\n<\/p>\n
L\u012bdz Julie Appleby\n<\/p>\n
\u0160ogad jums ir nepiecie\u0161ama medic\u012bnisk\u0101 apr\u016bpe, un pirms ie\u0161anas \u0101rsta kabinet\u0101 v\u0113laties noskaidrot, k\u0101das b\u016bs j\u016bsu kabatas izmaksas? \u0160im nol\u016bkam ir pieejams jauns r\u012bks, vismaz apdro\u0161in\u0101tiem pacientiem.\n<\/p>\n
No 1. janv\u0101ra vesel\u012bbas apdro\u0161in\u0101t\u0101jiem un darba dev\u0113jiem, kas pied\u0101v\u0101 vesel\u012bbas apr\u016bpes pl\u0101nus, ir j\u0101nodro\u0161ina tie\u0161saistes kalkulatori, lai pacienti var\u0113tu ieg\u016bt detaliz\u0113tus apr\u0113\u0137inus par to, cik vi\u0146iem b\u016bs j\u0101maks\u0101 par da\u017e\u0101diem pakalpojumiem un z\u0101l\u0113m, \u0146emot v\u0113r\u0101 atskait\u012bjumus un l\u012bdzmaks\u0101jumus.\n<\/p>\n
Tas ir jaun\u0101kais m\u0113\u0123in\u0101jums nep\u0101rtrauktaj\u0101 kust\u012bb\u0101, kuras m\u0113r\u0137is ir padar\u012bt iesp\u0113jamu cenu un s\u0101kotn\u0113jo izmaksu sal\u012bdzin\u0101\u0161anu biznes\u0101, kas paz\u012bstams ar savu necaursp\u012bd\u012bgumu.\n<\/p>\n
Apdro\u0161in\u0101t\u0101jiem ir j\u0101sniedz inform\u0101cija par izmaks\u0101m par 500 pakalpojumiem, kas nav neatliekam\u0101s pal\u012bdz\u012bbas pakalpojumi, kurus uzskata par \"nop\u0113rkamiem\", proti, pacientiem parasti ir laiks apsv\u0113rt savas izv\u0113les iesp\u0113jas. Feder\u0101l\u0101 pras\u012bba izriet no 2020. gad\u0101 pabeigt\u0101 noteikuma par seguma p\u0101rredzam\u012bbu.\n<\/p>\n
K\u0101 tas darbosies?\n<\/p>\n
Pacienti, zinot, ka vi\u0146iem ir nepiecie\u0161ama konkr\u0113ta \u0101rst\u0113\u0161ana, z\u0101les vai medic\u012bnas pakalpojumi, vispirms piesak\u0101s izmaksu kalkulator\u0101 sav\u0101 apdro\u0161in\u0101t\u0101ja vai, da\u017eos gad\u012bjumos, sava darba dev\u0113ja pied\u0101v\u0101taj\u0101 t\u012bmek\u013ca vietn\u0113. P\u0113c tam vi\u0146i var mekl\u0113t nepiecie\u0161amo apr\u016bpi p\u0113c r\u0113\u0137ina koda, kas daudziem pacientiem var neb\u016bt, vai p\u0113c visp\u0101r\u012bga apraksta, piem\u0113ram, \"ce\u013ca loc\u012btavas remonts\" vai \"v\u0113dera magn\u0113tisk\u0101 rezonanse\". \"Vi\u0146i var ievad\u012bt ar\u012b slimn\u012bcas vai \u0101rsta nosaukumu vai z\u0101\u013cu, par kuru cenu vi\u0146i mekl\u0113 inform\u0101ciju, devas daudzumu.\n<\/p>\n
Ne visas z\u0101les vai pakalpojumi b\u016bs pieejami pirmaj\u0101 instrumentu ievie\u0161anas gad\u0101, ta\u010du pras\u012btais 500 poz\u012bciju saraksts aptver pla\u0161u medic\u012bnisko pakalpojumu kl\u0101stu, s\u0101kot no pinnes oper\u0101cijas l\u012bdz rentgena izmekl\u0113jumiem.\n<\/p>\n
Kad inform\u0101cija ir ievad\u012bta, ir paredz\u0113ts, ka kalkulatori re\u0101llaik\u0101 apr\u0113\u0137in\u0101s pacienta izmaksas, kas j\u0101sedz no vi\u0146a kabatas.\n<\/p>\n
S\u0101kot ar 2024. gadu, pras\u012bba apdro\u0161in\u0101t\u0101jiem tiks attiecin\u0101ta uz vis\u0101m z\u0101l\u0113m un pakalpojumiem.\n<\/p>\n
\u0160\u012bs apl\u0113\u0161u r\u012bku pras\u012bbas papildina citas p\u0113d\u0113jos divos gados sp\u0113k\u0101 st\u0101ju\u0161\u0101s pras\u012bbas par cenu inform\u0101cijas atkl\u0101\u0161anu, kas paredz, ka slimn\u012bc\u0101m un apdro\u0161in\u0101t\u0101jiem ir publiski j\u0101publisko savas cenas, tostarp t\u0101s, par kur\u0101m tie ir vienoju\u0161ies, k\u0101 ar\u012b izmaksas pacientiem, kas maks\u0101 skaidr\u0101 naud\u0101 vai nav apdro\u0161in\u0101ti.\n<\/p>\n
Tom\u0113r da\u017eas slimn\u012bcas nav piln\u012bb\u0101 izpild\u012bju\u0161as \u0161o 2021. gada inform\u0101cijas atkl\u0101\u0161anas direkt\u012bvu, un j\u016blij\u0101 publiskotie apdro\u0161in\u0101t\u0101ju dati ir tik apjom\u012bgi, ka pat p\u0113tniekiem ir apgr\u016btino\u0161i tos lejupiel\u0101d\u0113t un analiz\u0113t.\n<\/p>\n
Cenu apl\u0113\u0161u r\u012bki var pal\u012bdz\u0113t aizpild\u012bt \u0161o plaisu.\n<\/p>\n
Jaun\u0101s apl\u0113ses ir personaliz\u0113tas, apr\u0113\u0137inot, cik liela gada pa\u0161riska da\u013ca pacientiem v\u0113l ir j\u0101maks\u0101 un cik liels ir vi\u0146u apdro\u0161in\u0101\u0161anai piem\u0113rojamais limits. J\u0101nor\u0101da ar\u012b summa, ko apdro\u0161in\u0101t\u0101js maks\u0101tu, ja pakalpojums b\u016btu \u0101rpus t\u012bkla. Pacienti var piepras\u012bt, lai inform\u0101cija tiek sniegta pap\u012bra form\u0101t\u0101, ja vi\u0146i to izv\u0113las nevis tie\u0161saist\u0113.\n<\/p>\n
Apdro\u0161in\u0101t\u0101jiem vai darba dev\u0113jiem, kas nenodro\u0161ina \u0161o r\u012bku, var tikt uzlikts naudas sods vismaz 100 ASV dol\u0101ru dien\u0101 par katru skarto personu, kas ir iev\u0113rojams stimuls iev\u0113rot noteikumus, ja tie tiek piem\u0113roti.\n<\/p>\n
Ir ar\u012b atrunas: Pat\u0113r\u0113t\u0101jiem, kas izmanto \u0161os r\u012bkus, j\u0101b\u016bt re\u0123istr\u0113tiem attiec\u012bgaj\u0101 vesel\u012bbas pl\u0101n\u0101, un nav garantijas, ka gal\u012bg\u0101s izmaksas b\u016bs tie\u0161i t\u0101das, k\u0101 nor\u0101d\u012bts.\n<\/p>\n
Tas ir t\u0101p\u0113c, ka \"\u0101rst\u0113\u0161anas gait\u0101 neparedz\u0113ti faktori, kas var b\u016bt saist\u012bti ar papildu pakalpojumiem vai pakalpojumu sniedz\u0113jiem, var rad\u012bt liel\u0101kas faktisk\u0101s izmaksu dal\u012b\u0161anas saist\u012bbas\", raksta feder\u0101lie regulatori, izkl\u0101stot \u0161os noteikumus.\n<\/p>\n
Apdro\u0161in\u0101t\u0101ji nav atbild\u012bgi par nepareiziem apr\u0113\u0137iniem.\n<\/p>\n
T\u0101 k\u0101 izmaksu apl\u0113ses var at\u0161\u0137irties no gal\u012bg\u0101s cenas vai nu t\u0101p\u0113c, ka proced\u016bra bija sare\u017e\u0123\u012bt\u0101ka, nek\u0101 s\u0101kotn\u0113ji bija paredz\u0113ts, vai ar\u012b t\u0101p\u0113c, ka p\u0113d\u0113j\u0101 br\u012bd\u012b to veica cits pakalpojumu sniedz\u0113js, viens no riskiem ir tas, ka \"es varu sa\u0146emt r\u0113\u0137inu par 4000 ASV dol\u0101riem, un es b\u016b\u0161u neapmierin\u0101ts, jo j\u016bs man teic\u0101t 3000 ASV dol\u0101ru,\" teica Gerards Andersons, vesel\u012bbas politikas un vad\u012bbas un starptautisk\u0101s vesel\u012bbas profesors D\u017eona Hopkinsa universit\u0101tes Bloomberga sabiedr\u012bbas vesel\u012bbas skol\u0101.\n<\/p>\n
Daudzi apdro\u0161in\u0101t\u0101ji jau agr\u0101k ir pied\u0101v\u0101ju\u0161i izmaksu apr\u0113\u0137in\u0101\u0161anas r\u012bku versijas, ta\u010du p\u0113t\u012bjumi liecina, ka tos faktiski izmanto neliela da\u013ca apdro\u0161in\u0101to.\n<\/p>\n
Feder\u0101lie regulatori aizst\u0101v\u0113ja pras\u012bbu par apl\u0113\u0161u r\u012bkiem, rakstot, ka, lai gan daudzi apdro\u0161in\u0101t\u0101ji tos ir nodro\u0161in\u0101ju\u0161i, jaunajos noteikumos ir noteikti konkr\u0113ti parametri, kas var b\u016bt detaliz\u0113t\u0101ki nek\u0101 iepriek\u0161\u0113j\u0101s versij\u0101s.\n<\/p>\n
Izkl\u0101stot gal\u012bgo noteikumu, Medicare & amp; Medicaid Services Centers nor\u0101d\u012bja, ka da\u017ei iepriek\u0161\u0113jie kalkulatori \" tirg\u016b pied\u0101v\u0101 tikai pla\u0161a diapazona apl\u0113ses vai vid\u0113j\u0101s cenu apl\u0113ses, kas izmanto v\u0113sturisko piepras\u012bjumu datus \" un ne vienm\u0113r ietver inform\u0101ciju par to, cik daudz pacients ir uzkr\u0101jis, lai sasniegtu gada atskait\u0101mo summu vai no kabatas limitu.\n<\/p>\n
A\u0123ent\u016bra apgalvo, ka \u0161\u0101da cenu atkl\u0101\u0161ana pal\u012bdz\u0113s cilv\u0113kiem sal\u012bdzin\u0101t cenas un galu gal\u0101 var pal\u012bdz\u0113t pal\u0113nin\u0101t pieaugo\u0161\u0101s medic\u012bnas izmaksas.\n<\/p>\n
Ta\u010du tas nav pa\u0161saprotami.\n<\/p>\n
\" CMS ir daudz cilv\u0113ku, kuri uzskata, ka tas b\u016btiski ietekm\u0113s situ\u0101ciju, ta\u010du vi\u0146iem ir ar\u012b ilgs laika periods,\" teica konsult\u0101ciju uz\u0146\u0113muma Guidehouse komerci\u0101l\u0101s vesel\u012bbas direktors Deivids Br\u0113gmens.\n<\/p>\n
\u012astermi\u0146\u0101 rezult\u0101tus var b\u016bt gr\u016bt\u0101k paman\u012bt.\n<\/p>\n
\" Liel\u0101k\u0101 da\u013ca pacientu masveid\u0101 neizmanto \u0161os r\u012bkus,\" teica H\u0101rvarda Medic\u012bnas skolas vesel\u012bbas apr\u016bpes politikas profesors Dr. Ateev Mehrotra.\n<\/p>\n
P\u0113c vi\u0146a teikt\u0101, tam ir daudz iemeslu, tostarp neliels finansi\u0101lais stimuls, ja vi\u0146iem ir j\u0101maks\u0101 vien\u0101ds l\u012bdzmaks\u0101jums neatkar\u012bgi no t\u0101, vai vi\u0146i dodas uz \u013coti d\u0101rgu vai l\u0113t\u0101ku \u0101rstniec\u012bbas iest\u0101di. Vi\u0146\u0161 teica, ka lab\u0101ks veids, k\u0101 pan\u0101kt, lai pacienti p\u0101rsl\u0113gtos pie l\u0113t\u0101kiem pakalpojumu sniedz\u0113jiem, ir izveidot cenu l\u012bme\u0146us, atl\u012bdzinot pacientus, kuri mekl\u0113 visrentabl\u0101kos pakalpojumu sniedz\u0113jus, ar zem\u0101kiem l\u012bdzmaks\u0101jumiem.\n<\/p>\n
Mehrotra ir skeptiski noska\u0146ots, ka izmaksu apl\u0113\u0161u r\u012bki vien sp\u0113s mazin\u0101t augo\u0161\u0101s medic\u012bnas pakalpojumu cenas. Vi\u0146\u0161 vair\u0101k cer, ka ar laiku pras\u012bba, ka slimn\u012bc\u0101m un apdro\u0161in\u0101t\u0101jiem j\u0101public\u0113 visas to nol\u012bgt\u0101s cenas, pal\u012bdz\u0113s pal\u0113nin\u0101t izmaksas, jo par\u0101d\u012bs, kuri ir visd\u0101rg\u0101kie pakalpojumu sniedz\u0113ji, k\u0101 ar\u012b to, kuri apdro\u0161in\u0101t\u0101ji vienojas par vislab\u0101kaj\u0101m cen\u0101m.\n<\/p>\n
Tom\u0113r izmaksu apl\u0113\u0161u r\u012bki var\u0113tu b\u016bt noder\u012bgi arvien liel\u0101kam skaitam cilv\u0113ku, kuriem ir augstas pa\u0161r\u0113\u0137ina likmes vesel\u012bbas apr\u016bpes pl\u0101ni un kuri par liel\u0101ko da\u013cu vesel\u012bbas apr\u016bpes pakalpojumu maks\u0101 tie\u0161i no savas kabatas, pirms vi\u0146i sasniedz \u0161o pa\u0161r\u0113\u0137ina likmi. \u0160aj\u0101 period\u0101 da\u017ei var iev\u0113rojami ietaup\u012bt, izv\u0113loties izdev\u012bg\u0101kos pakalpojumus.\n<\/p>\n
\u0160ie atskait\u012bjumi palielina \" spiedienu uz pat\u0113r\u0113t\u0101jiem, lai tie iepirktos p\u0113c cenas\", teica Brueggemans no Guidehouse. \" Vai vi\u0146i to patie\u0161\u0101m dara, ir diskut\u0113jams jaut\u0101jums. \"\n<\/p>\n
KHN (Kaiser Health News) ir valsts zi\u0146u redakcija, kas sagatavo padzi\u013cin\u0101tu \u017eurn\u0101listiku par vesel\u012bbas jaut\u0101jumiem. Kop\u0101 ar Politikas anal\u012bzes un aptauju programmu KHN ir viena no trim galvenaj\u0101m KFF (Kaiser Family Foundation) darb\u012bbas programm\u0101m. KFF ir bezpe\u013c\u0146as organiz\u0101cija, kas sniedz inform\u0101ciju par vesel\u012bbas jaut\u0101jumiem.\n<\/p>\n
Parakstieties uz KHN bezmaksas r\u012bta zi\u0146u.\n<\/p><\/p>\n","protected":false},"excerpt":{"rendered":"
L\u012bdz Julie Appleby \u0160ogad jums ir nepiecie\u0161ama medic\u012bnisk\u0101 apr\u016bpe, un pirms ie\u0161anas \u0101rsta kabinet\u0101 v\u0113laties noskaidrot, k\u0101das b\u016bs j\u016bsu kabatas izmaksas? \u0160im nol\u016bkam ir pieejams jauns r\u012bks, vismaz apdro\u0161in\u0101tiem pacientiem. No 1. janv\u0101ra vesel\u012bbas apdro\u0161in\u0101t\u0101jiem un darba dev\u0113jiem, kas pied\u0101v\u0101 vesel\u012bbas apr\u016bpes pl\u0101nus, ir j\u0101nodro\u0161ina tie\u0161saistes kalkulatori, lai pacienti var\u0113tu ieg\u016bt detaliz\u0113tus apr\u0113\u0137inus par […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[96],"tags":[],"class_list":["post-51806","post","type-post","status-publish","format-standard","","category-health"],"_links":{"self":[{"href":"https:\/\/forbaby.blog\/lv\/wp-json\/wp\/v2\/posts\/51806","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/forbaby.blog\/lv\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/forbaby.blog\/lv\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/forbaby.blog\/lv\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/forbaby.blog\/lv\/wp-json\/wp\/v2\/comments?post=51806"}],"version-history":[{"count":0,"href":"https:\/\/forbaby.blog\/lv\/wp-json\/wp\/v2\/posts\/51806\/revisions"}],"wp:attachment":[{"href":"https:\/\/forbaby.blog\/lv\/wp-json\/wp\/v2\/media?parent=51806"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/forbaby.blog\/lv\/wp-json\/wp\/v2\/categories?post=51806"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/forbaby.blog\/lv\/wp-json\/wp\/v2\/tags?post=51806"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}