| Summary: | Background: Decentralization policy in regional autonomy, the government district gorontalo committed the convention of health care benefit program area to the poor and incapable of being not listed in participants public health insurance. The high cost of health services in the areas of health insurance program needs adequate planning. Support stakeholders in order to allocate the cost of health services is needed so that the regional health insurance program in the District of Gorontalo sustainable.
Objective: For healthcare costs based on quantity and commitment of stakeholders who was instrumental in the policy of the budget jamkesda in the district of Gorontalo.
Research methods : Descriptive case study with single-case design is created. Deteminan of the samples with the purposive sampling methods is stakeholders who was instrumental in the policy of the budget Jamkesda in the District of Gorontalo.
Result : the utilization of hospitalization participants jamkesda 2009 of 1,87% and 2010 of 1,57%, while the utilization of outpatient 2009 of 0,88% and 2010 0,6% with cost of health care service in 2009 of Rp. 2.859,1- person/months and 2010 of Rp. 2.284,2,- person/months. Stakeholders commitment to the budget allocations adjusted to the available budget Jamkesda budget, the potential cost to the sustainability of the program is to empower commitment Jamkesda.
Conclusion : cost of health services thet are required under utilization in 2009 was Rp. 2.859,- person/monthand in 2010 amounting to Rp. 2.284,- person/mounth. Utilization normative of Rp.15.945,6 in 2009 and 2010 amounting to Rp. 13.895,2,-. Commitment stakeholders good enough to increase the budget and consider to empower people unable to pay the premium.
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