Background: Since established as a hospital with PPK-BLUD (Public Service Agency Financial Management Pattern), the Regional General Hospital of Ade Muhammad Djoen Sintang responded by fixing various elements related to government regulations contained in Indonesian Government Regulation Number 23 of 2005 concerning Financial Management of Public Service Agencies, in which one of the elements of governance contained is the calculation of remuneration. Along with changes in the "global climate" of hospitals in Indonesia, since there has been a government policy on Universal Health Coverage (UHC), the management of package rates made in the INA-CBGs (Indonesia Case Base Groups) has also influenced the pattern of remuneration systems in Regional General Hospitals Ade Muhammad Djoen Sintang, so that many things emerge and have an impact on the service distribution system that is formulated in the form of the latest remuneration system. Methods: The design used in this study is qualitative research with a descriptive approach. The type of data used is qualitative data. The selection of subjects in this study was determined purposively by taking 3 (three) key informants. Data analysis uses an interactive model. xv Results and Discussion: Based on the data analysis, it was found that there was an increase in patient visits with financing status using the BPJS Kesehatan (the Indonesian national health care insurance) using the INACBGs package rates. Tariffs for INA-CBG packages are difficult to use to share services directly, so they need to be processed in advance. The whole process of implementing a remuneration system is complex and timeconsuming. The study also shows that communication has not gone well enough, resources are still inadequate and the existing resources are unable to support the remuneration system process, the disposition of implementers has not provided optimal support and the bureaucratic structure does not come up with SOP (Standard Operational Procedures) and workflows and existing fragmentation have not been able to coordinate both vertically and horizontally plus the condition of the hospital now operates two different addresses. Conclusion: From the results of the study it can be concluded that the communication process, the resources, the support of implementers and the ability of the bureaucratic structure still needs to be addressed.