Selain tingkat morbiditas dan mortalitas yang tinggi, pembiayaan penyakitkatastropik (gagal ginjal, kardiovaskular, kanker, thalassemia dan hemophilia)yang menyerap biaya sangat tinggi harus menjadi perhatian serius. Penelitianbertujuan untuk menganalisis biaya penyakit katastropik berdasarkan karakteristikpeserta. Jenis penelitian kuantitatif analitik menggunakan data klaim di BPJSKesehatan berupa data peserta dan biaya tahun 2014 berjumlah 309.301 klaim.Hasil analisis menunjukkan ada perbedaan bermakna rata-rata biaya penyakitkatastropik menurut length of stay, kelas perawatan dan kelas rumah sakit. Upayapromotif, preventif serta manajemen penyakit penderita perlu ditingkatkan untukmencapai efektivitas dan efisiensi biaya pelayanan kesehatan dalam menjaminkeberlangsungan program jaminan kesehatan nasional.Kata kunci:Penyakit katastropik, biaya fasilitas kesehatan tingkat lanjutan, karakteristikpeserta, upaya promotif, preventif dan manajemen penyakit

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In addition to morbidity and mortality are high, financing catastrophic diseases(kidney failure, cardiovascular disease, cancer, thalassemia and hemophilia) thatabsorb very high cost should be a serious concern. The study aims to analyze thecost of catastrophic diseases based on the characteristics of participants.Quantitative research analytical uses claims data in the form of data BPJSparticipants and costs in 2014 amounted to 309 301 claims. The analysis showedsignificant difference in the average cost of catastrophic illness according tolength of stay, classes and class hospital care. Promotive, preventive and diseasemanagement of patients need to be improved to achieve cost effectiveness andefficiency of health care in ensuring the sustainability of national health insuranceprogram.Key words:Catastrophic diseases, hospital expenses, characteristic of participant, promotive,preventive and disease management.