Chimwe chezvikamu zvakaoma zvikuru zvekuve wemasvomhu ndeyekuchengetedza mabhuku
Sezvokurapa mishonga , iwe unogona kufunga kuti mabasa ako akaoma zvikuru achasanganisira kubatsira varwere nekuchengetedza kwezvinobvira zvinopesana pakati pemishonga . Asi vazhinji vanoita zvemishonga vanoti mabasa aya ari nyore kuenzaniswa nehuwandu hwezvokuverengera nekuchengetedza mabhuku anodiwa mune zvemishonga.
Pharmacy kubhadhara haisi nyaya iri nyore, kunyange zvazvo teknolojia inobvisa huzhinji hwemusoro.
Hezvino izvo zvinodhaka zvemarikiti zvinosanganisira:
- Isa neCPPDP
Pasati chinhu chipi zvacho chinogona kuitika, homisi inoda kusayina neNational Council for Prescription Drug Programs (NCPDP), iyo yebasa rebasa rinobvumira kubhadhara. ICPDP inopa pharmacy imwe neimwe inoshandiswa nhamba nhamba nhatu, inozivikanwa seBIN, iyo inoratidzira iyo nokuda kwezvinangwa zvekubhadhara.
- Kunzwisisa hukama hwechitatu
Ziva kuti makambani einishuwarenzi haaiti bhadha yavo. Mumwe nomumwe ane chechitatu-Pharmacy Benefit Manager (PBM) yakadai se Express Express kana Medco. Ava vatauriri vanobhadharwa kana chiremba ichizadzwa, uye vanoongorora mafaira kuti vaone kuti zvinhu zvose zvakarurama uye vanovimbisa kambani ye inshuwarisi iyo yavakaita nekuda kwekushingaira.
- Shandisa Chibvumirano
Danho rinotevera nderekushandira zvibvumirano zveshuwarenzi. Chokutanga, chengetai nemamwe mapoka emasikirasi emunharaunda (aya mapoka anogona kuva nekwanisi kuisa purogiramu dzinoverengeka dzishuwarisi panguva imwe) uye isayina zvibvumirano kuburikidza neboka iro.
Zvakakosha kusayina zvibvumirano, asi yeuka kuziva zvauri kunyora. Mvumo inobvumirwa uye inobhadharwa ndiyo nhamba dzinokosha kuti unzwisise.
A pharmacy haigoni kubhadhara PBM kunze kwekuti yakasaina kontrakiti. Chibvumirano icho chinoratidza kuti PBM inobhadhara mari yakawanda sei kumishonga, kubhadharwa, pamwe. PBM imwe neimwe ine zvibvumirano zvakasiyana.
- Tanga kubhadhara
Kana imwe kambani ikasayirwa, pharmacy inogona kubhadhara. Kupfuura purogiramu yekombiyuta yemapirmisi, kana chirongwa ichi chizadza, uye yese yevanhu vanoona nezvevanhu vanozadza, inoenda kuPBM. Mavhesi gare gare inodzoka ichiti yakabhadharwa kana yakaramba, mari yakawanda inobhadharwa uye chikwereti chekubhadhara.
- Kushanda pamwe
Muma Pharmacy, pangava nemunhu mumwe chete kana kuti mukuru wevashandi-zvichienderana nehukuru hwemishonga yepamusoro kana kuti iyo chikamu cheketani-inobatanidza nekutora mari. Mumwe mutariri anowanzoona nezvekuita uye munhu mumwe chete ndiye ane mhosva yekugadzirisa kwekupedzisira uye kutarisa kwezvakataurwa.
- Technology
Zvose kubhadhara zvinowanikwa kuburikidza nemapirmacy billing software yakafanana neQS1. Zvose zvinowanzoitika kubva panguva iyo chirairo ichizadzwa, asi mamwe mamiriro ezvinhu anoda kubhadhara kunokosha uye kugamuchirwa kwepakutanga. Nokuda kwezviitiko izvi, zvinowanzodiwa kushevedza kambani ye inshuwarisi kuti uone kuti mishonga inobhadharwa.
Teknolojia inokosha pakuita izvi. Pasina maturo, hazvibviri kutaurirana zvakarurama nemakambani einishuwarenzi, vatungamiri vechitatu, uye vanachiremba.
- Matambudziko muFirmacy Billing
Zvakakosha kuve nechokwadi chokuti mari yakabhadharwa yakarurama mumagumo ekupedzisira ekugadzirisa. Saka mari inobhadharwa nekambani yeinishuwarenzi uye iyo copay inofanira kuenzana nemari yakabhadharwa. Iyi nhamba inofanirwa kuyananiswa nehutano hwemari.
Uyezve kukosha kunzwisiswa kwemasangano echitatu uye kusarudza kana vakakodzera kuisa. Vamwe vangave vasina kukodzera kusayina. Zvisinei, mishonga haikwanise kubhadhara zvikwereti kumunhu wechitatu uyo asina kusayina chibvumirano.