Mpikisano wamsika mu Medicare umayendetsa mtengo wotsika,…

Monga aku America pafupifupi 30 miliyoni akudziwa kale, Medicare Advantage imapereka chithandizo chamankhwala chotsika mtengo, chokwanira, chapamwamba. Koma mapulani a Medicare Advantage amaperekanso zopindulitsa zakutali, zanthawi yayitali, zoyendetsedwa ndi mpikisano wamphamvu pakati pa othandizira inshuwaransi yazaumoyo pamsika wa Medicare Advantage.

Zotsatira zake ndi Mtengo wotsikaZosankha zambiri komanso mwayi wopeza zabwino kwa mamiliyoni achikulire ndi anthu olumala.

Mu 2023, Medicare Advantage ipereka zosankha zazikulu kwa anthu aku America omwe ali oyenerera ku Medicare. Ndipotu, Medicare Advantage ikuyembekezeka kuonjezera chiwerengero cha anthu olembetsa pamene kuchepetsa malipiro – kutanthauza pulogalamu yathanzi yomwe ili ndi mpikisano wamphamvu womwe ukupitiriza kupereka phindu kwa onse olembetsa ndi okhometsa msonkho. Umu ndi momwe:

Mtengo wotsika

Malipiro apamwezi a Medicare Advantage a 2023 ndi $ 18 pamwezi, kutsika pafupifupi 8% kuchokera pamtengo wapakati wa 2022.

Pafupifupi 94% ya zigawo * ndipo pafupifupi 99% ya anthu aku America omwe ali oyenerera kulandira Medicare Advantage adzakhala ndi mwayi wopeza dongosolo limodzi la mankhwala a Medicare Advantage Part D ndi ndalama zonse zokwana $0 (Medicare benefit ndi Part D yolembedwa ndi mankhwala) mu 2023.

Awiri mwa magawo atatu (66%) a mapulani onse a mankhwala a Medicare Advantage Part D alibe malipiro a 2023.

Zosankha zina

Mapulani a Medicare Advantage amapezeka pafupifupi ku America aliyense yemwe ali woyenera ku Medicare, ndipo kusankha pakati pa mapulani kukukulirakulira: Pafupifupi 98% ya anthu aku America omwe ali oyenerera ku Medicare Advantage adzakhala ndi chisankho cha mapulani 10 a Medicare Advantage m’chigawo chawo mu 2023-kuyambira onse awiri. 2021 ndi 2022. **

Zosankha zambiri zilipo kwa anthu aku America oyenerera ku Medicare omwe amakhala kumidzi, nawonso. Chiwerengero chonse cha zosankha za Medicare Advantage m’maboma akumidzi chawonjezeka kupitilira 12,200 mu 2023 kuchokera pafupifupi 5,500 mu 2022.

Anthu aku America ali ndi zosankha zambiri kuposa kale pazolinga zomwe zimakwaniritsa zosowa zathanzi monga shuga, matenda amtima, dementia, kapena HIV/AIDS. anthu omwe amafunikira chisamaliro chapadera; Kapena iwo omwe ali oyenerera ku Medicare ndi Medicaid.

mwayi wabwinoko Ubwino

Mpikisano pakati pa mapulani a Medicare Advantage ukuyendetsa zopereka zowonjezera kwa okalamba ndi olumala.

  • Mu 2023, osachepera 97% ya mapulani a Medicare Advantage amapereka phindu pakuwona, kulimbitsa thupi, telehealth, kumva, kapena udokotala wamano.
  • Oposa 99% a ku America omwe ali oyenerera Medicare ali ndi mwayi wopeza ndondomeko imodzi ya Medicare Advantage yomwe imapereka mano, kulimbitsa thupi, masomphenya, ndi kumva phindu la 2023-zopindulitsa zomwe sizinaphatikizidwe mu Original Medicare.
  • Ambiri aku America omwe ali oyenerera Medicare ali ndi mwayi wopeza imodzi kapena zingapo za Medicare Advantage mapulani omwe amapereka mapindu a telehealth (kuposa 99%), zinthu zogulitsira (99%), zopindulitsa zachakudya (99%), ndi mayendedwe othandizira. (98%) ndi / kapena ntchito zothandizira kunyumba (87%).

Othandizira inshuwaransi yazaumoyo akudzipereka kulimbikitsa mpikisano wamphamvu kuti apatse anthu aku America zosankha zambiri, zabwinoko komanso zotsika mtengo. Medicare Advantage ndi chitsanzo chabwino cha phindu lomwe anthu aku America amatha kusangalala nalo chaka ndi chaka chifukwa cha mpikisano wopambana wamsika.

Kaya ikupereka zisankho zambiri zamadongosolo azaumoyo zomwe zimagwirizana ndi zosowa za munthu, kupereka chithandizo chamankhwala chapamwamba chophatikizika pamlingo waukulu, kapena kupereka mwayi wokulirapo ku mapulani azaumoyo ndi $ 0 premium ndi chithandizo chamankhwala, mpikisano pamsika wa Medicare Advantage ukuthandiza kuyendetsa bwino kwambiri Phindu ku mamiliyoni aku America pulogalamuyo imagwira ntchito.

* AHIP Analysis of Landscape and Premium profiles, kupezeka pa intaneti https://www.cms.gov/medicare/prescription-drug-coverage/prescriptiondrugcovgenin

**Chiwerengero cha zigawo ndi zidziwitso paziyeneretso zochokera pa Seputembara 2022 “MA State/County Penetration 2022 09” fayilo yomwe ikupezeka pa intaneti pa https://www.cms.gov/research-s…ndi mafayilo amtundu omwe amapezeka pa intaneti pa https:/ /www.cms.gov/research-s… https://www.cms.gov/medicare/p…. Zindikirani kuti mafayilo amtundu ali ndi data pamapulani aku Puerto Rico, koma osati madera ena.

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