Ukuboniswa Kwaphakathi Nonyaka

Lezi yizikhathi ezisichazayo.

Angikhulumi ngezikhathi eziphawuliwe: lezo zikhathi zezinhlekelele nokuziqhenya okufaka amagama nezithombe ku-psyche yethu ehlangene. Esikhundleni salokho, ngikhuluma ngemvamisa ethule, ehlale ibalulekile, lapho sinquma ngokweqiniso ukuthi lokho esikufundile kuzokulolonga ukuthi singobani. Kuyavunywa, lokhu kungazwakala kuyinkondlo encane kakhulu ekufakweni kwebhulogi mayelana nokusebenza kwenkampani, kepha empeleni simzuzwana oyingqayizivele emlandweni wenkampani yethu, iphuzu lapho izehlakalo zesikhathi sethu zenzeka ngqo esikhaleni i-Colorado Access eyakhelwe kuso ukubhodla. Ukulandisa kwethu kuzobhalwa ngokuthi sisigcwalisa kanjani leso sikhala.

Ngezindlela eziningi, uhhafu wokuqala ka-2021 ube yisikhathi sokucabanga nokuphendula kwenkampani yethu. Sicabanga kanjani ngokufanelekile ngezehlakalo zango-2020, futhi siphendula kanjani ngempumelelo? Ngezinye izindlela, izinyanga eziyisithupha ezedlule bekulokhu kungukuzibophezela kokuzibophezela kwethu ezintweni esizibhalisele lapho samukela isibopho njengeNhlangano Ephendula Yesifunda. Ngazo zonke izindlela, lezi zinsuku eziyi-180 noma ezingaphezulu kube yithuba lokuhlanganisa lezo zinto zibe yizwe lethu eliphelele, eliqondakala kakhudlwana — ukuhamba ngenhloso phakathi kwemicabango yokulingana nezenzo eziyibangelayo, kwenziwe njengokwesekela nokwethembela kubantu nozakwethu esibasebenzelayo.

Kulo nyaka, amaqembu ezempilo eColorado Access, ukuphathwa kokunakekelwa kanye nezinhlelo zokusebenza asebenze, ngempumelelo, ukwethula izinhlelo ezinkulu zokuxhasa ukugonywa kwe-COVID-19 okuhlose ukuxhuma amalungu kuzinsizakusebenza nakwezemfundo nokusiza ukusetha izikhundla. Kusukela ngoMeyi, ngokwesibonelo, i-100% yamalungu abanjelwe ekhaya eColorado afinyelelwe ngokuxhaswa ngemigomo yawo. Amathimba okubandakanya umphakathi asebenzela ukuthuthukisa nokusebenzisa okunye ukuxhaswa ngezimali kwezinhlelo ezintsha ezincike ngqo ezindabeni zokungalingani futhi zifuna ukunika amandla abalingani bomphakathi ekufinyeleleni nasekusebenzeni kwabo. Imali yeCommunity Innovation Pool izogxila ezindaweni ezinjengokuqinisa ipayipi labasebenzi basemtholampilo elilinganayo nokukhuthaza imfundo yezempilo efinyelelekayo ngokwesiko kanye nokufunda nokubhala. Olunye uhlelo oluthile, inselelo yokwakhiwa kokulingana kwezempilo, izobiza abahlanganyeli abahlukanisiwe mayelana nodaba lokukhulelwa okuyingozi kakhulu kubantu be-BIPOC, futhi iphonsele inselelo ababambiqhaza ukuthi bakhe isisombululo sohlelo ngokusebenzisa umhlangano wokuxazulula izinkinga wokuxazulula izinkinga. Ngasikhathi sinye, abasebenzi bezobudlelwano nabahlinzeki basebenzela ukuthuthukisa ukuqonda okujulile kwenethiwekhi yethu kanye nemithelela i-COVID-19 eye yaba nayo kozakwethu abaningi abahlinzeki. Lo msebenzi udinga umzamo wokufinyelela ogxile, ohlanganisiwe, futhi osebenzayo futhi awudali kuphela idatha ethuthukisiwe mayelana nenethiwekhi yethu, kepha kubudlelwano obuthuthukisiwe nabahlinzeki bethu nokwethenjwa okuphezulu ku-Colorado Access njengomlingani osekelayo-into okunzima ukuyibala, kepha kungenzeki ukufaka esikhundleni.

Ithimba lethu lokuzibandakanya kwamalungu liyaqhubeka nemizamo yalo yokuqonda kangcono ulwazi lwelungu futhi ligcwalise lokho kuqonda kube yinqubomgomo esebenzayo. IColorado Access izinikele ekwenzeni ulwazi lwelungu lethu lube ngcono kakhulu, futhi lokhu kuqala ngozwela, ukucatshangelwa, nenhlonipho; isebenza ngezindlela ezahlukahlukene; futhi kuholela ezixazululweni ezigxile ezinkingeni zomhlaba wangempela. Ezinyangeni ezizayo, ukubandakanyeka kwamalungu kuzosebenza ngqo namalungu ukwazisa, ukuxoxa, nokulalela — kanye nokwakha izindlela zokwabelana ngolwazi lwamalungu nezithameli ezahlukahlukene.

Kuyo yonke inhlangano — njengomphumela oqondile wokuphindwaphindwa kokungalingani kwe-COVID-19 — wonke amaqembu azibophezela ekubukeni ngokujule kakhulu ezifundeni zethu, esebenzisa imininingwane efanelekile neningi, ulwazi, nolwazi ukwakha umbono ophelele ngabantu esibasebenzelayo, abahlinzeki esibasekelayo, nezindawo abahlala kuzo nabasebenza kuzo. Lo ngumsebenzi othokozisayo onamandla okuhlela kabusha indlela esibheka ngayo amathuba ethu okuxhumana namalungu, ukusebenza nabahlinzeki, kanye nokuqhuba imiphumela yezempilo ethuthukisiwe.

Ngasikhathi sinye, iColorado Access iyaqhubeka nomsebenzi wethu njengomholi ekuphathweni, ekwakheni nasekuhambiseni izinhlelo zezempilo kubantu baseColorado abasengozini enkulu. Izinguquko ku-CHP + Managed Care Network yombuso zengeze umthwalo owengeziwe endimeni yethu njengomlawuli we-CHP +. Amathimba ethu okuphatha ezempilo nokusetshenziswa ayaqhubeka ukusebenzisana nabalingani ezinkundleni eziningi ukuthuthukisa inethiwekhi, ukubambisana, nezinqubo zokuhlangabezana nezidingo zenzuzo esetshenziswayo yokusetshenziswa kwezidakamizwa (SUD) Medicaid. Lokhu akucishe kube lula njengoba umusho odlule ukuwenza uzwakale, njengoba unqamula imikhakha eminingi yobungcweti futhi ujikeleza ndawonye isitshulu semithethonqubo, izinzuzo, okulindelwe kanye nokwenza okuhle, nolwazi lomtholampilo ukudala indawo lapho amalungu alwa ne-SUD angathola ukunakekelwa komtholampilo, kokuziphatha, nangokomzwelo abakudingayo.

Ithimba lokusekelwa kweColorado Access lihlanganise umsebenzi nezikhungo zezempilo yengqondo zomphakathi kanye nabalingani bethu bezempilo abathuthukisiwe ukuze babambisane ekuphatheni izidingo zokunakekelwa kwezempilo kwamalungu ethu angama-800 anezidingo eziyinkimbinkimbi, aletha indlela edidiyelwe yokunakekelwa kwezempilo okusonga isimilo nokuziphatha ngokomzimba. ukuphathwa kwezempilo kanye nezinsizakalo zibe iphakethe elihlangene lokunakekelwa kwamalungu aludinga kakhulu. Futhi ngaso sonke isikhathi, amaqembu ethu okuphatha ukunakekelwa aqhubeka nokusiza izinkulungwane zamalungu e-Colorado Access — amaningi anezidingo ezinzima — ukuzulazula ohlelweni oludidayo futhi okungahle kubonakale kungathetheleli futhi kusabisa. Kusukela ezikhumbuzweni zokunakekelwa, ukusiza ngezinsizakusebenza ezingezona ezokwelapha, ukusekelwa komuntu siqu njengokuhambela i-aphoyintimenti nelungu, uthando kanye nolwazi lwabaphathi bethu bokunakekelwa bekulokhu, futhi kuyaqhubeka nokuba ngumenzi umehluko ezimpilweni zabantu abaningi.

Imizamo yethu, nokho, ayigcinanga lapho. Kuze kube manje, phakathi kuka-2021, amaqembu e-Colorado Access asungule uhlelo lokukhumbuza amazinyo amalungu amasha, aneminyaka engu-0 kuya kwengu-17, ukuwakhumbuza (noma abazali bawo) ukuthi avakashele amazinyo minyaka yonke; futhi wethula amakhasi amaningi e-internet okufika kuwo ukuhlinzeka ngemfundo nolwazi kumalungu azungeze izihloko ezinjengokuhlolwa komdlavuza omnyama, ukuyeka ugwayi, kanye nokuqwashisa ngokuzibulala nokuvimbela. Sixhasile futhi sizoxhasa imicimbi yebhizinisi engaphezu kweshumi nambili ukusiza abahlinzeki bethu kanye nabalingani bomphakathi ukuthi babungaze impumelelo yabo futhi bafeze izinhloso zabo; wabamba iqhaza emizamweni emisha yokugoma i-COVID-19, efana nomqhudelwano webhola lezinyawo weConcacaf kanye nohlelo lokushayela umuthi wokugoma amabhasi e-RTD; futhi ngisebenze nohlelo iLittle Big Fridge ukusiza ukuthola ukudla kulabo abaswele. Ngaphezu kwalokho, ulwazi lwethu olunzulu nobungoti bethu bekuveziwe njengoba amalungu ethimba ebemenyiwe ukuthi azofakaza phambi kwamakomidi ezomthetho, asebenze futhi abamba iqhaza emakomitini amaningi, amaqembu okusebenzela, nasemabhodini omphakathi, futhi ethulwa ezingqungqutheleni zezwe ezahlukahlukene, njengeMedicaid I-Innovations Conference, ama-webinars amaningi we-Medicaid Health Plans of America, ama-Bright Spots ku-Health Care podcast kazwelonke, kanye nengqungquthela ye-Mostly Medicaid kazwelonke yehlobo… ukubala nje ezimbalwa. Lokhu kumane nje kuyisiqalo seqhwa eliyisaga. Amaqembu e-Colorado Access asekwenzile, futhi aqhubeka nokukwenza, kakhulu kakhulu ukugoqa kubhulogi lamagama le-1200.

Ingxenye ethokozisa kakhulu yalokhu, nokho, wukubona ukuthi, ngemuva kweminyaka engama-25, uhambo lwethu luyisiqalo ngempela. Kukhona amandla avuselelwe, kuyo yonke inkampani, ukusesha lezo zinto ezingalungile njengoba kufanele, azizinhle ngangokunokwenzeka, aziphelele njengoba zaziyoba ngaphandle kwethu, futhi sizinikeze thina ukuze bathuthuke. Ngokwalokho engikubona nsuku zonke, uthando luyinto yangempela futhi lukhona — futhi kulapho amandla ethu ekhona. Lezi akuzona izikhathi eziphambili ze-2020, kepha izikhathi ezichazayo ekuvukeni kwazo. Asikaze sibekwe kangcono ukuhola indlela ekuhlanganiseni kwayo.