The Affordable Care Act Amatsegula Mwayi kwa Mapulogalamu Opatsidwa Achipatala
Kuteteza kwa Odwala ndi Phindu Labwino la Ntchito (PPACA)-mwinamwake lodziwika bwino monga Obamacare -lo lamulo lomwe linapulumuka mavoti 30 kuphatikizapo kubwezera kapena kubweza ndalamazo, lavomerezedwa monga lamulo la malamulo a US Supreme Court, nkhope yovomerezedwa ndi anthu ambiri.
Pafupifupi zosaneneka ndi zomwe PPACA zingapangitse kuti zisinthe tsiku ndi tsiku kuti azitsamba zamalonda azikhala.
Obamacare ndi Pharmacist Community
Association of Pharmacists Association (APhA) ndi a National Community Pharmacists Association (NCPA) awonetsa momwe Obamacare yakhazikitsiranso malo ochezera aumoyo kwa akatswiri azachipatala omwe amapezeka ku America. Azindikiranso kuti ndi zofunikira ziti zomwe ziyenera kufotokozedwa kapena kusinthidwa kuti alole kuti asamapereke ndalama zowonjezera kuti athe kuthandiza odwala kupeza chithandizo, kuchepetsa ndalama komanso kupewa matenda.
Kutsegula Medicare Part D Dothi la Donut
Pafupifupi pomwepo, PPACA inapempha madokotala ambiri odziimira okhaokha m'magulu a Medicare akufuna kuti onse ogulitsa zipangizo zamankhwala zotsalira, ma prosthetics, orthotics ndi zinthu (DMEPOS) adzivomerezedwe. Pulezidenti Wachiwiri wa NCPA, John Coster, Ph.D., RP, adanena kuti izi zimalola kuti apamayi apange ndalama zosachepera 5 peresenti ya ndalama zochokera ku malonda a DMEPOS kuti apitirizebe kukumana ndi zofunikira zokhudzana ndi thanzi la odwala popanda kuwononga ndalama zogwirizana ndi malamulo obwereza.
Coster ananenanso kuti kutseka kwapang'onopang'ono kwa pulogalamu ya mankhwala a Medicare Part D yomwe inayamba pansi pa PPACA mu 2011 yakhala ikuyenda bwino.
"Sizinapereke mavuto ambiri omwe tamvapo," adatero.
"Azimayi amatha kutsogolo kwa odwala omwe ali mu dzenje, ndipo ndondomeko ziyenera kubwezeretsanso mkati mwa masiku 14 atalandira zobwereza.
Zolinga zikulipira pakapita nthawi. Tiyenera kuona ngati izi zikupitirizabe pamene chitseko chatsekedwa chitatha chaka cha 2014. "
Nkhumba Yamagetsi
PPACA imaperekanso chithandizo choonjezera chithandizo cha Medicaid kwa anthu onse omwe ali ndi mabanja omwe amapeza ndalama pachaka mpaka 133 peresenti ya umphawi wadziko lonse. Abwanamkubwa ochepa adanena kuti sangavomereze ndalama zothandizira boma, nambala yochulukirapo yakhala ikuyang'ana ndikudikirira, ndi ndondomeko yaling'ono yakuwonjezera kulembedwa kwa Medicaid.
"Omwe asayansi akuwona ndi Medicaid amadalira kwathunthu momwe amachitira," adatero Pulezidenti Wachiwiri wa APhA kwa Boma la Brian Gallagher, RP, JD. "Koma ngakhale muzinena kuti kusankha kusaphimba odwala ambiri a Medicaid, pakadakali zovuta ndi momwe mapulogalamu a Medicaid adzasankhira zomwe mankhwalawa amawononga komanso zomwe ndizofunika kuti azigwiritse ntchito."
Coster, ndi NCPA, adawonetsanso kufunikira kwa malo a ironclad a Medicare & Medicaid Services malamulo omwe amaonetsetsa kuti ndalama ndi malipoti okhudzidwa ndi olamulira omwe amatha kulipira mankhwalawa pa data.
"Chimodzi mwa zinthu zonyada zomwe tapindula nazo chinali kupeza miyezo mu PPACA kuti apange ma pharatimenti opindulitsa, makamaka pa mitengo yowonjezera.
Kupeza manambalawa kudzatithandiza kuti tiwone momwe ndalama zopezera ndalama zimapulumutsira odwala komanso olipidwa. "
Njira Zoperekera Zosamalidwa Zosamalidwa Mankhwala ndi Mankhwala Opangira Mankhwala (MTM)
Kusintha kwa madzi enieni kuchokera ku PPACA kudzabwera ndi kukhazikitsidwa kwa mabungwe osamalira odwala, nyumba zachipatala ndi mitundu ina yothandizira odwala. CMS inakhazikitsa Center ya Medicare & Medicaid Innovations mu 2010 ndipo idapatsa kale ndalama zopereka zosiyanasiyana komanso zothandizira pulogalamuyi.
Kufotokozera zonse zomwe ACOs ili nazo sizingatheke pa nkhaniyi, koma APA Wachiwiri Wachiwiri wa Pulezidenti wa Bungwe la Aphunzitsi Anne Burns, BSPharm, adati, "Tikuwona mwayi woti asayansi azitha kutenga nawo mbali muzitsanzo zosamalira anthu.
Madokotala akuzindikira kwambiri kuti kuphatikizapo azimayi pa gulu lachipatala ndi ofunikira pazinthu monga kusamalira mankhwala ovuta ovuta, kupereka maphunziro odwala, kuchepetsa ndalama zamankhwala ndikuletsa mavuto ndi mankhwala. "
Iye adanenanso kuti, "Kugwiritsa ntchito ndalama zothandizira anthu kuti asamalowe nawo m'zinthu zamakono ndizofunika kwambiri pa APHA pakalipano.
Kuzindikiranso kuti ogwira ntchito zamalonda angathe kulandira kubwezeredwa kugwira ntchito mu bungwe la ACO kapena bungwe lina lothandizira anthu ogwirizana, bungwe la National Association of Chain Drug Stores lidandaula Congress kuti idutse S. 274, Law Medical Therapy Management Empowerment Act, ndi HR 891, Medication Therapy Management Makhalidwe Abwino. Onse awiri amacheza kulipira a pharmacist kuti apereke ma service a MTM, koma ndalamazo zimakhala zochepa pokhapokha msonkhano watsopano ukhalapo ndipo zifukwazo zidzatumizidwenso mu 2013.
Kuphatikizidwa pa msinkhu wamtunduwu kudzakhala kofunika kwa asamalonda ammudzi, malinga ndi Burns. "ACOs ndi njira zamankhwala zamakono zimamangidwa pa msinkhu wa kumudzi kotero kuti asayansi akuyenera kuzindikira zomwe zikuchitika m'midzi yawo. Kupititsa patsogolo ntchito za mayanjanitsidwe a mankhwala, madokotala a m'dera lanu, mabungwe ammudzi, ndi olipira ndizofunikira kuti mudziwe mwayi umene uli kunja uko, "adatero.
Monga chitsanzo cha momwe asamalonda akugwiritsira ntchito chisamaliro chosamalitsa, mwachitsanzo, APhA ikupereka gawo lonse la webusaiti yake ku MTM.