Chimodzi mwa zigawo zovuta kwambiri kukhala katswiri wamasitolo ndiko kusunga
Monga wamisiri , mungaganize kuti ntchito zanu zovuta zikuphatikizapo kuthandizira odwala komanso kusunga zotsutsana pakati pa mankhwala . Koma asayansi ambiri amanena kuti ntchitoyi ndi yosavuta poyerekeza ndi zowerengera zapadera komanso kusungirako zofunikira ku pharmacy.
Kulipira kwa pharmacy si nkhani yosavuta, ngakhale kuti teknoloji imachotsa mitu yambiri.
Nayi zomwe kulipira mankhwala akuphatikizapo:
- Lowani ndi NCPDP
Chilichonse chisanachitike, a pharmacy ayenera kulemba ndi National Council of Prescription Drug Programs (NCPDP), ntchito yachinsinsi yomwe imalola kuti izipereke ndalama. NCPDP imapereka mankhwala aliwonse ndi nambala yapadera ya nambala zisanu ndi imodzi, yotchedwa BIN, yomwe imadziwika kuti ndizofuna kubweza.
- Mvetserani Ubale Wachitatu
Dziwani kuti makampani a inshuwalansi samadzipiritsa okha. Aliyense ali ndi gulu lachitatu-Pharmacy Benefit Manager (PBM) monga Express Scripts kapena Medco. Otsatilawa amalembedwa ngati mankhwalawa adadzazidwa, ndipo amafufuza maofesi kuti atsimikizire kuti zonse ziri zolondola ndi kutsimikizira kampani ya inshuwalansi yomwe yachita mwakhama.
- Ikani Malamulo
Chinthu chotsatira ndicho kugwiritsa ntchito mgwirizano wa inshuwalansi. Choyamba, lembani ndi magulu ena a ma pharmacy a m'deralo (magulu awa akhoza kukhala okhoza kulemba pazinthu zingapo za inshuwalansi pa nthawi) ndikulembera mgwirizano pa gululo.
Ndikofunika kulemba mgwirizano, koma kumbukirani kudziwa zomwe mukusayina. Malamulo ololedwa ndi oyenera ndi manambala ofunika kuti mumvetse.
A pharmacy sangathe kulipira PBM pokhapokha atayina pangano. Chigwirizanochi chimasonyeza kuti PBM imapereka ndalama zingati ku pharmacy, kulipira ndalama, etc. PBM iliyonse ili ndi malonda osiyanasiyana.
- Yambani Kulipira
Pokhapokha mgwirizanowo utayinidwa, mankhwala amatha kulipira. Kupyolera mu pulogalamu ya makompyuta ya pakompyuta, pamene mankhwalawa akudzaza, ndipo zonse zomwe alimasitomala akudziŵa zadzaza, zikupita ku PBM. Zachiwiri pambuyo pake zimabweranso kuti zilipidwa kapena zotsutsidwa, ndalama zomwe zimalipidwa komanso kuchuluka kwa ndalamazo.
- Kugwirizana
Mu pharmacies, pangakhale munthu mmodzi kapena wamkulu wothandizira-malingana ndi kukula kwa mankhwala kapena ngati ndi mbali ya unyolo-wogwirizana ndi ndondomeko yobwezera. Woyang'anira wamkulu amayang'anira ntchitoyo ndipo munthu mmodzi ali ndi udindo wopereka chigamulo chomaliza ndi kufufuza zonena.
- Technology
Malipiro onse amachitidwa kudzera pulogalamu yamakampani yolipira monga QS1. Zambiri mwazimenezo zimangokhalapo nthawi yomwe mankhwalawa akudzaza, koma zina zimafuna kulipira mwapadera komanso kuvomerezedwa. Pazochitikazi, nthawi zambiri zimafunika kuyitana kampani ya inshuwalansi kuti atsimikizire kuti mankhwala akubwezeredwa.
Technology ndi yofunikira pa njirayi. Popanda kukondana, sitingathe kulankhulana molondola ndi makampani a inshuwalansi, mameneja a chipani chachitatu, ndi madokotala.
- Mavuto mu Billing Bill
Ndikofunika kuonetsetsa kuti ndalama zowonongeka zili zolondola pakusintha kwazinthu zotsatila. Kotero ndalama zomwe zimaperekedwa ndi kampani ya inshuwaransi ndi copay ziyenera kulingana ndi ndalama zomwe zimayesedwa. Ziwerengero izi ziyenera kuyanjanitsidwa chifukwa cha umphumphu wa zachuma.
Chofunika kwambiri ndi kumvetsetsa malonda a chipani chachitatu ndikusankha ngati akuyenera kulemba. Ena sangakhale oyenera kulemba. Komabe, pharmacy sitingathe kubwereza ndalama kwa wina aliyense yemwe sanagwirizane nawo mgwirizano.