1) The document discusses strategies for improving cost effectiveness in cardiac catheterization labs in Indonesia under the country's universal health coverage program. It analyzes costs based on procedures, devices, hospitalization, and remuneration. 2) Several strategies are proposed, including standardizing devices and implants for UHC patients, clinical pathways to standardize length of stays, and using national formularies. Teamwork, physician champions, and data-driven management are emphasized. 3) Metrics like door-to-balloon times for STEMI patients are discussed as important for monitoring performance and outcomes. Overall the document focuses on balancing clinical needs with budget constraints of Indonesia's universal health coverage.