UGretchen McGinnis, ilungu leCandelo eliLawulayo lokuPhatha kweColorado, elibizwa ngokuba yi-State Innovation Model Workgroup
I-AURORA, iColo. -Ukufikelela kweColorado kuyakuvuyela ukwazisa ukuba uGretchen McGinnis, usekela-mongameli omkhulu weenkqubo zokhathalelo lwempilo kunye nokhathalelo olunika ingxelo kwisicwangciso sezempilo esingenzi nzuzo, wakhethwa ukuba abe yinxalenye yekomiti entsha ebalulekileyo. I-State Innovation Model (i-SIM) yeQela loPhuhliso lwezeMpilo kwiQela loQeqesho liqela elinamalungu angama-24, eliqale ukuhlangana ngasekupheleni kuka-Agasti. Iqela lisebenza ukuphuhlisa iingcebiso kunye nokuchonga iingqwalaselo eziphambili zendlela yokuhlawula yonke intlawulo kuhlahlo-lwabiwo mali lokuhlawula ukhathalelo lwempilo kwezinye iindawo zasemaphandleni eColorado.
"Kwimimandla yasemaphandleni, kunokubakho iintsuku apho isibhedlele singenakho ukutyelelwa kwesebe likaxakeka kunye neentsuku xa kukho ezintlanu, kodwa igumbi lexakeka kufuneka livulwe ngalo lonke ixesha," ucacisile uMcGinnis. "Kwimodeli yentlawulo yenkonzo, izibhedlele zihlawulwa kuphela ngeenkonzo ezinikezelwayo - yinkqubo enkulu, engalindelekanga kwizibhedlele ukugcina iinkonzo zifumaneka kunye nokubonelela ngobubanzi beenkonzo uluntu oludinga loo mali ingathembekanga."
Ukujongana nezi ngxaki, iColorado inokulandela uhlahlo-lwabiwo mali ngokuzithandela lwezibhedlele kwiindawo ezikhethiweyo ezisemaphandleni. Imodeli yohlahlo-lwabiwo mali lwehlabathi ithembisa umjelo wengeniso ozinzileyo wababoneleli abazimeleyo ngevolumu yesigulana kwaye kujongwe ukuba banike ababoneleli ithuba lokutshintshela kwiimodeli ezintsha zokhathalelo ezinokuphucula iziphumo zempilo, ukufikelela kwiinkonzo zokuthintela kunye nokudityaniswa kwenkonzo. Iimodeli zohlahlo-lwabiwo mali lwehlabathi zibandakanya ukulindelwa kokugcina okanye ukuphucula umgangatho wononophelo kunye nokunciphisa iindleko zonyango ngexesha.
Iqela elisebenzayo livavanya ukwenzeka kwesisombululo esicetywayo sohlahlo-lwabiwo mali kwaye liya kungenisa ingxelo kwi-ofisi yegosa likarhulumente ngoDisemba. Eli qela libandakanya abathathi-nxaxheba boluntu abavela kwiindawo ezahlukeneyo, kubandakanya abameli beSebe lezeMpilo kunye noMgaqo-nkqubo wezezimali, iCandelo le-Inshurensi, iofisi ye-rhuluneli, indawo yezamashishini, izibhedlele zasemaphandleni ezintathu, nangaphezulu.
"Zininzi iindlela ezahlukeneyo," utshilo uMcGinnis. "Sisebenza ngokukuko xa sinokuhlangana silwe neengxaki zethu size nesisombululo esinyanisekileyo eColorado."
UMcGinnis usebenza njengommeli ovela kwiQumrhu eliPhendulayo loMmandla (RAE), ezisa umbono ophambili kwiqela lomsebenzi.
“Njenge-RAE, iColorado Access ayizukuhlawula ngokwenyani kule modeli kodwa esinye sezizathu zokuba siziswe etafileni kungenxa yokuba siyayiqonda indlela ezisebenza ngayo ezi nkqubo- izibhedlele zasemaphandleni kufuneka zidibanise izibhedlele zononophelo oluphezulu kwiindawo ezinabantu kunye nendlela yokufikelela kukhathalelo olukhethekileyo. Njenge-RAE, sinokuba namandla ekwenzeni ezinye izisombululo, njenge-telemedicine kunye nobudlelwane phakathi kwabanikezeli bommandla. Siyinxalenye yale komiti ngenxa yemfuno noxanduva lwethu lokujonga ukhathalelo lwempilo lulonke kwingingqi yethu, kwaye sincede ekukhokeleni umgaqo-nkqubo wotshintsho kwilizwe liphela kolawulo olulandelayo nakwixesha elizayo. ”
Ukuthatha inxaxheba kukaMcGinnis kwiqela lomsebenzi kuhambelana kakhulu nomsebenzi wokufikelela kwiColorado: ukusebenzisana noluntu kunye nokuxhobisa abantu ngokufikelela kumgangatho, ukhathalelo olufikelelekayo.
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Ngokufikelela kwiColorado:
Eyasungulwa kwi-1994, i-Colorado Access yiplani yezempilo yangaphandle, engenzi nzuzo ekhonza amalungu kulo lonke elaseColorado. Amalungu eenkampani athola unyango lwempilo phantsi kweSicwangciso seMpilo yeNtwana kunye (CHP +), kunye ne-Health First Colorado (Inkqubo ye-Colorado Medicaid) yokuziphatha kunye nempilo yenyama, kunye neenkqubo zenkxaso zangexesha elide. I-Colorado Access inikezela ngeenkonzo zokunxibelelana ngononophelo kwaye ilawula izibonelelo zempilo zengqondo nezempilo kwimimandla emibini njengenxalenye yeProgram ye-Accountable Entity program nge-Health First Colorado. Ukufikelela kwiColorado yinkampani enkulu yelizwe yokungena, inxibelelaniso kwinkonzo yexesha elide kunye neenkxaso zeMpilo yokuqala yeColorado abafumana kwiinqununu zedolophu ezinhlanu zaseDenver. Ukuze ufunde kabanzi nge-Colorado Access, tyelela i-coaccess.com.