Oku ugqityo iza kunye neendleko Apha umfanekiso ukuba ingxowa Kwi-orenji, oko kubonisa indlela rhoqo payers wacela eyilwayo yemali kwi-blue(ish), oko kubonisa indlela rhoqo baya ulucimile eyilwayo yemali
Owona indawo ekuyo into ka-mngeni kwaye rejections bevela imali nkonzo (FFS) Medicaid iinkqubo ke eziqhelekileyo Medicaid iinkqubo sebenzisa yi-ngamnye urhulumente.
Olandelayo ephezulu amazinga ka-mngeni kwaye rejections bevela Medicaid zilawulwe care iinkqubo, apho ngokuqhelekileyo involve yabucala i-inshorensi iinkampani ukulawula Medicaid abamkeli' inkathalelo iindleko. Umfanekiso engezantsi ibonisa indawo ekuyo into kweebhili wacela kwaye indawo ekuyo into abo saliwe: Ezi-data baba kusini na kwi-Health Imicimbi kwaye kuza kwi-database capturing yentlawulo ulwazi kwi-jikelele, physicians, ngo. I-data akunayo ngokwaneleyo ulwazi ukubonisa ukuba ngaba ezi intlawulo denials baba kufanelekileyo okanye ezingafanelekanga. Kodwa abazange benze nika a uluvo njani burdensome kubalulekile kuba physicians' ii-ofisi ukufumana intlawulo kuba iinkonzo zabo. Ukusabela intlawulo denials iindleko phulo kwaye imali, ngamanye amaxesha efuna clinicians ukuthatha ixesha kude nomonde care ngoko ke banako zichaza ukuba i insurance company kutheni othile inkonzo waba kubonisiwe. Ukwenza imicimbi worse, nkqu xa Medicaid ingaba reimburse kuba kagqirha iinkonzo, inkqubo kuthatha ixesha elide ukwenza njalo. Apha umfanekiso ukuba isiphumo: Americans deserve inkathalelo coverage, nokuba ukusuka abucala okanye uluntu coffers. Kodwa i-american physicians kanjalo deserve ngokufaneleka intlawulo xa sukuba ukubonelela luyafuneka care yabo patients.
