Perekani malipiro amtsogolo ku zipatala zophunzitsira

Mutha kudziwa mbiri yamitengo yamasheya ya Health Care Inc. Kalata ya sabata iliyonse ya STAT yomwe imatsata kayendetsedwe ka ndalama kudzera mumayendedwe azachipatala. Lowani apa kuti mutenge mubokosi lanu.

Medicare Advantage Stocks Ikukwera

Ngati mudafunapo umboni wosonyeza kuti Wall Street ikugwera bwanji pa phindu la Medicare Advantage, musayang’anenso tsiku la Humana Investor la sabata yatha.

Akuluakulu a Humana apereka ndalama zonse zomwe akufuna: Kampaniyo idzalembetsa akuluakulu akuluakulu pazaka zitatu zotsatira; Ogulitsa kunja kwa MA amayeretsa zochita zawo kuti anthu ochepa asiye zolinga zawo; Idzawongolera mamembala ake ambiri kugawo lomwe likukula la zipatala ndi chithandizo chamankhwala kunyumba; Zonsezi zidzakulitsa zopindula, kugawana zoguliranso ndi zopindula zowonjezera.

Zotsatsa

Amenewo anali malonjezo aakulu kwambiri. Wall Street idzalanga magawo a Humana ndi chiwombankhanga chochepa kwambiri kuposa momwe amayembekezeredwa, chomwe chimayamba mkati mwa mwezi umodzi. Koma ndizoyenera kudziwa kuti Humana – kampani yomwe kwenikweni ndi MA pamasewera abwino – yaphulitsa msika wamsika pazaka khumi zapitazi. Sizikuyerekeza ndi S&P 500 yotakata ndi Dow Jones. Zonse zimathandizidwa ndi njira ina yokhoma msonkho yoperekedwa ndi Medicare yachikhalidwe. Ndipo zinthu zomwe akuluakulu a Humana sanalankhulepo, monga njira zokayikitsa zosintha zoopsa zomwe oyimba mbiri ndi owerengera akhala akulimbikitsa kwa zaka zambiri, zalipiranso chuma chake chochuluka.

Werengani nkhaniyi, yomwe ilinso ndi tsatanetsatane wa kuchuluka kwa zipatala zachipatala za Humana zomwe adzapeza ndikumanga chaka chilichonse – chodziwikiratu kuti Humana akukopera gulu lonse la UnitedHealth kuti akope asing’anga ambiri kuti athe kusunga zipatala zambiri zabwino komanso zodabwitsa za Master Dollar.

Zotsatsa

Pindulani ndi okhalamo komanso ogwira nawo ntchito

Kumayambiriro kwa mwezi uno, Brigham ndi Chipatala cha Akazi adasumira boma la federal. Chipatala chodziwika bwino cha Boston, chomwe ndi gawo la Mass General Brigham, adati amalipidwa ndalama zochepa pophunzitsa madotolo ake achichepere. Zikuoneka kuti zipatala zophunzitsa m’dziko lonselo zipeza ndalama zowongoleredwa kuti ziwerengere ndalama zochepazo.

Medicare ndiye omwe amapereka ndalama zambiri zamaphunziro azachipatala omaliza. Njira zolipirira zophunzitsira zipatala zophunzitsira madokotalawa ndizovuta, koma zimagwirizana ndi kuchuluka kwa anthu okhala ndi anzawo pachipatala chilichonse. Zaka zingapo zapitazo, zipatala zina zidasumira ndipo zinati Medicare ikuwafupikitsa ngati ali ndi anzawo ambiri. Khotilo lidavomereza, ndipo m’malamulo aposachedwa kwambiri a odwala, Medicare idasinthiratu fomula yake ndikuti igwiritsa ntchito njirayo mobwerezabwereza ku “zipatala zonse zophunzitsira.”

Mneneri wa chipatala adati Brigham ndi suti ya mayiyo inali njira yoti agoneke m’chipatala pamndandanda wodikirira komanso “kuwongolera kulipira munthawi yake.”

Ron Connelly, loya yemwe adatsogolera mlandu woyamba kuchokera ku Milton S. Hershey Medical Center ku Pennsylvania, yomwe idaphatikizidwa kuti ikhale ndi zipatala 63, adatero.

Medicare yatumiza kale zidziwitso kuti ikuwerengeranso malipiro, ndipo Connelly akuyembekeza kuti makasitomala ake azipatala azilipidwa kumapeto kwa chaka chino. Kutengera ndi zaka zingati zomwe chipatalachi chidayambanso kulipira pang’ono, malipirowo amatha kuyambira $30,000 mpaka $10 miliyoni. “Zikhala zosiyana kwambiri,” adatero Connelly.

Anamwino okwera mtengo: mwachizolowezi chatsopano?

Malipiro a anamwino oyenda atsika kuyambira koyambirira kwa chaka chino, koma zipatala zikulipirabe kuposa momwe zidalili mliriwu usanachitike. Mnzanga ku Health Care Inc. , Tara Banu, kuti zikhoza kukhalabe choncho mpaka kalekale.

AMN Healthcare, imodzi mwamakampani akuluakulu olembera anamwino mdziko muno, ikuyembekeza kuti mitengo yolipiritsa anamwino azitsika ndi 30% pakati pa gawo loyamba ndi lachinayi la 2022, Chief Financial Officer Jeff Knudson adati pamsonkhano wakubanki sabata yatha. Koma ngakhale kutsika kotsika komalizaku kukadali 35% kuposa gawo lachinayi la 2019.

Susan Salka, CEO wotuluka wa AMN, adati pamsonkhanowu kuti zambiri zomwe zikufunidwa lero ndi chifukwa cha kuchepa kwa namwino komwe kusanachitike mliriwu. Covid-19 yakulitsa vutoli chifukwa yapangitsa anamwino ambiri otopa kusiya ntchito, kusintha ntchito kapena kugwira ntchito za unamwino kunja kwa zipatala.

Congress ikufuna kuti afufuze ngati olemba ntchito ngati AMN agwiritsa ntchito mliriwu ngati chowiringula pazipatala zokweza mitengo. Salka adavomereza kuti “chiwongola dzanja chakwera,” koma adatsutsa kuti zina mwazokwera mtengo kwambiri m’zipatala ndi malipiro okwera komanso malipiro a anamwino ogwira ntchito. “Pali zofunikila kuti malipiro awa akwezedwe ndi ogwira ntchito ya unamwino,” adatero.

Medicare mayesero osasinthika a dialysis kukonza

Osakwanira anthu omwe ali ndi vuto la impso omwe amamuika kapena dialysis kunyumba, ndipo Medicare akufuna kusintha izi, mnzanga Isabella Quito akuti.

Njira yatsopano yochokera ku boma idzapereka ndalama zambiri kwa opereka dialysis ngati odwala amagwiritsa ntchito dialysis kunyumba m’malo mopita kuchipatala komanso ngati opereka chithandizo apeza odwala ambiri pamndandanda wodikirira kuti awaike. Gawo losangalatsa lachitsanzoli ndikuti limakakamiza 30% yamakampani opanga dialysis kutenga nawo gawo – ndipo ena 70% adzagwiritsidwa ntchito ngati gulu lowongolera.

Werengani nkhani yonse ya Issa, yomwe ili ndi nkhawa zomveka ngati dialysis duopoly ya DaVita ndi Fresenius “angayese kusokoneza dongosolo” polimbikitsa zoikamo, mindandanda yodikirira, ndi dialysis kunyumba kumalo omwe akuyenera kutenga nawo gawo, ndikulimbikitsa Zinthu izi ndizochepa. m’malo omwe satenga nawo mbali.

Mikangano yamakampani ndi malekezero ake

  • BREAKING NEWS LACHISANU: Daniel Haller, dokotala wa opaleshoni waku New York yemwe adasumira boma la federal kuti likhazikitse lamulo latsopano lodabwitsa lolipira, wachotsa loya wake. Sizikudziwika ngati izi zikutanthauza kuti achita apilo mlandu wake, womwe woweruza adawukana mwezi watha.
  • Kodi mwawona kuti masamba ena amankhwala ali ndi mawu oti “lankhulani ndi dokotala”? PanopaChabwino, mnzanga Katie Palmer anatero, pofotokoza momwe malangizo a telehealth ali “maloto” amakampani opanga mankhwala omwe akufunafuna kukulitsa kosavuta (komanso kokayikitsa) pakugulitsa.
  • UnitedHealth idapambana mlandu wazaka zisanu ndi chimodzi kuchokera kwa madotolo omwe adatsutsa kuti kampani ya inshuwaransi idakulitsa chindapusa chawo, malinga ndi a Jacqueline Weil waku Bloomberg.
  • Zolemba zatsopano zazachuma zomwe zafufuzidwa zikuwonetsa kuti gulu lachipatala cha Akatolika la Ascension lidayika -3.1% malire ogwirira ntchito mchaka cha 2022 chomwe chidatha mu June. Malire a Ascension anali -6.6%, pomwe kutsika kwa msika kukupitilizabe kuchepetsa ndalama zachipatala.
  • Rep. Bill Pascrell akufunsa ma feds kuti afufuze ngati HCA Healthcare ikutenga anthu molakwika kuchokera kuchipinda chodzidzimutsa, mnzanga Rachel Kors adati. Envision Healthcare imawonekeranso mu kalata ya Pascrell.
  • Ofesi ya Statistics inatulutsa lipoti lake lapachaka la inshuwaransi yazaumoyo. Chiwerengero cha 8.3% cha anthu osatetezedwa chinali chiwerengero chachikulu, koma zidutswa zina ziwiri za deta zimafotokoza nkhani yomveka bwino: Hispanics akadali owirikiza kawiri kuti akhale osatetezedwa (18.3%), ndi anthu omwe amakhala m’mayiko omwe sanafutukule Medicaid Iwo akupitirizabe. kusowa inshuwaransi pamitengo yokwera kwambiri (11.9%).

Mimi Ward

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