UGretchen McGinnis, Ilungu Lesigungu Esiphethe seColorado Finyelela, Iletha Okuhlangenwe Nempilo Kwezempilo Ehlukile Ekuhlukanisweni KweNkampani Yomshwalense Ukunakekelwa Kwenkokhelo Yomshwalense
DENVER - UGretchen McGinnis, usekela likamongameli ophezulu wezinhlelo zokunakekelwa kwempilo nokunakekelwa okusebenzayo eColorado Access, ukhethwe ukuthi azosebenza kwi-Divisheni Yomshuwalense Wokunakekelwa Kwenkokhelo Yomshuwalense. I-Collaborative, njengoba isanda kuhlangana ngo-Agasti 19, 2019, igxile ekuthuthukiseni ukunakekelwa okuyisisekelo nokunikeza izincomo kukhomishani womshuwalense mayelana nokutholakala kwemali eColorado, futhi izothuthukisa amasu okutshala imali ekunakekelweni okuyinhloko okuletha ukunakekelwa okuyikho endaweni efanele lapho isikhathi esifanele.
"Ngiyadunyiswa ukumela wonke umsebenzi owenziwe yiColorado Access ukusekela umsebenzi owenziwa ngabanikeli bethu abasaqala ukunakekelwa," kusho uMcGinnis. Ngaphezulu kweminyaka engu-20 yokunakekelwa kwempilo, uMcGinnis uletha ukuqonda okuhlukile kwezinhlelo zokunakekelwa kwempilo nenqubomgomo yomphakathi ku-Collaborative.
Amalungu ayi-19 e-Collaborative asebenza njengabahlinzeki bezokunakekelwa kwempilo, abathengi kanye nabameli, abahlinzeki bemishwalense bezempilo, kanye nezinye izindima embonini yezokunakekelwa kwempilo. Bonke bakhethwa yiColorado Division of Insurance (DOI). Leli qembu lizosebenzisana ne-DOI futhi lizoxoxisana noMnyango Wezinqubomgomo Zokunakekelwa Kwezempilo Nezimali, uMnyango Wezabasebenzi Nokuphathwa, kanye ne-Colorado All-Payer Claims Database (APCD).
Amalungu enza amahora amane kuya kwayisithupha ngenyanga ngonyaka wokuqala, oqala ngoJulayi 2019 kuya kuJuni 2020. Kunemihlangano eyodwa kuya kwemibili ngenyanga, ehlanganisa izihloko ezisukela kwimikhuba yokubuyiselwa kwabathwali kuya kumazinga wokufinyeleleka.
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Mayelana ne-Colorado Access
Isungulwe ku-1994, i-Colorado Access iyinhlangano yezempilo yangakini, engenzi nzuzo ekhonza amalungu kuwo wonke ama-Colorado. Amalungu enkampani athole ukunakekelwa kwezempilo ngaphansi kweSingane Sezempilo Sezingane plus (CHP +) ne-Health First Colorado (Uhlelo lweMedicaid lweColorado) ngokuziphatha nangokomzimba, nezinsizakalo zesikhathi eside futhi zisekela izinhlelo. Le nkampani futhi ihlinzeka ngezinsizakalo zokuxhumanisa ukunakekelwa futhi iphatha izinzuzo zokuziphatha nezempilo yomzimba ezifundeni ezimbili njengengxenye ye-Accountable Care Collaborative Programme ngokusebenzisa i-Health First Colorado. IColorado Access iyisikhungo esikhulu kunazo zonke sokungena, esixhumanisa insizakalo yesikhathi eside futhi isekela abamukeli be-Health First Colorado ezifundeni ezinhlanu zedolobha laseDenver. Ukuze ufunde kabanzi ngeColorado Access, vakashela coaccess.com.