Imihlahlandlela emisha yezindawo eziphuthumayo ezizimele phakathi komqedazwe we-COVID-19 inikeze izinketho eziningi zokunakekela iziguli zaseTexas 'Medicaid and Medicare. Kusukela ngo-Ephreli 2020, isimemezelo sokuthi ama-ER azimele anganikeza ukubuyiselwa kwemali ezigulini senza ukufinyelela okulula ekunakekelweni, ikakhulukazi ngalesi sigaba esibucayi se-coronavirus.

Ngesikhathi sobhadane lwe-COVID-19, ama-ER azimele futhi azimele eTexas nakwamanye amazwe amaningi angabonwa njengabahlinzeki bezokunakekelwa kwezempilo ukuze babuyiselwe ekwelapheni iziguli zeMedicaid neMedicare. Lesi yisimemezelo se Izikhungo zeMedicare & Medicaid Services. Ama-ER ajikelezayo azokwazi ukusebenzela umphakathi kangcono, kusukela manje.

Iziguli zeMedicaid nezeMedicare e-US: isimemezelo esisha seTexas

Umqondisi omkhulu we Inhlangano Kazwelonke Yezikhungo Zezimo Eziphuthumayo Ezihlala Zikhona (NAFEC), UBrad Shields uthe ama-ER azimele ezweni lonke abone "ukwanda okukhulu" kweziguli zeMedicare neMedicaid selokhu kumenyezelwe futhi lokhu kuyimpumelelo kubo. Ushintsho lunqoba lezi ziguli.

Iziguli zizoba nethuba lokukhetha ukuthi zingakuthola kuphi ukunakekelwa. Phambilini bekungafani nalokhu. Besengafuna ukunakekelwa ku-ER ezimele, kepha bebengenasiqiniseko sokuthi ukumbozwa kwabo yiMedicare kuzobafihla yini.

Ama-ER amaningi azimele eTexas abelokhu egqugquzela ukuthi lolu shintsho lwenziwe yi-US Congress futhi manje inqubo yokubhalisa iyaqhubeka njengamanje, ngokuyalelwa yi-CMS.

 

Okuhlangenwe nakho kwezikhungo zezokwelapha zaseTexas: Iziguli zeMedicaid neMedicare

Njengoba iCommunity Impact ibika, umphathi we-ER Elite Care 24 Hour Administrator uRichard Burton umemezele ukuthi bahlala bebona iziguli zeMedicaid neMedicare kungakhathalekile ukuthi bangakwazi yini ukukhokha, kusho. Kodwa uthe i-Elite Care manje ilindele ukwanda kweziguli ngenxa yoshintsho.

Ithuba lokuthi lokhu kungathinta abasebenzi lincane kakhulu. Lokhu kungasho ukuthi kufanele sikhiphe umuntu oyedwa futhi. UBurton uthe ezinye iziguli zizokwazi ukusebenzisa ithuba lokuqashwa okusheshayo kwe-Elite Care kanye nenani eliphansi leziguli, uma kuqhathaniswa nezibhedlela zasendaweni. I-ER Elite Care 24 Hour ibona cishe iziguli ezingama-3,000 minyaka yonke, kubika.

I-Medicaid neMedicare eTexas: Yini elandelayo?

UBrad Shields uthe basebenzisana noMnyango Wezempilo Wombuso. Balinde izinombolo zabo zokukhokhisa zeMedicare ukuthi banikezwe zona ukuze bakwazi ukuhambisa izimangalo kuMedicare. Njengoba uDkt Shield esho, i-NAFEC izoqhubeka nokusebenzisana ne-CMS ukwenza ama-freestanding ER abe yindlela ehlala njalo yeziguli zeMedicaid neMedicare, kusho uShields. Le nhlangano izophinde isebenzisane neNdlu Yabamele baseMelika kanye neSenate ukuthola isinqumo somthetho sikahulumeni sokuvuselela iSocial Security Act.

UDkt Shield uthi: "Kubalulekile manje kulesi sikhathi sokubhubhisa, kodwa futhi kuzoba isikhathi eside lapho singekho esimweni esiphuthumayo sezempilo somphakathi." Okwamanje, abakwa-Elite Care bafake isicelo sokuthola ilayisense leMedicare neMedicaid futhi bayathemba ukuthi ushintsho lwe-CMS lungaqhubeka ngalolu bhubhane, kusho uDkt Burton.

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