Otu ndị dibia bekee nke mba n'izu a kpọrọ oku ka a kwụsị kpamkpam atụmatụ ịwepụta onwe onye nke Medicare nke Biden White House ketara n'aka ọchịchị Trump ma mesịa degharịa aha ya - ebe. idobe emebibeghị akụkụ ya kacha dị ize ndụ.
A maara ugbu a dị ka Òtù Na-ahụ Maka Nlekọta Akaụntụ Realizing Equity, Access, and Community Health (ACO REACH) Model, nnwale ahụ na-etinye ihe na-erite uru n'etiti ndị na-erite uru Medicare omenala na ndị na-eweta ahụike. Gọọmenti etiti na-akwụ ndị etiti ACO REACH ka ha kpuchie nlekọta ndị ọrịa ma na-enye ha ohere itinye ego dị ukwuu n'akpa ego ahụ dị ka uru.
Mmemme pilot ahaziri ahaziri, nke ewepụtara na-enweghị nkwado ọgbakọ ma hazie ka ọ ga-agafe ma ọ dịkarịa ala 2026, na eze malitere N'ọnwa a, na ndị na-akwado ahụike na-aga n'ihu na-atụ egwu na enwere ike ikwe ka nnwale ahụ mebie Medicare omenala.
Na Tuesday leta Onye odeakwụkwọ ahụike na ndị ọrụ mmadụ Xavier Becerra na Ụlọ Ọrụ maka Medicare na Medicaid Services Administrator Chiquita Brooks-LaSure, Physicians for a National Health Program (PNHP) rụrụ ụka na ACO REACH "na-enye ihe iyi egwu na iguzosi ike n'ezi ihe nke Medicare omenala, yana ohere maka ụlọ ọrụ. ịnara ego n'aka ndị na-atụ ụtụ isi ma na-agọnarị ndị na-erite uru na nlekọta. "
Otu a, nke na-akwado maka usoro nlekọta ahụike onye na-akwụ ụgwọ, kwupụtara mkpu maka mkpebi gọọmentị Biden mere ịhapụ. ụlọ ọrụ ya na ndekọ nke wayo na mmejọ ndị ọzọ na-ekere òkè na pilot ACO REACH, nke na-ekenye ndị ọrịa Medicare omenala na-akpaghị aka nye ụlọ ọrụ nzuzo na-enweghị nkwenye ha.
CMS kwuru na a mbipụta ndị nchụ nta akụkọ Tuesday na "Model ACO REACH nwere 132 ACOs nwere ndị na-ahụ maka ahụike na ndị otu 131,772 na-elekọta ihe ruru nde 2.1 ga-erite uru" maka 2023.
"Dịka anyị kwuworo, PNHP kwenyere na mmemme REACH na-eyi iguzosi ike n'ezi ihe nke Medicare omenala egwu na a ga-akwụsị kpamkpam," Dr. Philip Verhoef, onye isi oche otu dọkịta, dere n'akwụkwọ ozi ọhụrụ ahụ. "Ma mmadụ kwenyere na nkwupụta a ma ọ bụ na ọ kwenyeghị, anyị niile ga-enwe ike ikwenye na ụlọ ọrụ ndị achọpụtara na ha mebiri iwu enweghị ebe na-elekọta nlekọta nke ndị na-erite uru Medicare."
Otu n'ime ihe atụ gbasara ihe atụ PNHP zoro aka na ya bụ Clover Health, bụ onye na-arụ ọrụ nke a na-akpọ Direct Contracting Entities (DCEs) - aha ndị etiti nke onwe n'okpuru ụdị Trump-oge nke onye ọkwọ ụgbọ elu Medicare - na steeti iri na abụọ, gụnyere Arizona, Florida. , Georgia, na New York.
PNHP kwuru na na 2016, CMS tara Clover - nnukwu Uru Ahụike onye na-eweta-maka "iji 'ahịa ahịa na ihe mgbasa ozi nke nwere nkwupụta na-ezighi ezi' gbasara mkpuchi maka ndị na-eweta netwọk, mgbe oke mkpesa sitere n'aka ndị ọrịa na-ajụ mkpuchi site na atụmatụ MA ya. Clover emeghịzigharị ihe ndị ahụ mgbe CMS rịọrọ ya ugboro ugboro. "
Humana, onye ọzọ na-ahụ maka mkpuchi nwere ezé ya na onye na-anya ụgbọelu nke Medicare, "nakọtara ihe fọrọ nke nta ka ọ bụrụ nde $200 na Medicare n'ụzọ na-ezighị ezi site n'ịkọwa ọrịa nke ndị ọrịa," PNHP kwuru, na-ehota na nso nso a. gọọmenti etiti oditi.
"Ọ na-egosi na n'ime usoro nhọrọ ya [maka ACO REACH], CMS egbochighị ntinye nke ụlọ ọrụ nwere akụkọ ihe mere eme nke omume dị otú ahụ," Verhoef dere. N'inye nchoputa ndị a, anyị na-enwe nchegbu na CMS na-ekwe ka ndị DCE ndị a gaa n'ihu na-enweghị mgbochi na ACO REACH na 2023."
Mgbe Medicare pilot dọtara nta anya site n'aka ndị omebe iwu mgbe gọọmentị Trump malitere ya na ọnwa ikpeazụ ya n'ọchịchị, ndị otu Congress na-aga n'ihu akwalitela nyocha nke mmemme ahụ n'oge na-adịbeghị anya.
N'ọnwa gara aga, Sen. Elizabeth Warren (D-Mass.) na Rep. Pramila Jayapal (D-Wash.) duuru otu ndị omebe iwu na ịdọ aka ná ntị na ACO REACH "na-enye ohere maka ndị na-ahụ maka nlekọta ahụike nwere akụkọ ihe mere eme nke ịghọgbu na iji Medicare na-eme ihe n'ụzọ na-ezighị ezi na ịchụpụ ndị na-atụ ụtụ isi iji tinyekwuo usoro Medicare."
"Anyị anọwo na-echegbu onwe anyị ogologo oge maka ịhụ na ihe nlereanya a enyeghị ndị na-erite uru ụlọ ọrụ ohere ọzọ ịwepụ na Medicare omenala," ndị omebe iwu dere, na-ekwupụta nchegbu PNHP. "Ịga n'ihu na nsonye nke ndị na-eme ihe nkiri na akụkọ ihe mere eme nke wayo na mmegbu na-eyi iguzosi ike n'ezi ihe nke mmemme ahụ egwu."
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