Walmart ndi UnitedHealth asayina mgwirizano wazaka 10 wokhudzana ndi chisamaliro choyenera

Walmart ndi UnitedHealth Inc. alowa mu mgwirizano wazaka 10 kuti apereke chithandizo chamankhwala, kuyang’ana okalamba poyamba, makampani adalengeza Lachitatu.

Mgwirizano pakati pa ogulitsa ndi kampani yophatikizika yophatikizika yazaumoyo – zimphona zaku US zomwe zimakhala ndi ndalama zapachaka za mabiliyoni mazanamazana a madola – zimabwera pomwe Walmart ikuyang’ana kuti ipange njira yake yoperekera chisamaliro ndipo UnitedHealth ikuwoneka kuti ikukulitsa mapulani ake a Medicare Advantage.

Chiyanjano chothandizira chisamaliro chamtengo wapatali chidzayamba chaka chamawa ndi malo a 15 Walmart Health ku Florida ndi Georgia, ndipo idzafalikira kumadera atsopano pakapita nthawi, malinga ndi kumasulidwa.

Kuyambira mu Januwale, UnitedHealth ndi Walmart adzagwiritsa ntchito dongosolo la Medicare Advantage ku Georgia, lotchedwa UnitedHealthcare Medicare Advantage Walmart Flex. Kuphatikiza apo, chithandizo chamankhwala cha Walmart Health chikhala pa intaneti ndi dongosolo la UnitedHealthcare’s Choice Plus PPO, kutanthauza kuti pafupifupi mamembala 20 miliyoni a UnitedHealthcare alandila chisamaliro chenicheni cha Walmart.

Optum, kampani ya UnitedHealth Health Services, iperekanso zida zowunikira ndi zisankho ku Walmart Health kuthandiza madokotala ake kupereka chisamaliro chokhazikika.

Woimira Walmart anakana kugawana nawo ndalama zomwe zachitika.

Pamapeto pake, cholinga chake ndikutumikira mazana masauzande a okalamba ndi opindula ndi Medicare pamakonzedwe amtengo wapatali kudzera mu mapulani angapo a Medicare Advantage-ndipo potsirizira pake apitirire kwa iwo omwe ali mu ndondomeko zamalonda ndi Medicaid kupyolera muzochitika zamagulu azaumoyo, pa-kauntala ndi. mankhwala Makampani anati mankhwala, mano ndi masomphenya ntchito.

Mgwirizano wa mphamvu ziwiri zamphamvu ukhoza kupanga gulu la makasitomala atsopano kwa Walmart ndi UnitedHealth. Mapulani a MA akupitilizabe kutchuka pakati pa okalamba ku United States, ndipo mapulani a Medicare oyendetsedwa mwachinsinsi akuyembekezeka kupitilira Medicare yachikhalidwe pofika 2023.

UnitedHealth imagwira ntchito m’modzi mwa omwe amalipira anthu payekhapayekha ku United States komanso ndiyomwe imapereka chithandizo chachikulu cha MA ndi olembetsa pafupifupi 8 miliyoni. Kuyanjana ndi kampaniyo kuli ndi kuthekera kokulitsa kwambiri kugwiritsa ntchito kwa Walmart Health Clinics, yomwe idakhazikitsidwa mu 2019 kuti ipereke chisamaliro chotsika mtengo komanso chachangu, komanso ntchito zina monga X-ray, thanzi labwino ndi mano, zowongolera. odwala opanda kapena inshuwaransi osauka m’madera ovutika.

Komabe, kampaniyo yachoka pamitengo yandalama “yotsika kwambiri” m’malo oyambilira, pomwe malo ake atsopano aku Florida akugulitsa pafupifupi 90% ya omwe amalipira boma.

Walmart yayika ndalama zambiri pakukulitsa Walmart Health, ndipo pakadali pano ikugwira ntchito m’malo 27 kudutsa Arkansas, Florida, Georgia ndi Illinois. Koma wogulitsa akukumana ndi mpikisano wokhwima kuchokera kumayiko ena ogulitsa mankhwala omwe akuyang’ananso kukhala khomo lakutsogolo la chithandizo chamankhwala chambiri kuposa mankhwala olembedwa.

CVS Health pakali pano ikukonzanso maukonde ake ogulitsa kuti aphatikizire ntchito zambiri zaumoyo, kuphatikiza zipatala zotsogozedwa ndi madokotala zokhala ndi katundu wophatikizika komanso wanyumba. Kampani yaku Rhode Island yosamalira zaumoyo idavomera kupeza kampani yosamalira zaumoyo kunyumba Signify Health sabata ino kwa $ 8 biliyoni pambuyo pankhondo yayitali yolimbana ndi ogula ena, kuphatikiza UnitedHealth.

Panthawiyi, Walgreens akukonzekera kutsegula zipatala za 200 zomwe zimagawidwa ndi VillageMD chaka chino, ndipo zangomaliza kumene $ 330 miliyoni kupeza ndalama zambiri pa nsanja ya luso la chisamaliro chapakhomo CareCentrix kumapeto kwa August.

Kuphatikizika kwa Walmart Health kwa ntchito zosamalira anthu mu dongosolo la Choice Plus PPO kumabwera patadutsa miyezi ingapo UnitedHealth idalengeza kuti ikukonzekera kuwonjezera kufalitsa kwake kwa chithandizo chanthawi zonse cha 2023, komanso kuyesa ndikuwunika kwa mamembala ake.

MA ndi gawo lofunikira pakukula kwa kampaniyo, monganso Optum, yomwe imagwiritsa ntchito mazana a madokotala ndi odwala kunja, komanso luso la kusanthula lomwe limakoka deta kuchokera kwa olipira ndi othandizira kuti agwirizane ndikuwongolera chisamaliro.

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