Mari yakasiyana-siyana yematambudziko akafanana
Iwe unofanirwa kutarisira kubhadhara mari yakafanana yehutano hwehutano pasinei nokuti wakaita kupi. Zvinoshamisa kuti Medicare haina kubata kune aya mazano. ICenter for Medicare neMedicaid yave iri kubhadhara kunze kwemapatara emasipindi akawanda kune mimwe miedzo uye nzira dzinogona kuitwa muhofisi yechiremba. Izvozvo zvingangova kuda kuchinja.
Chii Chinonzi Neutral Payments?
Kana uchida kuongororwa, chiremba wako anoronga kuongorora. Kana chiito chako chiremba chichibatanidzwa nechipatara, unogona kutumirwa kuchipatara chiri kunze kwehurumende kuti uite kuti zviitwe. Muzvokwadi, izvi zvinogona kukudhurai zvakawanda.
Hofisi yechiremba yako inogona kukwanisa kupa miedzo yakafanana iyo inowanikwawo kunze kwechipatara chiri kunze kuchipatara. Semuenzaniso, vazhinji vane cardiologist vanogona kuita echocardiograms uye kushungurudzika muedzo muhofisi yavo. Vamwe vanachiremba vezvechirwere vanogona kunge vane x-rays panzvimbo yekutsvaga fractures . Zvirongwa zvekuvhiya zvinoputika zvinogona kukwikwidzana nezvipatara kune dzimwe nzira dzisina ngozi.
Sezvazviri ikozvino, pamakiriniki mamwechete, Medicare inokweretesa mamwe mabasa ehurumende inoitwa kunze kwezvipatara izvozvi kune dzimwe nzvimbo. Iyi ndiyo nyaya kunyange kana isingafaniri kuva muchipatara. Zvichinyatsojeka, hutano hwekutarisira hausi hwakasiyana nedzimwe nzvimbo kusvika kune inotevera.
Maererano neMedicare Payment Advisory Commission (MedPAC), Medicare yakabhadhara chipatara ichirapa madhipatimendi emadhipatimendi anosvika kaviri mumari yezvinyorwa zvekuchengetedzwa kwegore muna 2013. Mugore rimwe chete, zvivako zvekuvhiya zvipatara zvakabhadharwa zvikamu makumi mapfumbamwe nemazana manomwe kubva muzana zvichienderana nehutachiona hutsika hunoitwa muchipatara setting.
Nzvimbo Yakaita Sei Neutral Payments Inoshandisa Medicare
MedPAC yakaronga kuti zvikwereti zvezvifananidzi zvakafanana mune zvimwe zvipatara zvinokonzerwa nezvipatara zvinorayirwa neMurengeti pamitengo yakafanana. Iyi nzvimbo-dzisina kutora mari ichachengetedza iwe uye Medicare mari.
Ihofisi yeAppector General munguva pfupi yapfuura inofungidzira kuti kuchinja kwehuwandu hwehutano kune avo vakabhadharwa kune zvivako zvekuvhiya zvinogona kuponesa Medicare zvinosvika $ 15 mabhiriyoni kwemakore mashanu. Site-neutral zvikwereti zvinogona kuderedza Medicare kubhadhara kuzvipatara ne $ 1.44 mabhiriyoni gore negore, maererano neMedPAC.
Nzvimbo yeiyo Neutral Payments Affect Hospitals
IAmerican Hospital Association (AHA) yakarwisana nehotera-neutral. Vanopikisa kuti kunze kwezvipatara madhipatimendi vanoona nhamba isingaverengeki yevanhu paMedicaid , vanhu vari vaviri vanokodzera (vose Medicare neMedicaid), uye vanhu vasina kuvimbiswa. Nevashandi vane mari shoma shoma vasingakwanisi kubhadhara mugove wavo webhadharo, kuchinja kunzvimbo dzisina kutora mari kunogona kukonzera kuderedza zvikwereti zvekubhadhara zvizere zvezvipatara.
Medicare varwere vanoshandisa zvipatara kunze kwepachipatara vanowanzova nehutano husingaperi hwehutano. Kuwedzera kwengozi yezvipingamupinyi mune izvi varwere kunofanira kuverengwa.
IAHA inotsanangura kuti nemhaka yevaya vane ngozi yakareba, varapi vepachipatara vari kunze ndivo vanowanzova nekoti pakuwedzera kune chiremba anobatanidzwa mumamiriro ekuenzanisa akasiyana. Izvi zvinowedzera kune zvepamusoro zvinodhura zvezviongorori izvi.
Zvipatara zvinomirasikirwa nemabhiriyoni kana nzvimbo-neutral zvikwereti zvichitamba. Kurasikirwa kwemari kunogona kuisa mari mune zvipatara zvipatara kuita shanduko, zvichida kukanganisa kushanda uye dzimwe nyaya dzekuwanika.
Nzvimbo Yakaita sei Neutral Payments Inokubata Iwe
Nzvimbo yekutengesa mari inokuchengetedza mari apo iwe unotarisira mune imwe nzvimbo yepasipatara. Mushure mezvose, uri kubhadhara muedzo wakafanana uye unhu hwakafanana hwekutarisira.
Ive caveat ndeyekuti izvi zvinoshandiswa mutemo zvinogona kuunza nekushandurwa kusvika pakuwanikwa. Kuputswa kune zvipatara zvinogona kuita kuti zvive zvakaoma kuwana mamwe maedzo.
Sources
American Hospital Association. Kuenzanisira kweKutarisira muPatara kunze kweMitambo uye Mahofisi eUremba. http://www.aha.org/content/15/hopdcomparison.pdf. Yakabudiswa muna February 2015.
Medicare Payment Advisory Commission. Taurira Congress: Medicare Payment Policy. http://www.medpac.gov/documents/reports/mar2015_entirereport_revised.pdf?sfvrsn=0. Yakabudiswa muna March 2015.
Office of the Inspector General. Medicare neMabatsiri Anogona Kuchengetedza Mabhiriyoni Kana CMS Inoderedza Chipatara Chipatara Chikwata Chekubhadhara Mitengo yeMapurisa Okugadzirisa-Inzvimbo Yakagamuchirwa Kwechipatara Chirongwa Chekuvhiya Chibhadharo Mutengo. http://oig.hhs.gov/oas/reports/region5/51200020.pdf. Yakabudiswa muna April 2014.