Isidingo Sokunakekelwa Kwempilo Yengqondo Yasemva kokubeleka eColorado ixhaphake kodwa ihlala ihoywa, ikhokelela ekufikeleleni kweColorado ekucebiseni ukuba kwandiswe izibonelelo zasemva kokubeleka kwabantu baseMedicaid.
Ukufikelela eColorado kuxhasa icandelo le-9 le-SB21-194 yokwandisa izibonelelo zezeMpilo zoMama zaMalungu eMedicaid ukusuka kwiintsuku ezingama-60 ukuya kwiinyanga ezili-12, Ukuvumela oomama abatsha ukuba baFikelele kuKhathalelo oluPhambili loMzimba kunye nokuziphatha.
Emthethweni-ngoMeyi 4, 2021 -Kwimeko yesizwe esijamelana nengxaki yezempilo yoomama engavisisani ngokungafaniyo nabasetyhini bemibala, iColorado Access ijoyina imibutho yasekuhlaleni kwinkolelo yokuba ukwandisa ukubeleka emva kokubeleka iMedicaid kunye ne-CHP + ukusukela kwiintsuku ezingama-60 ukuya kunyaka , njengoko kucacisiwe kwiCandelo 9 loMthetho oYilwayo weSenethi 21-194, uyakwenza umahluko ophucukileyo ekuphuculeni ukufikelela kukhathalelo kwaye ekugqibeleni kuphuculwe iziphumo zempilo.
Uxinzelelo kunye noxinzelelo zibonisa ezona ngxaki zixhaphakileyo ngexesha nasemva kokukhulelwa. Ukuxhasa kunye nokubeka phambili impilo yengqondo yabo bonke abantu abakhulelweyo nabasemva kokubeleka kubalulekile kwimpilo yabasetyhini, abantwana kunye neentsapho eColorado. Ukongezwa kokugubungela ukubeleka emva kokubeleka kuya kuvumela ukufikelela kweColorado kunye nemibutho efanayo ukuba isebenze ngcono oomama abatsha kuyo yonke ukuqhubeka kwezidingo zabo zokhathalelo lwempilo, kubandakanya nokhathalelo lwempilo yengqondo.
Idatha ekhoyo evela kwiSebe laseColorado lezeMpilo yoLuntu kunye neNdalo esingqongileyo ibonisa ukuba abaNtsundu, abesifazana abanga-Hispanic kunye nabasetyhini kwiMedicaid / CHP + banamazinga aphezulu oxinzelelo lwasemva kokubeleka (PPD); phakathi ko-2012-2014, i-16.3% yabasetyhini abaMnyama, abangengabo abemi baseSpain baxela ukuba baneempawu zoxinzelelo kwithuba lasemva kokubeleka xa kuthelekiswa ne-8.7% kuphela yabasetyhini abamhlophe, abangabo baseSpain. Kwangokunjalo, i-14% yabasetyhini kwiMedicaid / CHP + banamava eempawu zePPD xa kuthelekiswa ne-6.6% yabasetyhini abane-inshurensi yabucala (umthombo). Kubalulekile ukuba uqaphele ukuba iimfuno zempilo yengqondo yasemva kokubeleka zinokuxelwa kakhulu kwaye, enyanisweni, ukuxhaphaka kunokwenzeka ukuba kuphakame kakhulu.
Kwi-2019, bekukho abantu abazalwa ngokuzalwa abangama-62,875 kwiphondo laseColorado; kwezi, i-15.1% (9,481) yayingamalungu eColorado Access. Kwilizwe liphela, iipesenti ezi-5.6 (3,508) zabo bonke abazalwayo zazingabantu abaMnyama, abangomama abangabemi baseSpain (umthombo), xa kuthelekiswa ne-14.9% (1,415) phakathi kokuzalwa okugutyungelwe yiColorado Access. Kungenxa yokuba ukufikelela kweColorado kugubungela isabelo esingahlukangayo sabasetyhini abaMnyama, abangengabo abamaSpanishi eColorado, kwaye ngenxa yokuba beqonda umngcipheko ophakamileyo we-PPD kuluntu ngokukodwa, lubekwe ngokukodwa njengombutho wokuhlangabezana ngcono neemfuno zokhathalelo lwempilo. amalungu ayo ngexesha lokuzala.
Umbutho woMama osempilweni, inkqubo esempilweni yabantwana ibe sisibonelelo samalungu ayo ngaphezulu kweminyaka emihlanu, ukubonelela ngenkxaso ejikeleze kunye nokufikelela kukhathalelo lwaphambi kokubeleka, iinkqubo zempilo yengqondo, iWIC, ukuhanjiswa kwabantwana, njl.njl. Ngexesha lokukhulelwa nasemva nje kokubeleka. Nangona kunjalo, iingxaki zempilo yengqondo azinyanzelekanga ukuba zivele, kwaye azinyangwa, kwiintsuku zokuqala ezingama-60 emva kokuzalwa.
"Siyazi ukuba oomama bethu basemngciphekweni omkhulu wokufumana ubunzima kulo nyaka wokuqala wobomi, kwaye kubaluleke kangakanani ukubonelela ngenkxaso yempilo yengqondo engaphazamiseki kumalungu ethu," utshilo uKrista Beckwith, umlawuli omkhulu wezempilo yabemi kunye nomgangatho. “Yiyo loo nto kubalulekile ukuba abasetyhini abakwiMedicaid bagcine ubhaliso lwabo kwiinyanga ezilishumi elinesibini zokuqala emva kokubeleka. Oomama abatsha akufuneki bakhathazeke malunga nokuba baya kuba nakho ukufikelela kwiinkonzo kunye nenkxaso abayifunayo ngexesha lonyaka wokuqala obalulekileyo. ”
Omnye umboneleli wezempilo oziphetheyo onika olu hlobo lwenkxaso ngu-Olivia D. Hannon Cichon we-Olive Tree Counselling, LLC. Ngoku ugqibezela isatifikethi sempilo yengqondo esibelekweni ukuze ajolise ngakumbi kwimpilo yengqondo yoomama nasemva kokubeleka.
"Ukusuka kumava am obuqu kunye nobungcali, ndiyakholelwa ukuba iinzame zokukhathalela oomama abasemva kokubeleka kufuneka zandiswe," utshilo uHannon Cichon. “Kwinyanga ephelileyo okanye emalunga nokukhulelwa, oomama bahlala bebonwa ngugqirha ngeveki. Emva kokuzalwa, abaphiliswa kwakhona de umntwana abe neeveki ezintandathu ubudala. Ngelo xesha, umama uye wafumana utshintsho olukhulu kwiihomoni, akalali ngokwaneleyo kwaye uyasebenza kokubini ngokwasemzimbeni nangokweemvakalelo okuhlala kubangelwa kukuzalwa. ”
Inqanaba lempumelelo yokunyanga uxinzelelo lwasemva kokubeleka ngama-80% (umthombo). Ukongeza, uphando lubonisa ukuba ukugubungela ngaphambi, ngexesha kunye nasemva kokukhulelwa kukhokelela kwiziphumo ezilungileyo zoomama neentsana ngokuququzelela ufikelelo olukhulu kunyango. Ukwandisa ukhuseleko kukhathalelo lwasemva kokubeleka linyathelo elinentsingiselo nelifunekayo eliya kuthi ekugqibeleni liphucule impilo yeColorado kunye noluntu lwayo.
Mayelana neColorado Access
Njengelona candelo likhulu nelinamava kwicandelo likarhulumente kwezempilo kurhulumente, ukufikelela kwiColorado ngumbutho ongenzi nzuzo osebenza ngaphaya kokuhamba nje kweenkonzo zempilo. Inkampani ijolise ekuhlangabezaneni neemfuno ezizodwa zamalungu ngokusebenzisana nababoneleli kunye nemibutho yoluntu ukubonelela ngononophelo lomntu olungcono ngeziphumo ezinokulinganiswa. Uluvo lwabo olubanzi nolunzulu lweenkqubo zommandla nezasekhaya ziyabavumela ukuba bahlale bagxile kukhathalelo lwamalungu ethu ngelixa besebenzisana neenkqubo ezinokulinganiswa kunye noqoqosho ezizinzileyo ezibakhonza ngcono. Funda ngakumbi kwi cooccess.com.