Kufungisisa kwepakati pegore

Idzi ndidzo nguva dzinotitsanangura.

Ini handisi kutaura nezve dzakacherechedzwa nguva: iyo nguva dzematambudziko uye pomp iyo etch mazita nemifananidzo mune yedu pamwe psyche. Pane kudaro, ndiri kutaura nezve iyo inowanzo nyarara, inogara iine kukosha mumashure, apo patinonyatso sarudza kana izvo zvatakadzidza zvichaumba zvatichava isu. Ichokwadi, izvi zvinogona kunge zvichinzwika kunge zvine poetiki zvekupinda neblog pamusoro pekambani mashandiro, asi isu tiri pachokwadi panguva yakasarudzika munhoroondo yekambani yedu, poindi apo zviitiko zvenguva yedu zviri kuitika zvakananga munzvimbo iyo Colorado Access yakavakirwa straddle. Yedu rondedzero inonyorwa nemabatiro atinoita nzvimbo iyoyo.

Munzira dzakawanda, iyo yekutanga hafu ye2021 yave iri nguva yekufungisisa uye mhinduro yekambani yedu. Tinofungisisa sei zvakakodzera nezvezviitiko zve2020, uye isu tinopindura sei zvinobudirira? Mune dzimwe nzira, mwedzi mitanhatu yapfuura yanga iri kudzokorodza kuzvipira kwedu kuzvinhu zvatakanyorerana patakatambira basa seRegional Accountable Entity. Munzira dzese, aya mazuva zana nemakumi masere nemashanu anga ari iwo mukana wekusanganisa zvinhu izvi kuita runyoro rwakazara, rwekunzwisisa pachedu - kufamba zvine chinangwa pakati pemifungo yekuenzana nezviito zvinounza, zvakatsigirwa sekutsigirwa uye kuvimba nevanhu uye vatinoshanda navo.

Gore rino, Colorado Access huwandu hwevanhu hutano, manejimendi manejimendi uye mashandiro echirongwa mashandiro akashanda, zvinobudirira, kuvhura makuru-makuru eECVID-19 zvirongwa zvekubatsira vaccination inoitirwa kubatanidza nhengo kune zviwanikwa nedzidzo nekubatsira kuseta vanhu. Kubva muna Chivabvu, semuenzaniso, zana muzana yeColorado Access nhengo dzinodzimba dzimba dzakaburitswa nerutsigiro rwejekiseni ravo. Nharaunda dzekudyidzana dzemunharaunda dziri kushanda kuvandudza nekushandisa imwezve rutsigiro rwemari yezvirongwa zvitsva zvinonamira zvakanangana nenyaya dzekusaenzana uye kutsvaga kupa simba kune vamwe vemunharaunda mukukwanisa kwavo uye kugona. Community Innovation Pool mari inotarisana nenzvimbo dzakadai sekusimbisa yakaenzana kiriniki yevashandi pombi uye kukurudzira dzidzo inowoneka yehutano uye kuverenga. Chimwe chirongwa chakatarisana, hutano hwakaenzana dhizaini dhizaini, ichasanganidza vane chekuita nenhau yehutachiona hune njodzi mukati mevanhu veBIPOC, nekupokana nevatori vechikamu kuti vagadzirise chirongwa chehurongwa kuburikidza neyakagadziriswa, yekugadzirisa matambudziko ekugadzirisa matambudziko. Panguva imwecheteyo, vashandi vehukama hwevashandi vari kushanda kukudziridza nzwisiso yakadzama yenetiweki yedu uye mhedzisiro iyo COVID-100 yakave nayo kune vedu vazhinji vatapi vevatano. Iri basa rinoda rakanangidzirwa, rakarongedzwa, uye rinoshanda rekusvitsa simba uye riri kukonzeresa kwete chete mune yakagadziridzwa dhata nezve yedu network, asi muhukama hwakasimudzwa nevatapi vedu uye kwakasimudzira kuvimba muColorado Access semubatsiri anotsigira - chimwe chinhu chakaoma kuverenga, asi zvisingaite kutsiva.

Yedu yenhengo yekudyidzana timu inoenderera mberi nekuedza kwayo kuti inzwisise zvirinani chiitiko chenhengo uye kupeta iyo nzwisiso kuita inoshanda mutemo Colorado Access yakatsaurirwa kuita kuti nhengo yedu iratidze zvakanakisa, uye izvi zvinotanga nekunzwira tsitsi, kufunga, uye kuremekedza; inomhanya nenzira dzakasiyana-siyana; uye inotungamira kune yakanangana nemhinduro kumatambudziko chaiwo-epasi. Mumwedzi iri kuuya, kubatanidzwa kwenhengo kunenge kuri kushanda zvakanangana nenhengo kuzivisa, kukurukura, uye kuteerera-uye nekugadzira nzira dzekugovana nhengo zviitiko nevateereri vakasiyana.

Pakati pesangano - semhedzisiro ye COVID-19 kudzokorora kwekusaenzana - zvikwata zvese zviri kuzvipira kutarisa kumatunhu edu, vachishandisa data rehunhu uye huwandu, ruzivo, uye ruzivo kuvaka maonero akazara evanhu vatinoshandira, vanopa rubatsiro vatinotsigira, uye nharaunda dzavanogara nekushandira. Iri ibasa rinonakidza rine mukana wekugadzirisa maitiro atinoona mikana yedu yekubatana nenhengo, kushanda nevatapi, uye kutyaira mhedzisiro yehutano.

Panguva imwecheteyo, Colorado Access inoenderera mberi nebasa redu semutungamiri mukutungamira, kuvandudza nekuendesa zvirongwa zvehutano zveveruzhinji veColorado vanotambura. Shanduko kune CHP yenyika + Managed Care Network yakawedzera mutoro kubasa redu seCHP + maneja. Hedu hunhu hunhu uye mashandisiro ekushandisa matimu anoenderera mberi achibatana nevatinoshanda navo munzvimbo dzakawanda kuti vagadzire netiweki, kudyidzana, uye maitiro ekusvitsa zvinodikanwa zvechangobva kuitiswa zvinodhaka zvekushandisa (SUD) Medicaid kubatsirwa. Izvi hazvisi zvakapusa sezvinoita mutongo wapfuura zvinoita kuti unzwike, sezvo unocheka munzvimbo dzakawanda dzehunyanzvi uye kutenderera pamwechete muto wakaomesesa wemirau, mabhenefiti, tarisiro uye maitiro akanakisa, uye ruzivo rwekiriniki kugadzira nharaunda umo nhengo dzichinetseka neSUD vanogona kuwana kiriniki, hunhu, uye kutarisirwa kwepamoyo kwavanoda.

Colorado Access tsika yekutsigira timu yakaunganidza basa nenharaunda nharaunda dzehutano hwepfungwa uye edu akakwidziridzwa emakiriniki vanobatsirana kubata-kutarisira zvido zvehutano zveinenge mazana mazana masere enhengo dzedu dzine zvido zvakaoma, kuunza nzira yakabatana yehutano inoputira hunhu uye muviri. manejimendi manejimendi uye masevhisi mune akabatana mapakeji ekuchengeta enhengo anochida zvakanyanya. Uye nguva yese iyi, edu manejimendi manejimendi ekuchengetedza anoramba achibatsira zviuru zvevamiriri veColorado Access-vazhinji vane zvinodiwa zvakanyanya-kufamba nenzira inovhiringidza uye inogona kuratidzika kunge isingaregerere uye inotyisa. Kubva kuzviyeuchidzo zvekutarisira, kubatsira neasina-ekurapa zviwanikwa, kune rutsigiro rwemunhu sekuenda kumusangano nenhengo, chishuwo neruzivo rwemaneja edu ekuchengetedza zvave, uye zvichiramba zviri, mutsauko muhupenyu hwevanhu vazhinji.

Kuedza kwedu, zvisinei, hakuna kumira ipapo. Parizvino, panguva ya2021, zvikwata zveColorado Access zvakaparura chirongwa chezino chekuyeuchidza chevechidiki nhengo, zera 0 kusvika 17, kuvayeuchidza (kana vabereki vavo) kuti vashanyire mazino egore; uye yakafumura mapeji akati wandei ekumisikidza internet kupa dzidzo neruzivo kunhengo dzakatenderedza misoro senge colorectal cancer kuongororwa, kuputa fodya, uye kuziva kuzviuraya nekudzivirira. Isu takatsigira uye tinotsigira pamusoro pezviitiko gumi nemaviri zvebhizinesi kubatsira mupi wedu nevatinoshanda navo munharaunda kupemberera kubudirira kwavo uye kuzadzisa zvinangwa zvavo; vakapinda muchirongwa chekudzivirira chekubaya COVID-19, senge mutambo weConcacaf wenhabvu uye chirongwa cheRTD chekumisa bhazi chirongwa. uye ndakashanda nechirongwa cheBig Big Fridge kubatsira kuendesa chikafu kune avo vanoshaya. Pamusoro pezvo, ruzivo rwedu rwakadzama uye hunyanzvi hwave kuratidzwa sezvo nhengo dzechikwata dzakakokwa kuti dzipupure pamberi pematare emitemo, vanoshanda uye vakapinda mumakomiti asingaverengeke, mapoka eboka, uye mabhodhi enharaunda, uye yakapihwa kumisangano yakasiyana siyana yenyika, seMedicaid Innovations Musangano, akawanda Medicaid Hutano Zvirongwa zveAmerica webinars, iyo Bright Spots muhutano Hwenyika podcast, uye Mostly Medicaid yenyika yezhizha musangano… kungo taura mashoma. Ichi chingori chirevo chechirevo chechando. Colorado Access zvikwata zvaita, uye zvinoramba zvichiita, zvakanyanya kuwanda kupinda mune 1200-izwi blog post.

Chikamu chinonyanya kufadza cheizvi, zvakadaro, kuziva kuti, mushure memakore makumi maviri nemashanu, rwendo rwedu ruri kutanga chete. Kune simba rakavandudzwa, mukati mekambani, kutsvaga izvo zvinhu zvisina kuringana sezvazvinofanira kuva, hazvina kunaka sezvazvaigona kuva, hazvina kuzara sezvaizove tisipo, uye kuzvipa pachedu. kuti vave nani. Kubva pane zvandinoona zuva nezuva, iko kushuvira kuri kwechokwadi uye kwakazara-uye imomo ndimo mune simba redu. Iyi haisi iyo misoro yenguva ye25, asi nguva dzinojekesa mukumuka kwayo. Hatina kumbobvira takamisikidzwa zvirinani kutungamira nzira kuburikidza nekumisidzana kwayo.