Ngati John Hopkins ataya CareFirst, mwayi wopeza chithandizo kwa odwala uli pachiwopsezo

A Johns Hopkins achenjeza odwala pafupifupi 300,000 kuti madotolo awo, anamwino ndi othandizira ena azaumoyo sangalandire inshuwaransi yaumoyo ya CareFirst BlueCross BlueShield kuyambira pa Disembala 5, ndikuyika pachiwopsezo cha odwala.

Ma Hopkins ndi Care First alibe ndalama zolipirira mitengo yomwe kampani ya inshuwaransi imalipira posamalira anthu ku Hopkins, omwe amapereka chithandizo chachikulu m’derali pachipatala, chapadera, komanso chachipatala.

Akuluakulu a CareFirst adadzudzula Hopkins kuyika “anthu omwe timawatumikira pamodzi” pakati pa zokambirana za mgwirizano zomwe zinayamba mu June, zomwe zinatsutsidwa ndi Kevin W. Sawers, pulezidenti wa Johns Hopkins Health System ndi wotsatila wamkulu wa Johns Hopkins Medicine.

“Ichi chinali chisankho chovuta kwambiri ndipo sichinali njira yoyika odwala pakati,” adatero Sawers. “Sitinatengere chigamulochi mozama.”

Anatinso chithandizo chaumoyo chikuyenera kupereka chidziwitso kwa masiku 90 asanachoke pa intaneti. Zokambirana za mlungu ndi mlungu zikupitilira za mgwirizanowu, womwe umakhudza pafupifupi opereka 4,000 olembedwa ndi Hopkins ku Johns Hopkins Main Hospital ndi Bayview Medical Center ku Baltimore, komanso Howard County General Hospital ku Columbia, Maryland, Suburban Hospital ku Bethesda ndi Sibley Memorial Hospital ku Washington. Othandizira m’malo opangira opaleshoni odziyimira pawokha, kuphatikiza omwe ali ku Bethesda ndi Columbia, nawonso akhudzidwa.

Kuphatikiza paopereka chithandizo, zipatala za Hopkins ku Maryland zithanso kuchoka pamanetiweki, ngati Hopkins ndi Care First sangathe kukwaniritsa mgwirizano pofika pa Marichi 5, kutanthauza kuti kugona kuchipatala sikudzaphimbidwa.

Zosinthazi zipangitsa kuti anthu ngati Deborah Wassertzog, yemwe wapulumuka khansa katatu yemwe amafunikira kuyang’aniridwa mwatcheru ndi gulu la akatswiri, amakakamira kuti apeze inshuwaransi yatsopano posachedwa. Monga womasulira wodziyimira pawokha, adalembetsedwa ndi CareFirst kudzera mu Affordable Care Act.

“Kukhala ndi katswiri yemwe ndimawona yemwe amawona odwala ambiri ngati ine ndikofunikira kwambiri, motero sizili ngati nditha kupita kwa dokotala wina,” adatero.

Wassertzug, wazaka 50, anapezeka ndi khansa ya m’mapapo mu 2013 ndipo kenako inafalikira m’mapapu ndi muubongo. Ali pachiwopsezo, koma mankhwala a khansa omwe amamwa adayambitsa kutupa kosalekeza kwa retina ndi iris – zovuta zomwe zidasokoneza masomphenya ake ndipo zimafunikira chisamaliro cha dokotala wamaso ku Hopkins. Izi zikuphatikiza ndi gastroenterologist, rheumatologist ndi oncologist.

Katswiri wake wa oncologist, yemwe amagwira ntchito ola limodzi pa sabata ku Sibley pafupi ndi kwawo kwa Wassertzug ku Rockville, amagwira ntchito ya khansa yapakhungu, yomwe imafunikira kuyezetsa miyezi inayi iliyonse ndi mtundu wapadera wa kuyezetsa magazi komwe kumakhala ngati njira yochenjeza kuti khansa ibwererenso.

“Ndikukayikira [for] Kwa aliyense yemwe ali ndi khansa kapena akudwala khansa, mwina choyipa kwambiri chomwe angamve ndichakuti pakhala zosokoneza pakulandila kwawo chisamaliro kapena kuwonedwa, adatero. Mukufuna kuti zinthu ziyende bwino. Zingakhale zodetsa nkhawa kwambiri kuti musinthe.

Sawers, purezidenti wa Hopkins, adati bungwe la zaumoyo lidathetsa mgwirizano wake ndi CareFirst chifukwa mitengo yomwe inshuwaransi imalipira Hopkins chifukwa cha chithandizo chaothandizira ndi 40 peresenti yotsika kuposa makampani ena akuluakulu, monga Cigna ndi Aetna – kusiyanasiyana komwe adafotokoza kuti sikungatheke.

Iye anati: “Tinaona ngati tafika pamene tinali kutali kwambiri moti tinkafunika kuwauza zimenezi.

Kampani ya inshuwaransi idzalipira $ 95 miliyoni, ndikuthetsa mkangano womwe watenga zaka zambiri pazachuma zochulukirapo pazopanda phindu.

Mkangano umabwera nthawi isanafike pomwe odwala ambiri amasankha inshuwaransi yazaumoyo chaka chamawa, ndikuwonjezera kupsinjika kwa CareFirst. Hopkins ndi CareFirst amalandira mafoni kuchokera kwa odwala omwe ali ndi nkhawa, ndipo kuwonjezera pa makalata ndi maimelo, Hopkins wapanga kanema momwe Wofesa amawonekera.

Akuluakulu a Hopkins ndi Care First adati chisamaliro chitha kupitiliza, ngakhale palibe mgwirizano, kwa anthu ena omwe ali ndi matenda oopsa, matenda osowa kapena khansa zina, kapena kwa omwe adalembetsa nawo mayeso azachipatala.

“CareFirst yakhala ikulimbikitsa kwambiri kuti kukwera kwamitengo ya Johns Hopkins kukhala koyenera pazokambirana izi, chifukwa ndalama zilizonse zowonjezera zitha kuwonjezera kulemetsa kwa olemba anzawo ntchito komanso mabanja omwe akumva kuti ali ndi nkhawa pazachuma chosatsimikizika ichi,” adatero akuluakulu aboma.

Stephen Sacks, wazaka 72, wogwira ntchito ku DOE yemwe adapuma pantchito kwanthawi yayitali adalembetsa ku CareFirst komanso Medicare, akuti pothetsa mgwirizanowu podikirira zokambirana zomaliza, Hopkins akukakamiza CareFirst kuti achitepo kanthu.

“Akufuna kuti awone yemwe ayambe kuphethira,” adatero.

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