Migumisiro isingabatsiri yeThe Affordable Care Act
Sezvo Mutengo Wakagadziriswa Mutemo wakagadzwa muna 2010, Medicare yakagadziriswa kutonga mumatengo. Kuchinja uku kungave kwakave nemigumisiro isingatarisirwi yekutarisira kwaunogamuchira muchipatara.
Maitiro ekuRuchirwa Kwekuverengwa Kwepurogiramu yeMabasa
Muna Gumiguru 2012, Center for Medicare neMedicaid yakatanga kupora zvipatara zvaive nenhamba yakakura yevarwere vachidzoka kuti vapinde mumazuva makumi matatu.
IWatchmissions Reductions Program, iyo yakasikwa pasi pe Affordable Care Act, inotarisa zvakagamuchirwa nehutano hwepfungwa , kukanganiswa kwemoyo , chibhakera , kuputika kwegumbo, kugadziriswa, uye chirwere chisingaperi chinoparadza zvirwere (COPD) .
Nokubhadharwa mari shoma zvakakwirira sezvikamu zvitatu, zvikwereti izvi zvinogona kukonzera mamirioni evanhu vakarasika mari kune zvipatara. Negore ra2016 (Gumiguru 1, 2015 kusvika musi waSeptember 30, 2016), zvipatara 2,592 zvicharasikirwa ne $ 420 mamiriyoni mumitemo yeMurere kubva pane purogiramu chete.
Kubata kwekutonga kwemasikati maviri pakati peusiku
Muna Gumiguru 2013, Mutengo Wakagadzikana Mutemo wakashandura kuti Medicare yakavhara sei chipatara chako. Panzvimbo pekugadzirisa huwandu hwehuwandu hwehutano hwaunoita, hunoita kuti huve kwenguva yakareba sei muchipatara. Chikamu A chinongotanga kuitika kana kugara kwako kuchiyambuka miviri miviri. Izvi zvinozivikanwa se2-Midnight Rule . Kana iwe usingakwanise kuita izvi, unoiswa "pasi pekucherechedza."
Kucherechedza kunogara kwakaramba kuchiwedzera sezvo kutonga kwakatanga. Maererano naMedPac, "Nhamba yemaawa ekucherechedza (maviri akaiswa mukati uye akaparadzaniswa zvakasiyana) yakawedzera zvikuru, kubva pamamiriyoni makumi maviri nemaviri muna 2006 kusvika kune mamiriyoni 53 muna 2013."
Iyo Inobatsira Sei Zvaunobhadhara?
Kana iwe ukabvumirwa kuenda kuchipatara sechipatara, Medicare Part A yako inobatsira.
Iwe unobhadhara flat flat deductible yekugara kwako iyo inosvika kusvika mazuva makumi matanhatu. Izvi zvinowedzera kukudhura iwe zvishoma kudarika iwe waizobhadhara kana iwe Medicare Chikamu B - inshuwarisi yehutano - wakabhadhara mutero wekuona kwekucherechedza. Izvozvo zvakati, Chikamu A chinowedzera kutengesa hurumende kupfuura.
Chikamu A chiripo chekugara muzvipatara uye Chikamu B inobhadhara kuchengetedza.
Logistically, iwe unobhadhara mari yakaenzana nekutarisira kwakafanana zvichienderana nekugara kwako kwechipatara. Ungada here kubhadhara $ 1,288 Chikamu A deductible kana 20 muzana yezvose zvipatara mari yeChitatu B ?
Izvozvo Zvinobatsira Sei Chipatara Chako?
Zvipatara zvinomirira kudzivisa readmissions uye zvikwereti zvinodhura. Ne-2-Midnight Rule Rule uye inowedzera mukucherechedza kunogara, izvi zvingavaisa mukana. Kucherechedza kunogara hakurevi kutarisa maitiro ekuverenga. Vamwe vanobvunza kuti zvipatara zvinotamba mutambo here nekuisa varwere pasi pekucherechedza maonero kuti vashandise mari.
Zvisinei, zvipatara zvakare zvinoda kubhadharwa nekuda kwebasa ravo. Ichokwadi ndechokuti zvipatara zvinowanzopiwa rubatsiro kubva kuna Medicare kudarika kune vamwe vanowana mari shoma shoma vasingakwanisi kuripa . Zvipatara zvinogona kubatsira zvakanyanya kubva kune vakwegura vanobvumirwa pamusoro pekucherechedza kunogara.
Mubvunzo haufaniri kuva izvo zvinobatsira muchipatara asi kuti iwe unogamuchira zvakakodzera, zvisingakwanisi kutarisirwa zvakanaka zvichienderana nezvido zvekurapa kwako.
Kana iwe uine imwe yehutano iyo maReview Reductions Programme, ungada kutaura nevatapi vako vehutano kuti uve nechokwadi chekuti maawa ako okugamuchira akakodzera.
Sources
Nzvimbo dzeMedare uye Medicaid. Readmissions Reduction Program. https://www.cms.gov/medicare/medicare-fee-for-service-payment/acuteinpatientpps/readmissions-reduction-program.html. Yakapedzwa musi waNovember 16, 2015.
Komiti Yemazano Emubhadharo. Utano Hutano Kuparadzira uye Medicare Program. http://www.medpac.gov/documents/data-book/june-2015-databook-health-care-spending-and-the-medicare-program.pdf. Yakabudiswa muna June 2015.
Rau, J. Half Of National Hospitals Vanokundikana zvakare Kutiza Mhosva dzekuverengera kwaMedare. Kaiser Health News. http://khn.org/news/half-of-nations-hospitals-fail-again-to-escape-medicares-readmission-penalties/. Yakabudiswa musi waAugust 3, 2015.