Amavoti ase-Colorado azokhipha isinqumo ngokuhlanganisa yonke indawo ngoNovemba
NgoNovemba 2016, abavoti baseColorado bazobekwa umsebenzi wokunquma ikusasa lomshwalense wezempilo wombuso . Akumangalisi ukuthi kunemibuzo eminingi mayelana nokuthi yini ehlongozwayo ngaphansi kweColoradoCare - kokubili ngaphakathi kwe-Colorado nakwabantu bakwamanye amazwe ababukela impikiswano.
Lokhu okuthunyelwe kusuka ku-Physicians weNational Health Program (PNHP) kuyindlela ekhangayo ku-ColoradoCare's pros and cons.
I-PNHP iphawula ukuthi i-ColoradoCare ngeke ibe yindlela yokukhokhela eyodwa kuphela, ngoba ezinye izakhamuzi zaseColorado zizoqhubeka zihlanganiswa izinhlelo zempilo zikahulumeni (Medicare, VA, Tricare, nase-Indiana Health Services). Lokhu kungaba njalo noma ngabe uhlelo lokukhokha olulodwa luzosetshenziselwa ezingeni likazwelonke, ngoba ayikho indlela yokuthi izifunda zisebenzise ukukhishwa kwemali ukuze zithole izimali ezabe zisetshenziselwa lezo zinhlelo (ngaleyondlela lapho i-Medicaid, isibonelo, ngokusebenzisa i-waiver engu-1115).
Ukulingwa Kwe-Vermont kuhlulekile ku-Payer Single
I-Vermont yayisendleleni yokusebenzisa u-1332 waiver ukuze kusebenze ukunakekelwa kwezempilo okukhokhelwayo oyedwa kusukela ngo-2017, kodwa yadonsa ipulaki ngoDisemba 2014). I-Colorado State Senator I-Irene Aguilar ihola umkhankaso we-ColoradoCare. Ngokusho kukaSen. Aguilar, iColoradoCare inezinzuzo ezithile ezenziwa ngu-Vermont's initiative single payer:
- I-Vermont isivele isinehlelo lokunakekelwa kwempilo oluqinile, kufaka hlangana ukufakwa kwezimali ezixhaswa nguhulumeni kubo bonke abantu abadala abanenzuzo engenayo kufika ku-150% wezinga lobuphofu - isikhathi eside ngaphambi kokuthi i-ACA ifike. Izinga elingavunyelwe kuVermont laliphansi kakhulu kunezinga likazwelonke, futhi umthelela we-ACA awuzange ube nokuphawulekayo eVermont njengoba bekukhona kwezinye izifunda njengeColorado. I-ColoradoCare (nohlelo lokukhokha olulodwa olulahlekelwe yi-Vermont) lithembele ku-1332 waiver ukukhiqiza ezinye zezimali ezidingekayo ukuze kusetshenziswe uhlelo - uma kwenzeka iColoradoCare, uhulumeni wesifundazwe uzofaka cishe ingxenye yesithathu yezindleko. Le mali ivela kwingxube engase isetshenziswe nguhulumeni wesifundazwe ukuze akhokhele ukunakekelwa kwezempilo e-Colorado nge-Medicaid, izinsizakalo ze-premium, ukunciphisa ukwabelana ngezindleko, kanye nezinkampani ezincane zentela. Endabeni yeVermont, kubonakala sengathi kungenzeka ukuthi baqaphele ukuthi bazokwenzani okuningi kuhulumeni kahulumeni nge-1332 waiver yabo. Ngokuyinhloko, umthelela othe xaxa i-ACA inesimo sombuso, imali eyengeziwe ihamba ngokubamba i-1332 waiver.
- Ukwengeza kuleso sikhundla, isiphakamiso se-Colorado esingumshayeli oyedwa singaminyaka embalwa ngemuva kweVermont's (uma kuvunywe ngabavoti, uhlelo luka-Colorado luhlelwe ukuthi luqale ngo-2019, ngokungafani no-2017). Lokhu kusho ukuthi iColorado iye yakwazi ukuqoqa idatha yangempela ngokwemali engaphansi kwe-ACA ngendlela ye-Medicaid dollar, izinsizakalo ze-premium, izinkokhelo zokwabelana ngezindleko, kanye nezinkampani ezincane zentela. Yonke leyo mali ingase iqondiswe eColoradoCare ngaphansi kwe-1332 waiver. Ngokubambezela ukuqaliswa, iColorado ine-data yangempela ngokwezimali ezitholakalayo zikahulumeni. Ukubala kokuqala kukaVermont kwakuyizilinganiso zonke, ngoba zihlongoze uhlelo lwabo ngaphambi kokuqala kokuqaliswa kwe-ACA.
- U-Aguilar waphawula ukuthi abadali bakaColoradoCare baqala ngezindleko futhi basebenzisa ukuthi bafanise ukuthi yini eyenziwe ngokuqondile eColorado. EVermont, ukuhlolwa kwezindleko ezisemthethweni okwakhiwa ngasekupheleni kuka-2014 (nje nje ngaphambi kokuba uhulumeni ashiye uhlelo lwabo lokukhokhela kuphela) kwaze kwaba yilapho imininingwane yohlu lwabahola abakhokhelwayo isakhiwe. Ekugcineni, kwakungenakukwazi ukukhokhela uhlelo ababenzile.
- U-Aguilar uphinde wabonisa ukuthi iColorado cishe iyodwa lapho iqhathaniswa namazwe afana neVermont. I-Colorado ijikelezwe yizizwe ezinabantu abancane kakhulu. Umuntu onomsebenzi edolobheni elisemaphandleni angomakhelwane angeke athuthele eColorado ukuthola izinzuzo zokunakekelwa kwezempilo futhi aqhubeke nokuya emsebenzini wakhe, ngoba azikho nje ukuthi kuningi labantu abahlala emaphandleni angomakhelwane. Imingcele yeColorado. Ukuhlukaniswa kwezihlobo zabantu baseColorado kusho ukuthi umbuso unamabhizinisi angaphansi kwezokuxhumana uma kuziwa ohlelweni lwezokunakekelwa kwempilo kunombuso omncane eNyakatho-mpumalanga ophethwe yizikhungo eziningi ezifana neNew York neMassachusetts.
ColoradoCare kanye nabantu abadala
Wonke umuntu esifundazweni uzobe ehlanganiswa ngaphansi kweColoradoCare, nakuba abantu abadala bebazobe benemithi ebizwa ngokuthi i-Medicare. Abahlomuli be-Medicare bazobe benesibophezelo sokukhokha i- Medicare Part B (ukunakekelwa kwabasemakhaya) kanye neNgxenye D (imiyalelo), ngaphandle uma bebabili abafanelekayo ku-Medicare neMediicaid (njengamanje abakwazi ukukhokhela, ukuhlinzekwa nge-Medicaid kunganikezwa ngaphezu kwe-Medicare, noma, ngokuya ngemali engenayo, izimali ze-Medicaid zingasetshenziswa ukukhokha ama-premium ye-Medicare Part B no-D).
Ukuthi abadala asebekhokhwa intela kumele bakhokhele intela ye-ColoradoCare ye-premium yenziwe njengengxenye yokukhuluma ngokumelene neColoradoCare, kodwa labo asebekhulile ngeke besadingeka ukuthi bathenge ukuthengwa kwe- Medigap ngoba i-ColoradoCare izosebenza njengesandiso se-Medicare.
I-Mediigap premium premium e-Colorado ngo-2015 yayingu-$ 181 / inyanga, ukuhlinzekwa okuningi kwe-Medicare okungeziwe ekuthengiseni intela ye-ColoradoCare ye-premium akuyona inzuzo engadingekile.
Kuthiwani ngohambo lwamazwe angaphandle?
I-ColoradoCare izoba njenge-HMO ngokwemigomo engaphandle kwezwe; ukukhathazeka okuphuthumayo kuzobekwa ngaphandle kombuso, kodwa izakhamuzi zaseColorado kuzodingeka zithole ukunakekelwa kwesikhashana ngaphakathi kwe Colorado ukuze zikhokhwe yiColoradoCare.
Imithombo:
I-Colorado Care, Indlela Ezosebenza ngayo.Ilungiswa yi-ColoradoCareYes. Ifinyelele ngo-12/28/2015.