Ndalama zosiyana za mayesero omwewo
Muyenera kuyembekezera kulipira ndalama zofanana pazinthu zothandizira zaumoyo mosasamala kumene mwazichita. Chodabwitsa n'chakuti Medicare sanatsatire mfundo izi. Centers for Medicare ndi Medicaid wakhala akulipiritsa ma chipatala kuchipatala kunja kwa mayesero omwe angakhoze kuchitidwa ku ofesi ya dokotala. Izi zikhoza kukhala pafupi kusintha.
Kodi Malo Opanda Ndalama Ndi Otani?
Mukafuna kuunika, dokotala wanu adzalamula mayesero. Ngati dokotala wanu akuchita zochitika ndi chipatala, mukhoza kutumizidwa ku chipatala cha chipatala kuti mukachichite. Zoona, izi zikhoza kukuwonongerani zambiri.
Ofesi yanu ya dokotala ikhozanso kupereka mayeso omwewo omwe amaperekedwa ku chipatala chapakati pa chipatala. Mwachitsanzo, akatswiri a cardiologists amatha kuchita zolemba ndi zovuta ku ofesi yawo. Madokotala ena a opaleshoni amatha kukhala ndi ma-ray pa malo kuti ayang'ane fractures . Malo opaleshoni opaleshoni amatha kupikisana ndi zipatala njira zina zochepetsera ngozi.
Monga momwe ziliri panopa, chifukwa cha zochitika zofanana ndi zachipatala, Medicare imabwerekanso zambiri pazinthu zomwe zimaperekedwa kuzipatala zachipatala kunja kwa malo ena. Izi ndizovuta ngakhale kuti siziyenera kukhala kuchipatala. Mwachidule, khalidwe la chisamaliro silili losiyana ndi malo ena kupita kwina.
Malingana ndi a Medicare Payment Advisory Commission (MedPAC), Medicare anapereka madokotala kuchipatala chachipatala kuchipatala pafupi ndi kawiri kuchuluka kwa ndalama zopangira mafilimu m'chaka cha 2013. Mu chaka chomwecho, malo opaleshoni operekera opaleshoni analandira ndalama zokwana 78 peresenti pochepetsera chipatala chomwechi atakhala.
Momwe Momwe Mapazi Amakhalira Osakhudzana ndi Matendawa
MedPAC yanena kuti malipiro omwe ali nawo pamatenda omwe amapezeka m'magulu omwe ali kunja amalipidwa ndi Medicare panthawi imodzimodziyo. Malipiro awa omwe salowerera pamtunduwu adzakupulumutsani inu ndi Medicare ndalama.
Ofesi ya Inspector General posachedwapa inanena kuti kusintha kwa opaleshoni kwa anthu omwe amapatsidwa opaleshoni yopereka opaleshoni kungapulumutse Medicare pafupifupi $ 15 biliyoni pa zaka zisanu. Malipiro amtundu wa Site akhoza kuchepetsa malipiro a Medicare kuchipatala ndi $ 1.44 biliyoni pachaka, malinga ndi MedPAC.
Momwe Mipando Yoperekera Zopangira Zomwe Amakhudzira Zipatala
The American Hospital Association (AHA) yatsutsana ndi malipiro osaloŵerera m'malo. Amanena kuti madokotala opita kuchipatala amatha kuona chiwerengero chosawerengeka cha anthu pa Medicaid , anthu omwe ali oyenerera (onse a Medicare ndi Medicaid), ndi anthu omwe sali ovomerezeka. Ndi odwala ochepa omwe sangakwanitse kulipira malipiro awo, kusintha kwa malo osaloŵerera kumalo komweko kungapangitse kuchepetsa ndalama zowonongetsera zipatala.
Mankhwala a Medicare omwe amagwiritsa ntchito madokotala opita kuchipatala omwe amatha kuchipatala amakhalanso ndi matenda aakulu. Kuwonjezeka kwa chiopsezo kwa zovuta kwa odwalawa kuyenera kuchitidwa.
AHA akufotokoza kuti chifukwa cha odwala omwe ali pangozi, madokotala apatala omwe amatha kuchipatala amatha kukhala ndi namwino kuphatikizapo dokotala wogwira nawo ntchito zoyezetsa zosiyana. Izi zimapangitsa kuti ndalama zowonjezera zitheke pa maphunzirowa.
Mazipatala angatayire mabiliyoni ambiri ngati ndalama zopanda ndale zikugwiritsidwa ntchito. Kutaya kwa ndalama kungapangitse kuti zipatala zisawononge ndalama kuti zisinthe, mwinamwake zingakhudzire ntchito ndi zina zopezeka.
Momwe Zomwe Mapazi Amakhalira Osakhudzidwa Nawo Amakukhudzani Inu
Malipiro osaloŵerera m'dzikolo adzakupulumutsani ndalama mukasamalira chipatala cha chipatala chapakati. Pambuyo pake, mukulipira mayeso omwewo ndi khalidwe lomweli la chisamaliro.
Khola ndilo kuti kusintha kwa ndondomekozi kungabwere ndi kusintha kuti zitheke. Kudula ndalama kuchipatala kungachititse kuti kukhale kovuta kuti mupeze mayesero ena.
Zotsatira
American Hospital Association. Kuyerekezera Chisamaliro ku Zipatala Zachipatala ndi Ozipatala. http://www.aha.org/content/15/hopdcomparison.pdf. Lofalitsidwa February 2015.
Komiti Yopereka Malangizo a Medicare. Tumizani ku Congress: Medicare Payment Policy. http://www.medpac.gov/documents/reports/mar2015_entirereport_revised.pdf?sfvrsn=0. Lofalitsidwa March 2015.
Ofesi ya Inspector General. Medicare ndi Bene Benearies Angapulumutse Mabiliyoni Ngati CMS Ichepetsa Chipatala cha Odwala Pachipatala Dipatimenti ya Malipiro Ovomerezeka Opititsa Opaleshoni Opita Kulimbitsa Thupi la Malipiro Operekera Ambulatory. http://oig.hhs.gov/oas/reports/region5/51200020.pdf. Published April 2014.