Zotsatira zosayembekezereka za The Affordable Care Act
Popeza kuti Care Affordable Care Act inakhazikitsidwa mu 2010, Medicare yachita kusintha kuti igwire ntchito. Kusintha kumeneku kungakhale ndi zotsatira zosayembekezereka za chisamaliro chomwe mumalandira kuchipatala.
Momwe Ntchito Yothandizira Mapulogalamu Owerengera
Mu October 2012, Centers for Medicare ndi Medicaid inayamba kulandira zipatala zomwe zinali ndi chiwerengero chachikulu cha odwala omwe adabweramo kuti adzalandire masiku 30.
Ndondomeko yochepetsedwa ya Readmissions, yomwe imapangidwa pansi pa Affordable Care Act, imayang'anitsitsa kuyanjidwa kwa mtima , kufooka kwa mtima , chibayo , kukanika kwa mawondo, ndi matenda osokoneza bongo (COPD) .
Ndi malipiro ochepa omwe amachepetsa katatu peresenti, chilangochi chikhoza kuchititsa madola mamiliyoni ambiri otayika kuchipatala. Kwa chaka cha 2016 (October 1, 2015 kupyolera pa September 30, 2016), zipatala 2,592 zidzataya ndalama zokwana $ 420 miliyoni pamalipiro a Medicare potsatira pulogalamuyi yokha.
Momwe Ulamuliro Wa Usiku Wawiri Uliri Ntchito
Mu Oktoba 2013, Wopindulitsa Care Act anasintha momwe Medicare inabweretsera chipatala chanu. M'malo motsimikizira kuti mukudwala bwanji, zimayambira nthawi yomwe muli kuchipatala. Gawo A limangoyamba ngati mutangotsala pang'ono kulowa. Izi zimadziwika kuti 2-Midnight Rule . Ngati simukutsatira izi, mumayikidwa "pansi pa zochitika."
Zomwe zikuyang'anitsitsa zikuwonjezeka kuyambira chigamulochi chikugwira ntchito. Malinga ndi MedPac, "Chiwerengero cha maola oyang'anitsitsa (onse olembedwa ndi olembedwa mosiyana) chawonjezeka kwambiri, kuyambira pa 23 miliyoni mu 2006 kufika pa 53 miliyoni mu 2013."
Zimene Zimakhudza Zimene Mumalipira
Mukavomerezedwa ku chipatala ngati wodwalayo, phindu lanu la Medicare Part A likugwira ntchito.
Mukulipira lathyathyathya loperekedwa kwa malo anu omwe amatha masiku 60. Izi zimakhala zochepa kwambiri kuposa momwe mungaperekere ngati Medicare Part B - inshuwalansi ya zachipatala - inalipiritsa ndalamazo kuti mupitirize kusunga. Izi zinati, Gawo A lidayenera kulipira boma kwambiri.
Gawo A limapereka malo okhala kuchipatala ndipo Gawo B limapereka ndalama zoyang'anira.
Logistically, mumapereka ndalama zosiyana ndikusamalira mofanana ndi momwe chipatala chanu chilili. Kodi mungakonde kulipira $ 1,288 Part A deductible kapena 20 peresenti ya ndalama zonse za chipatala chifukwa cha gawo B ?
Zomwe Zimakhudza Matenda Anu
Ma chipatala amalephera kupewa kuwerenga ndi chilango chamtengo wapatali. Ndi maulamuliro awiri-awiri pakati pa usiku ndi kuwonjezeka mu nthawi yowona, izi zingawathandize. Kuwonetsetsa kumakhala sikuwerengera kumayendedwe owerengera. Ena amakayikira ngati zipatala zikusewera pulogalamuyi mwa kuika odwala pansi pa chidziwitso kuti asinthe ndalama.
Komabe, zipatala zimafunikanso kubwezeredwa chifukwa cha ntchito zawo. Chowonadi n'chakuti zipatala zimatha kulandira malipiro kuchokera kwa Medicare kusiyana ndi omwe amapindula kwambiri ndi ndalama zomwe sangakwanitse . Ma chipatala angapindule kwambiri kuchokera kwa odwala omwe akulandila pazomwe akuyembekezera.
Funso siliyenera kukhala phindu la chipatala koma kuti mulandire zosowa zoyenera, zosagulirika zosamalirika malinga ndi zosowa zanu zachipatala.
Ngati muli ndi chimodzi mwazochitika zachipatala zomwe mawerengedwe a Readmissions Reductions Program, mungathe kuyankhula ndi ogwira ntchito zaumoyo kuti muonetsetse kuti malamulo anu ovomerezeka ali oyenerera.
Zotsatira
Maofesi a Medicare ndi Medicaid. Mapulogalamu Ochepetsa Kuwerenga. Chiwongoladzanja Idasinthidwa pa November 16, 2015.
Komiti Yopereka Malangizo ya Medicare. Kusamalira Thanzi labwino ndi Medicare Program. http://www.medpac.gov/documents/data-book/june-2015-databook-health-care-spending-and-the-medicare-program.pdf. Yofalitsidwa June 2015.
Rau, J. Half Of Nation's Hospitals Akulephera Kwanu Kuthawa Malangizo a Medicare's Readmission. Kaiser Health News. http://khn.org/news/half-of-nations-hospitals-fail-again-to-escape-medicares-readmission-penalties/. Inasindikizidwa pa August 3, 2015.