THE chaotic management of the Health Care and Social Security Agency (BPJS Kesehatan) is a result of incomplete planning and hasty implementation. The large number of participants whose costs should not be borne by BPJS Kesehatan, the universal nature of the service provided, the lack of standardization in the relationship between BPJS Kesehatan and the hospitals, and the conduct of hospitals which inflate costs, such as moving patient to higher