Ko Obamacare inotsiviwa inodzivirira Medicare vanobhadhara here?
The Affordable Care Act, aka Obamacare , kwete chete kuunza inshuwarisi yekuendesa kune mamiriyoni eAmerica kuburikidza neMishonga yeUshuwarisi yeMarike asi yakawedzerawo Medicaid mune dzimwe nyika. Vanhu vakanga vasingakwanisi kuwana inshuwarhu yehutano yehutano vaiva nehuwandu hwekuwana. Izvo zvinokanganwa nevanhu vakawanda, asi, ndeyekuti purogiramu yakave yakagadzirisawo zvikuru kuMedare .
Mutemo wakatarisana wakapera muna 2017 neRepublican Congress. Zvisinei, kudzokorora hakuna kuitika, zvichida kwete.
Chirongwa chinotsiva Obamacare chinofanira kutanga chikurukura kuti iyo Affordable Care Act yakakanganisa sei Medicare. Zvadaro inofanira kufunga nezvekuti ichagadzirisa sei (kana kuti ichataura) izvo zvinoda nemitemo mitsva.
CMS Innovation Center
Kana tisingashanduki, hatikure. ICenter for Medicare and Medicaid (CMS) Innovation Center yakavepo pasi peChinakidza Care Act uye inotarisa nzira dzekuenzanisa nzira itsva yekubhadhara uye hutano-kutarisira nzira dzisingagadziri kungovandudza hutano hwekutarisira asiwo kuderedza kushandiswa kwemari ye Medicare, Medicaid , uye Health Health Care Program (CHIP) .
Regai kuve nekukanganisa. CMS inotanga nzvimbo yehurumende yose yveshuwarenzi. Kana CMS ichiwana chimwe chinhu chinoshanda, vatsigiri vega vega vanoziva kuti vanobatanidza chikonzero.
Kubvira pakatanga, mitero inopfuura 30 yekubhadhara yakarongedzwa uye yakaongororwa.
ICMS Innovation Centre yakatarisa masangano ekuchengetedza kuzvidavirira uye kubhadhara mari yezvikwereti nenzira dzakasiyana dzekubhadhara kwehutano hwehutano. Kuchinja kubva kubhadhara-kubasa (chiremba mhaka yebasa rega rega) kubhadhara-kwe-(chiremba anobhadharwa zvichienderana nemigumisiro yekutarisira zvakanaka) iri kuenderera mberi.
Zvinenge makumi matatu kubva muzana zvemari yeMedricare ikozvino inoshandiswa nenzira iyi.
Zvirongwa zvehutano zvakagadzirisawo mhando kune mamiriyoni eAmerica. Iyo Comprehensive Primary Care Initiative yakabvumira kuwedzera kwekutarisirwa kwekutanga kune dzimwe nyika kunobatsira avo vari kushaiwa. Dambudziko Rekupedzisira-Gwara reRenal Disease (ESRD) Care Initiative rakagadzirisa kuwanikwa kwevanhu vari dialysis . Iyo Yakasimba Kutanga Amai nevana Vacheche vakaderera kuberekwa vasati vasvika uye matambudziko kwenguva refu emhuri itsva. Chirwere chekuchengetedza chirwere cheshuga chakave chakabudirira kwazvo chichawedzerwa munyika yose muna 2018.
Ko Obamacare inodzokorora inogumisa mapurogiramu aya here? An Obamacare inotsiviwa anofanira kufungisisa kuti ichaita sei pakukura kwemishonga mune ramangwana, zvose muhutano uye mumari.
Kunyengera, Matsi, uye Kushungurudzwa
Kunyengera, kuparadza, uye kushungurudzika zvakapararira mune zveutano, kutengesa vateresi mari munguva refu. Vakatengesa Care Care Act vakatora matanho ekuderedza kushandiswa kwekushandisa uku uye kushandura zvakare mari iyo kudzokera kune chirongwa cheMedare. Izvo zvakazviita nokusimbisa Medicare Fraud Strike Force.
The Medicare Fraud Strike Force yakagadzwa muna 2007 uye yakashanda pamwe chete neDhipatimendi reRuramisiro, Federal Bureau of Investigation, Office of the Inspector General, uye kushandiswa kwemitemo.
Kushanda kunze kwemaguta mapfumbamwe munyika yose - Baton Rouge, Louisiana; Brooklyn, New York; Chicago, Illinois; Dallas, Texas; Detroit, Michigan; Houston, Texas; Miami, Florida; Los Angeles, California; uye Tampa, Florida - iyo Medicare Fraud Strike Force yakachengetedza purogiramu kaviri zvakanyanya sezvaiitwa Kare Mutengo Wekugadzirisa Mutengo wakagadzirwa muna 2010.
Kubva munaJune 2016, kuedza kweMedicraft Fraud Strike Force kwakatungamirira kune zvinyorwa zvinokwana 2 522. Nhamba huru pane yose yeTack Force yakaitika muna June 2016 apo vanhu 301, 61 vavo vari kupiwa chiremba vashandi vezvokurapa, vakapomerwa mhosva yekuita rusununguko rwehutano, kushamba kwemari, uye kukura kwehupfumi .
Basa ravo rezvemhosva rakabhadhara ma $ 900 mamiriyoni mukubhadhara kwenhema.
Kuchinja kwehutano-kutarisira mberi kunofanirwa kuenderera mberi kutora chinangwa kune avo vanoedza kushandisa zvisina kunaka urongwa. Icho chichava nzira chete yekuchengeta mari pasi kune avo vanonyanya kuda iyo.
Chiremba Chiremba Mahara
Munhu wese anobvumirana kuti kutarisira kuchipatara kunofanira kunge kwakanyanya kunaka. Upenyu hwevanhu uye hupenyu hunoenderana nazvo. Inotengeswa Nekutarisira Mutemo yakatora matanho ekuita kuti zvipatara zviwedzere kuvandudza mararamiro avo. Vakaita saizvozvo nekuongorora kuti kazhinji vanhu vakanyoreswa sei kuchipatara mumazuva makumi matatu. Zvave kuverengerwa kuchipatara, vaifungidzira, zvaizova chiratidzo chokuti chipatara chacho chakanga chisina kukwanisa kutarisira munhu wacho asati asunungurwa.
IWatchmissions Reductions Program, yakasikwa pasi pe Affordable Care Act, yakatarisa zvakagamuchirwa nehutano hwemwoyo , kukanganisa kwemwoyo , pneumonia , hip / knee replacement, uye chronic obstructive Care pulmonary disease (COPD) . Zvipatara zvaive nezvikwiriso zvakanyanya zvekuverengerwa munzvimbo ino zvakarongerwa nehuwandu hwekuderera kweMitengo yavo yeMedare.
Kubvira muna 2012, kuverengera zvipatara kuchipatara kwave kuri kuramba kuri kuderera. Kurwisa kwemwoyo kuverengwa kwemwoyo kwakaderedzwa ne2,8 muzana, mwoyo inokonzerwa nehuwandu ne2,8 muzana, uye pneumonia chiyero ne 1.5 muzana kubva muna 2007 kusvika muna 2014. Mubvunzo, zvirokwazvo, ndeyekuti kana kwete izvi chaizvoizvo zvinoratidza kuvandudzwa kwehutano hwakanaka. Pane kunetseka kuti zvipatara zvingave zvichiramba zvikwereti nokuisa vanhu "pasi pekucherechedza" kusiyana nekunyoresa sevanorwara.
NeChinhu Chisingakwanisi Kuchengetedza Chibvumirano, kubviswa kweReadmission Reductions Programme inogona kuenda. Tarisiro, pachave nekuenderera mberi, kana mitsva mitsva yekugadzirisa hutano hwevanhu vanogashira muzvipatara.
Chikamu D Donut Hole
Medicare Chikamu D chakatanga kuvapo pasi peMutungamiri George W. Bush apo Medicare Modernization Act yakaitika muna 2003. Vakabhadhara vakakwanisa kushandisa zvakakwana Chikamu D chekushandisa mishonga yemishonga inotanga munaJanuary 2006 nemumwe muvharo. Murairo uyu waisanganisira iyo yakaipa ye "donut hole," iyo yakavhara kuvhara iyo yaida kuti Medicare vabatsirwe kubhadhara zana kubva muzana kubva muhomwe yemishonga yavo kana ivo neChirongwa Chavo D vakashandisa imwe mari yemari mugore rakapiwa.
Obamacare akabatsira kuderedza izvo zvisiri izvo zvekutora mari .
Chokutanga, yakabvunzurudzwa pasi nevatori vemari vaikwanisa kukubhadhara pamishonga yako. Mabhizimisi-zita vanogadzira, kunyanya, vaizopa madhiragi avo pamapato mashanu kubva muzana munguva yawakanga uri munharaunda yebasa.
Chechipiri, Obamacare yakaderedza kuti iwe waizobhadhara mari yakawanda sei-uchida kuti Chikamu D chigadzirire kubhadhara chikamu chiduku chezvinodhaka zvinodhaka munguva yegomba. Iwe unenge uchiri kubhadhara zvakanyanya kuti iwe waizoenda panze panzvimbo yemugove, asi kuchengeta kwaive kwakakosha. White House inotaura kuti kuchengetedza kwakabatsira vanhu vanopfuura mamiriyoni 8, vachivaponesa madhora madhora 11,5 kubvira muna 2010.
Chechitatu, chiyero chako chekubhadhara pamishonga yako chinowedzera zvishoma kusvikira gwaro rekuvhara rakavharwa zvachose ne2020. Kungoisa pachena, iwe unobhadhara mari yako yepayimisi inowanzoitwa, deductibles, copayments, uye hapana chimwezve.
Nzvimbo yemugove inogona kudzoka neObamacare kubviswa. Nechinodhaka chemishonga inodhura kupfuura yakamboita, zvinozoitika kune vakwegura veAmerica zvingava zvinoparadza. Bhuku reObamacare rinofanira kutora izvi kuti rive nechokwadi kuti vanhu vanogona kuwana mishonga yavanoda.
Preventive Screening Services
Obamacare zvakare yakavandudza kugoverwa kwekudzivirira kuponesa mazano. Chero bedzi chiremba wako akabvuma basa , zvichireva kuti akabvumirana neChirongwa cheMedare Physician Fee, izvo zvekuchengetedza maitiro hazvisati zvichitoda kubhadharwa kana kubhadhara mari. Vaizopiwa kwauri pachena pasina mutero.
Zvipembenene zvekuchengetedza mabasa akavharwa neMedare akabatanidza:
- Annual Wellness Visits
- Ropa kudzvinyirira kuongorora
- Chirwere chepabonde kuongorora ( mammograms )
- Kuchengetedza kenza yemukomana (Pap smear uye kuongorora kwepillomavirus (HPV)
- Kuongorora kwekenza yeColon (fecal kuongorora kweropa, colonoscopy, sigmoidoscopy)
- Kushungurudzika kuongorora
- Lipid screening
- Kurwara kwekenza yeprostate (prostate-specific antigen)
- Vaccinations (fukenza, pneumococcal)
Zvimwe zvebasa-kusimba kwepamuviri yekuongorora, chirwere cheshuga, kuongorora hepatitis C, kuongororwa kweHIV, kenza yemapapu emapapu, osteoporosis kuongorora , uye kuongororwa kwezvirwere zvepabonde-zvichava pachena asi zvinowanikwa kune vanhu vanofunga kuti vari pangozi. Kuongorora kwekenza yeColon nechitsiko cheDNA test chaizongoputika kana munhu wacho ari paWOW ngozi.
Kuderedza kugoverwa kunobatsira kune vakwegura vanogona kuvachengetedza vane hutano kana izvo zvinogona kubvumira kurapwa kwekutanga kwezvirwere zvakaoma zvinoreva. Ndingazvitaura kunyange kumutsa nyaya dzetsika. Ngatisarege kukanganwa kuti iyo yakanyanya kunyanya kurwara ndeye kana ichiongororwa, iyo inodhura zvikuru iyo inobhadhara kurapa. An Obamacare inotsiviwa anofanira kufunga nezvemigumisiro yehutano uye nguva yakareba mari kune avo inowedzera.
Shoko kubva
Vakuru vasiri bato reC Congressional Budget Office vakaongorora zvinokonzerwa neOmbamacare uye vakashandura kuti mari yeMedare ichawedzera ne $ 802 bhiriyoni pamakore gumi. Urongwa hutsva hwokutarisira hutano hunofanira kuisa izvi mukati mekuenzanisa.
Nyaya yehutano hwekugadzirisa hutano haisi yezvematongerwe enyika chete asi inokonzerwa nemanzwiro. Kana iwe uchida kana kuti iwe usingatendi mune zvakakosha zve Care Affordable Care Act, unoda kunzwisisa zvinonzi Medicare zvinenge zvichishandurwa nekubviswa kwemurairo. Ichakuita kuti uzive kuti chii chaunofanira kutarisa apo kusadzivirirwa kweBamamacare kushandiswa kunopera.
> Sources:
> Boccuti C, Casillas G. Chichida Chipatara Chechipatara Chechidiki: Chirongwa cheRedare Chirongwa Chikudzivirira. http://kff.org/medicare/issue-brief/aiming-for-fewer-hospital-u-turns-the-medicare-hospital-readmission-reduction-program/. Yakabudiswa musi waSeptember 30, 2016.
> Budgetary uye Economic Effects of Repealing the Affordable Care Act. Bhuku re Congressional Budget Office website. https://www.cbo.gov/publication/50252. Yakabudiswa naJune 19, 2015.
> Zvikamu Zvikamu zveChinakidza Care Act By Year. Dhipatimendi reUnited Health Health and Human Services website. https://www.hhs.gov/healthcare/facts-and-features/key-features-of-aca-by-year/index.html. Yakavandudzwa August 13, 2015.
> Medicare Sokubiridzira Simba Simba. Office of the Inspector General - Dhipatimendi reUnited Health of Health and Services. https://oig.hhs.gov/fraud/strike-force/.
> Kuzvidzivirira uye Kuongorora Zvivako. Medicare.gov. https://www.medicare.gov/coverage/preventive-and-screening-services.html.