This document summarizes a presentation on strategic purchasing arrangements under Indonesia's National Health Insurance program (BPJS). It outlines the country's transition to universal health coverage through BPJS, describes the key actors and financing mechanisms, and identifies gaps and challenges, including unclear roles and accountability between BPJS and the Ministry of Health, limited data and monitoring capacity, problems with incentive structures, and inadequate resources and capacity at BPJS to effectively manage the program and monitor providers. Recommendations include strengthening collaboration between central and local governments, public reporting on performance, and reforming BPJS's management culture.