utilization, 2007

Premium Calculation for Health Security Program (Askeskin), 2007

Courses Taught

Undergraduate (S1)

Akuntansi Biaya di Institusi Pelayanan Kesehatan 

Manajemen Keuangan Bidang Asuransi Kesehatan

Ekonomi Kesehatan 

Asuransi Kesehatan Komersial dan Pelayanan 

Asuransi Kesehatan Sosial di Berbagai Negara 

Terminologi Medik dan Klasifikasi Penyakit 

Surveilans Kesehatan Masyarakat 

Peraturan dan Perundang-undangan Utama di Bidang Kesehatan 

 

Postgraduate (S2)

Asuransi dan Risiko 

Ekonomi Kesehatan 

Ekonomi Kesehatan OPK (RS) 

Pembayaran Fasilitas Kesehatan 

Jaminan Sosial di Berbagai Negara

Akuntansi Biaya di Institusi Pelayanan Kesehatan 

Akuntansi Biaya OPK (RS)

Thesis Supervision

 

Undergraduate (S1)

Tahun Nama Mahasiswa Judul Skripsi Pembimbing dan Penguji
2024 Cynthia Yolanda Faktor-Faktor yang Berhubungan dengan Biaya Pelayanan Kesehatan Penyakit Leukemia Peserta Jaminan Kesehatan Nasional di Indonesia (Data Sampel BPJS Kesehatan Tahun 2019–2020) Vetty Yulianty Permanasari; Khaterina Kristina Manurung
2024 Kezia Meilany Azzahra Faktor-Faktor yang Berhubungan dengan Biaya Pelayanan Kesehatan Penyakit Hemofilia Peserta Jaminan Kesehatan Nasional di Indonesia (Data Sampel BPJS Kesehatan Tahun 2019–2020) Vetty Yulianty Permanasari; Amila Megraini
2025 Fajrin Birrulwalidain Analisis Utilisasi Pelayanan Kesehatan Mental Depresi di Fasilitas Kesehatan pada Peserta JKN Tahun 2023 Vetty Yulianty Permanasari; Erfan Chandra Nugraha
2025 Fajrin Birrulwalidain Analisis Utilisasi Pelayanan Kesehatan Mental Depresi di Fasilitas Kesehatan pada Peserta JKN Tahun 2023 Vetty Yulianty Permanasari; Erfan Chandra Nugraha
2025 Kevinta Elinel Scoping Review: Faktor-Faktor yang Berhubungan dengan Keputusan Masyarakat Memilih Asuransi Kesehatan Komersial Pujiyanto; Amila Megraini
2025 Athifa Asha Calista Analisis Utilisasi Pelayanan Rawat Jalan Fisioterapi di Layanan FKRTL pada Penderita Osteoarthritis Peserta BPJS Kesehatan Tahun 2023 (Data Sampel BPJS 2024) Pujiyanto; Erfan Chandra Nugraha
2025 Enzelika Rahel Sininta Faktor-Faktor yang Berhubungan dengan Pemanfaatan Persalinan Sectio Caesarea di Fasilitas Kesehatan Rujukan Tingkat Lanjut (FKRTL) oleh Peserta JKN DKI Jakarta Tahun 2023 (Analisis Data Sampel BPJS 2024) Vetty Yulianty Permanasari; Erfan Chandra Nugraha
2025 Shania Ayunda Muthia Kanza Salshabilah Faktor-Faktor yang Berhubungan dengan Biaya Pelayanan Kesehatan Penyakit Skizofrenia Peserta JKN di Indonesia (Data Sampel BPJS Kesehatan 2024) Amal Chalik Sjaaf; Khaterina Kristina Manurung
2025 Resa Lisardi Dwiranti Faktor-Faktor yang Berhubungan dengan Frekuensi Kunjungan Rehabilitasi Medik pada Pasien Low Back Pain Peserta JKN Tahun 2023 (Analisis Data Sampel BPJS Kesehatan 2024) Pujiyanto; Khaterina Kristina Manurung
2025 Salsabila Meirinsyah Analisis Cost of Illness (COI) Pasien Kardiovaskular Peserta Jaminan Kesehatan Nasional (JKN) di Wilayah Provinsi D.I. Yogyakarta (Analisis Data Sampel BPJS Kesehatan Tahun 2022) Vetty Yulianty Permanasari; Amila Megraini

Postgraduate (S2)

Tahun Nama Mahasiswa Judul Tesis Pembimbing dan Penguji
2024 Vira Anggraeni Analisis Capaian Casemix dan Casemix Index Rumah Sakit di Empat Kabupaten/Kota di Provinsi Jawa Timur Tahun 2022 Pujiyanto; Budi Hidayat; Donni Hendrawan; Dian Pratidina
2024 Marina Anggraeni Rosa Analisis Indikator Pemberian Remunerasi Bagi Tenaga Medis Dokter Spesialis di RSUD X Jakarta Puput Oktamianti; Jaslis Ilyas; Herni Lestyaningsih; Murniasi Hutapea
2024 Andre Yunianto Peran Jaminan Kesehatan Terhadap Pemanfaatan Pelayanan Kesehatan Penyandang Disabilitas di Indonesia (Analisis Data Susenas 2021) Dumilah Ayuningtyas; Felly Philipus Senewe; Mazda Novi Mukhlisa
2024 Yofen Dhamigus Evaluasi Capaian Casemix dan Casemix Index Layanan Rawat Inap Jaminan Kesehatan Nasional di Rumah Sakit Kelas B Grup Primaya Hospital Tahun 2023 Pujiyanto; Taufik Santoso; Melanie Husna
2024 Maryam Afifah Analisis Implementasi dan Kepatuhan Clinical Pathway Demam Dengue di RSIA Kenari Graha Medika Tahun 2023 Prastuti Soewondo; Wachyu Sulistiadi; Evy Febrina Nurpeni; Martha L. Siahaan
2024 Devi Trias Tuti Analisis Capaian Indikator Casemix, Casemix Index dan Hospital Base Rate Rumah Sakit Pusat Otak Nasional Mahar Mardjono Tahun 2018–2022 Pujiyanto; Adin Nulkhasanah; Riris Dian Hardiani
2024 May Rabiulyati Pendekatan Sistem: Analisis Manajemen Klaim Rawat Inap RSUD Kebayoran Baru November 2022 – April 2023 Prastuti Soewondo; Pujiyanto; Dewi Isnawati; Budi Hartono
2024 Aria Pratama Surya Anggara Analisis Biaya Satuan Tindakan In-Vitro Fertilization di Morula IVF Pontianak Rumah Sakit Anugerah Bunda Khatulistiwa Anhari Achadi; Pujiyanto; Rina Nulianti; Syahnural Lubis
2024 Rezki Wahyu Meidayanti Cost and Outcome Analysis Tindakan Intervensi Koroner Perkutan Antara Konvensional Dengan Terpandu Pencitraan Intravascular Ultrasound (IVUS): Studi Kasus di Rumah Sakit Pemerintah Kelas A Tahun 2023 Mardiati Nadjib; Achmad Fauzi Yahya; Miftahussaadah
2024 Yudi Febriadi Analisis Kelengkapan Laporan Operasi Kanker Payudara dan Ketepatan Koding terhadap Besaran Tarif INA-CBG’s di Rumah Sakit Kanker Dharmais Tahun 2022 Kurnia Sari; Vetty Yulianty Permanasari; Inda Torisia Hatang; Amila Megraini
2024 Anugrah Aulia Ulil Amri Analisis Klaim Pending, Verifikasi dan Audit Paska Klaim Jaminan Kesehatan Nasional di RSUD Kebayoran Lama Tahun 2022 Prastuti Soewondo; Vetty Yulianty Permanasari; Yenny Nariswari Harumansyah; Budi Hartono
2024 Latifah Alifiana Rahmawati Hubungan Berat Badan Lahir terhadap Utilisasi dan Biaya Perawatan di FKRTL Akibat ISPA dan Diare Pasien Anak Usia 0–59 Bulan (Analisis Data Sampel BPJS Kesehatan Tahun 2017–2022) Kurnia Sari; Prastuti Soewondo; Siti Masruroh; Nanang Wahyu Santoso
2025 Nurhidayati Suparno Perspektif Pengguna Jasa terhadap Pelayanan Kesehatan dan Upaya Peningkatan Kualitas di Balai Kekarantinaan Kesehatan Kelas I Ternate Dumilah Ayuningtyas; Lutfi Sidasi; Rosita Alkatiri
2025 Rybob Khomes Hubungan Kinerja Keuangan dan Kinerja Pelayanan terhadap Tingkat Maturitas BLU Poltekkes Kemenkes Tahun 2022–2023 Prastuti Soewondo; Pujiyanto; Yennidar; Aldine Andriza Harahap
2025 Dahlia Anggraini Implementasi Kebijakan Penjaminan Alteplase pada Stroke Iskemik di Rumah Sakit Tipe B Tahun 2023 Mardiati Nadjib; Prastuti Soewondo; Ita Muharram Sari; Lusiana Siti Masytoh
2025 Nidia Renaningtyas Analisis Biaya Satuan Tindakan Sectio Caesarea (SC) dan Upaya Efisiensinya di RS LNG Badak Kota Bontang Kalimantan Timur Mardiati Nadjib; Prastuti Soewondo; Agus Rahmanto; Amila Megraini
2025 Trias Roslina Upaya Efisiensi dan Strategi Cost Containment pada Perawatan Stroke Hemoragik Pasien Jaminan Kesehatan Nasional di Instalasi Rawat Inap RSUD Tarakan Prastuti Soewondo; Adin Nulkhasanah; Wiwik Wirjanto
2025 Ida Bagus Yudistira Nugraha Yustama Analisis dan Strategi Peningkatan Capaian Indikator Casemix, Casemix Index, dan Hospital Base Rate Rumah Sakit Umum Bali Royal Tahun 2019–2024 Masyitoh; Prastuti Soewondo; Kalsum Komaryani; Ni Putu Ayu Prima Dewi
2025 Putri Galuh Inggi Analisis Implementasi Kebijakan Pencegahan Kecurangan (Fraud) dalam Program Jaminan Kesehatan di FKTP Berdasarkan Permenkes Nomor 16 Tahun 2019 di Kota Tangerang Selatan Dumilah Ayuningtyas; Nursofianty; Gregorius Virgianto AAP