UGretchen McGinnis, Ilungu le-Colorado Access Executive Team, elibizwa nge-State Innovation Model Workgroup

I-AURORA, iColo. - Colorado Access iyajabula ukumemezela ukuthi uGretchen McGinnis, oyinhloko iphini likaMengameli wezinhlelo zokunakekelwa kwezempilo kanye nokunakekelwa kwecala lokuzibophezela ohlelweni lwezempilo olungenzi nzuzo, wakhethwa ukuba abe yingxenye yamakomidi amasha abalulekile. I-State Innovation Model (i-SIM) I-Rural Health Innovation Ibhajethi Yomhlaba Wonke Iqembu lomsebenzi liyingxenye yeqembu le-24, elaqala ukuhlangana ngasekupheleni kuka-Agasti. Leli qembu lizama ukuthuthukisa izincomo futhi libheke ukucabangela okuyinhloko kwendlela yokubhalwa kwemali yesabelomali yonke yokukhokhela ukunakekelwa kwezempilo kwezinye izindawo zasemaphandleni zaseColorado.

"Endaweni yasemaphandleni, kungase kube nezinsuku lapho isibhedlela singenaso ukuvakashelwa komnyango okuphuthumayo kanti nezinsuku lapho kunezinhlanu, kodwa igumbi lokuphuthumayo kumele livuleke ngaso sonke isikhathi," kuchaza uMcGinnis. "Esikhathini sendlela yokukhokha imali, izibhedlela zikhokhwa kuphela ngezinsizakalo ezinikezwayo - uhlelo olukhulu, olungalindelekile lwezibhedlela ukugcina izinsizakalo ezitholakalayo nokuhlinzeka ububanzi bezinsizakalo umphakathi ezidinga ngale mali engathembeki."

Ukuze uxazulule lezi zinkinga, iColorado ingase ilandele amabhajethi womhlaba wonke ngokuzithandela ezibhedlela ezindaweni ezikhethiwe. Imodeli yesabelomali yomhlaba wonke ithembisa ukusakaza okusimeme kwengeniso kwabahlinzeki abazimele ngevolumu yesiguli futhi okuhloswe ukuvumela abahlinzeki ithuba lokushintshela emakhulwini omnakekelo omnakekelo omnakekeli okuzokwenza ngcono imiphumela yezempilo, ukufinyelela kumasevisi okuvimbela nokuhlanganiswa kwezinsizakalo. Izindlela zebhajethi zomhlaba wonke zihlanganisa nokulindela ukugcina noma ukuthuthukisa ikhwalithi yokunakekelwa okuhlinzekelwe kanye nokunciphisa izindleko zokunakekelwa kwezempilo ngokuhamba kwesikhathi.

Iqembu leqembu lihlola ukuthi kungenzeka yini isisombululo sesabelomali esilungisiwe futhi sizohambisa umbiko ehhovisi likahulumeni kuDisemba. Leli qembu libandakanya abathintekayo emphakathini ezivela ezizindeni ezihlukahlukene, kubandakanya abamele uMnyango WezeMpilo Nokunakekelwa Kwezezimali, i-Division of Insurance, ihhovisi likahulumeni, umphakathi wezamabhizinisi, izibhedlela ezintathu zasemakhaya, nokuningi.

"Kunezindlela eziningi ezihlukene," kusho uMcGinnis. "Siphumelele kakhulu uma singabuthana ndawonye futhi sibhekane nezinkinga zethu futhi size nesisombululo esiyiqiniso ngempela eColorado."

UMcGinnis ukhonza njengommeleli ovela kwi-Regional Accountable Entity (RAE), okuletha umbono obalulekile eqenjini.

"Njengengqungquthela ye-RAE, i-Colorado Access ngeke impela ibe yikhokhelo yangempela kule modeli kodwa esinye sezizathu esiye salethwa etafuleni ingenxa yokuthi siqonda ukuthi lezi zinhlelo zisebenza kanjani ndawonye - ukuthi izibhedlela zasemakhaya kudingeka zixhumane nezibhedlela zokunakekelwa eziphakeme ezindaweni ezinabantu abaningi nokuthi kunakekelwa kanjani ukunakekelwa okukhethekile. Njengo-RAE, singaba namandla ekwenzeni ezinye izixazululo, njenge-telemedicine kanye nobuhlobo phakathi kwabahlinzeki esifundeni. Siyingxenye yale komiti ngenxa yemfuno yethu kanye nomthwalo wemfanelo wokubheka ukunakekelwa kwempilo sonke esifundeni sethu, futhi usize ukuqondisa inqubomgomo yokuguqula izwe kulokhu kuqondiswa okulandelayo nangesikhathi esizayo. "

Ukubamba iqhaza kukaMcGinnis eqenjini lomsebenzi kuhambisana kakhulu nenjongo ye-Colorado Access: ukusebenzisana nemiphakathi nokunika amandla abantu ngokusebenzisa ukufinyelela kwekhwalithi, ukunakekelwa okungabizi.

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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 lwe-Colorado's Medicaid Program) impilo yokuziphatha kanye nempilo, nezinhlelo zenkxaso yesikhathi eside. I-Colorado Access inikeza izinsizakalo zokunakekela ukunakekelwa futhi iqondisa izinzuzo zokuziphatha ezempilo nezempilo ezifundeni ezimbili njengengxenye yohlelo lwe-Regional Accountable Entity ngokusebenzisa i-Health First Colorado. I-Colorado Access yiyona ejensi enkulu kunazo zonke e-state yokungena, eqondisa isevisi yesikhathi eside futhi isekela abamukeli be-Health First Colorado ezindaweni eziyisihlanu zemiphakathi yaseDenver. Ukuze ufunde kabanzi mayelana ne-Colorado Access, vakashela i-coaccess.com.