en <span style=font-size:11pt><span style=line-height:normal><span style=font-family:Calibri,sans-serif><b><span style=font-size:10.0pt><span style=font-family:Cambria,serif><span style=color:#4f81bd>Aims:</span></span></span></b><span style=font-size:10.0pt><span style=font-family:Cambria,serif> The increase in national health insurance rates is a policy that can significantly impact various aspects of healthcare services, including patient satisfaction, service quality, and financial factors, such as the ability and willingness to pay contributions. This study aimed to examine the effects of national health insurance rate increases on patient satisfaction, service quality, facility availability, and participants’ financial capacity and willingness to pay within Kendari City.</span></span></span></span></span><br> <span style=font-size:11pt><span style=line-height:normal><span style=font-family:Calibri,sans-serif><b><span style=font-size:10.0pt><span style=font-family:Cambria,serif><span style=color:#4f81bd>Instrument & Methods:</span></span></span></b><span style=font-size:10.0pt><span style=font-family:Cambria,serif> This cross-sectional quantitative study employed an analytic observational approach. Data were collected from 1,368 independent healthcare and Social Security Agency health participants registered in several hospitals in Kendari City in 2023. Data were collected using a questionnaire distributed to national health insurance Mandiri participants visiting hospitals in Kendari City.</span></span></span></span></span><br> <span style=font-size:11pt><span style=line-height:normal><span style=font-family:Calibri,sans-serif><b><span style=font-size:10.0pt><span style=font-family:Cambria,serif><span style=color:#4f81bd>Findings:</span></span></span></b><span style=font-size:10.0pt><span style=font-family:Cambria,serif> The increase in contributions significantly influenced patient satisfaction, as well as participants’ ability and willingness to pay contributions (p=0.001). However, the increase in fees did not significantly affect patient perceptions of facility availability (p=0.817). </span></span></span></span></span><br> <span style=font-size:11pt><span style=line-height:normal><span style=font-family:Calibri,sans-serif><b><span style=font-size:10.0pt><span style=font-family:Cambria,serif><span style=color:#4f81bd>Conclusion:</span></span></span></b><span style=font-size:10.0pt><span style=font-family:Cambria,serif> The fee increase is strongly associated with patient satisfaction, ability to pay, and willingness to pay.</span></span></span></span></span><br> Health Insurance,Health Facilities,Payment for Health Services,Health Policy, 7 12 http://daneshafarand.org/browse.php?a_code=A-10-86030-1&slc_lang=en&sid=4