Ifowuni ye-911 ye- ambulensi kwaye mhlawumbi unokuhlaselwa yintliziyo xa ufumana ibhilikhi. Ama-ambulance ayedla ngokukhululeka. Zibiza iindleko ezininzi ukuze zihlale endleleni kwaye zihlawulise ezininzi ukuze zikufumane ukusuka kwinqanaba A ukuya kutsho B. Uzakuhlawula malini? Lo mbuzo phantse akukho mntu uya kukwazi ukuphendula kuwe, ingakumbi kungeyiyo i- paramedics .
Uluntu kunye noBucala
Ngokungafani nokunyanzeliswa komthetho kunye namasebe amaninzi omlilo , ii-ambulensi ziphantse zihlala zizimeleyo njengoko ziza kuba ngamaziko karhulumente (njengesebe lomlilo okanye isebe lezempilo loluntu).
Kungakhathaliseki ukuba i-agulance agency ephendula i-call yakho ye-911 ilawulwa ngu rhu lumente okanye ibhanki yotyalo-mali, mhlawumbi ngeke ukwazi ukuchazela umahluko.
Iiparamedics ziyafana nokuba zisebenzela urhulumente okanye cha. Abakhathaleli ngamatyala. Banyamekela ukunyanga izigulane nokufumana abantu kwizibhedlele ezifanelekileyo.
Kwaye ukuba i-ambulensi ingeniso-nzuzo, engekho inzuzo, okanye i-public owned ownership, bonke baya kuthumela i-bill. Kwamasipala amaninzi, ii-ambulensi yinkomo yeenkomo eziza kunceda ezinye iinkonzo zongxamiseko (okanye zicinga ukuba zincedisa ngemali ngelixa zingenakunceda kakhulu).
Iintlawulo kunye neeqoqo
Eli bhili liya kuba likhulu kakhulu. E-US, ii-ambulensi zihlawulwa ngendlela engaphezulu kunokuba ziqokelele. Yileyondlela kulo lonke ilizwe. Isizathu sizinga lokuqokelela. Ikhampani ye-ambulensi ingathumela iindleko ezili-10 kwi $ 1,500 nganye. Izimbini zeebhili ihlawulwa ngokupheleleyo.
Enye ibhili-mali iya kuhlawulwa ngu-Medicare kwi-$ 450. Eminye emibini nguMedicaid kwi $ 105 nganye. Abanye bangase bahambe bengabonwanga ngenxa yokuba isiguli singenayo i-inshorensi okanye idilesi ukuthumela ibhilikhwe.
Emva kokuba i-3,660 yee-$ kuyo yonke iqokelelwa kwaye ihlawulwe kwii-bhuloli ze-ambulensi ezili-10, i-bill ye-$ 1,500 iba yi-$ 366 yokuqokelelwa, malunga neepesenti ezingama-24.4, ezingekho konke okubi.
Akusizwanga ukuba inkampani ye-ambulensi iqokelele iipesenti ezili-10 zee-billings zayo, okanye zibi. Leyo ayikho eyodwa kwii-ambulensi-yinkinga ekunakekelweni kwezempilo ngokubanzi.
Ukuba iinkampani ze-ambulensi zingenzi ngokwaneleyo kwiikholeji, kutheni zingabonisi iirhafu? Babenako, kodwa kuphela abancinci abahlawuli baya kukhangela ummeli. Ukuba uthe wakhulisa iipesenti zeepesenti ezili-10, ngababambiseneli bentengiso kuphela baya kuhlawula ibhilikhwe epheleleyo. Ngoko emva kokuhlawula i-$ 1,650 yezihlandlo ezilishumi, uya kuqokelela i-$ 1650 yezihlandlo kabini, i-$ 450 kwihambo le-Medicare kunye ne-$ 210 yeefowuni ezimbini zeMedicaid. Iimali zeMedare neeMedicaid zibekwe ngu rhu lumente, ngoko azinandaba nokuba uninzi kangakanani. Izigulane ezingagqithwanga ezikukhuphayo okokuqala ziya kuhoxisa ibhajethi xa iipesenti ezili-10 ziphezulu.
Emva kokuba konke kushiwo kwaye kwenziwe, iipesenti ezi-10 ezinyukayo kwiintlawulo ziya kukufumana i-$ 300 eyongezelelweyo, enokuthelela umyinge u-$ 396, okwangama-24 ekhulwini.
Uhlawulo oluyinkimbinkimbi
Icandelo lento eyenza le nto yonke into ehlekisayo yinkqubo yokuhlawula. Andiyi kukuzalela ngeenkcukacha, kodwa imigaqo yokuhlawula iyinye inxalenye yevododoo magic kunye neengxenye ezintathu zomthetho. Qala ngeShedyuli yoTywala yeMedaretha epapashwe ngonyaka ngemigangatho-yintoni i-Medicare iya kuhlawula-kwaye yongeza kwiinkcukacha ezinzima "ezinxibelelwano" zentengiso yabanini-zentengiso.
Buza i-ambulensi ye-ambulance biller ukuba ichaze indlela i-bill bill isetyenziswa ngayo. Ndiyaxela ukuba akakwazi ukwenza ngendlela enengqiqo. Baya kwenza inkokhelo, kodwa abakwazi ukuyichaza ngokulula. Yinto enzima. Ngenxa yeso sizathu, abasebenzi be-paramedic abasabela kwifowni yakho abayi kukwazi ukucacisa ibhilikhwe nokuba bafuna.
Ixabiso elinzima lokuqalisa
Kuphi na loo mali ihamba, kunjalo? Iimbulance zixabiso. Awufuni ukuba ne- paramedic yokwenza umvuzo omncinci uphendule kwimeko yengxamisekileyo yonyango. Amayeza kunye ne-EMT yiyona nxalenye ebiza kakhulu yempendulo. Ngokwiphepha elipapashwe yi-General Accounting Office, abasebenzi bezonyango benza malunga neepesenti ezingama-61 zeendleko zokusebenza zelo ambulensi.
I-Fuel, ukuqesha i-ofisi, iindleko zokulawula, ukugcinwa, kunye nezinto ezenziwayo zenza ubuninzi bezinye.
Yongeza konke okokuba i-ambulensi ayisoloko iqhuba iifowuni. I-ambulensi inokuthutha isiguli kuphela emva kweeyure ezintathu. Abaphathi be-ambulance babala inani ukuze bawancede ukuba baqonde kakuhle ukuba le nkampani iqhuba kakuhle kangakanani. Hlukanisa inani lokuthutha ngeenombolo nganye zee-ambulensi enkonzweni. Oku kubizwa ngokuba yiyunithi yokusetyenziswa kweeyure (UHU) kwaye luhlobo lwe-ambulance batting average.
Enyanisweni, imilinganiselo emihle yokubetha i malunga ne-UHU enhle ibonakala; into ephantse ku-0.300 okanye njalo. Indlela yokusebenzisa i-UHU ukubona indlela i-ambulensi eyenzayo ukuyiphindaphinda ngesixa esiqhelekileyo sokuhamba kwe-ambulensi ($ 366, kumzekelo wethu). Ngoko, i-UHU ye-0.300 eyanda ngokuhamba kwee-ambulensi uhambo lwama-366 angayinika i-$ 122, oko kukuthi i-ambulance yethu eqhelekileyo ifumana ngeyure, ngaphantsi koogqirha abaninzi. Ngaphandle koko, zonke ezo ndleko kufuneka zihlawulwe.
Izibonelelo zoThutho
Usenokuzibuza ukuba kutheni ndiqhubeka ndibhekisela kwiindlela zokuhamba okanye ukuthutha izigulane. Kungenxa yokuba le nto yodwa ininzi yokuqinisekisa, kubandakanywa nemibhoso eqhutywe ngu rhu lumente, uya kuhlawula. Abagubungela ukuphatha nje izigulane. I-paramedic okanye i-EMT ingafika kwindawo yokugulisa isigulane kwaye yenza uHeimlich, ugcine ubomi bakhe. Ukuba isigulane sinqwenele ukuhamba kakuhle kwaye singadingi ukukhwela esibhedlele, i-ambulensi esilondolozile ubomi bayo ayifumani i-dime.
Bayakwazi ukuyikhupha imali yokumncedisa, kwaye ezininzi ii-ambulensi zenza. Kodwa, inyani le nto, ininzi i-inshorensi ayiyi kuhlawula kwaye ezininzi i-ambulensi ayiyi kuyenza. Ngoko ke, xa i-arhente ze-ambulensi zenza izibalo ukuba zifumanise ukuba zinjani imali (okanye ilahlekelwa) azifaneki zifumaneke kwii-non-transport.
Ngaphandle kwento yokuba ukuthutha yindlela ephela yokuhlawulelwa, kungekhona ukuthutha yindlela eqhelekileyo yokufumana uxanduva. Ukushiya isigulane kwindawo yesexakeko (okanye kwimeko esiphuthumayo) yinto enobungozi kakhulu i-paramedic inokuthatha.
Ubu bungqina bokuba ama-paramedics awanamagwebi amakhulu xa isiguli singekho sigulo. Ngoko, kukho ithuba esinokungahambi ngalo xa singathathi umntu esibhedlele kwaye akukho ndlela ehlawulwa ngayo ngaphandle kokuba sithathe. Yintoni eyenza ingqiqo, ukuthatha okanye ukushiya?
Into onokuyenza
Okokuqala, ukuba ucinga ukuba unobungozi bonyango, khawubale umrhumo-mali. Yiya esibhedlele kwaye ulunge. Ngakolunye uhlangothi, ukuba awuzange ubize i-911 kwaye ungacingi ukuba ujongene nxamnye noxinzelelo lwezonyango, unokuhlala uthabatha uber.
Uhlala unelungelo lokulahla unyango . Musa ukwenza ukuba ugula ngokwenene, kodwa ukuba ufuna ukugcina imali kwaye awuyidingi ngempela, soloko uzimisele ukuzimela.
> Imithombo:
> (2016). Gao.gov . Ibuyiswe ngomhla we-27 kuSeptemba 2016, ukusuka http://www.gao.gov/assets/650/649018.pdf
> IShedyuli yeeMali zeMibulance - Amasebe e-Medicare & Services Medicaid . (2016). Cms.gov . Ibuyiswe ngomhla we-27 kuSeptemba 2016, ukusuka kwi-https: //www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AmbulanceFeeSchedule/index.html
> Brown LH, Hubble MW, ICone DC, Millin MG, Schwartz B, Patterson PD, Greenberg B, Richards ME. Izigqibo zeParamedic ze-medical need: uhlalutyo lweemeta. Prehosp Care Emner . 2009 ngo-Oktobha-Dec; 13 (4): 516-27. i-doi: 10.1080 / 10903120903144809. Uhlolo.
> Narad RA, Gillespie W. I-mpikiswano yecandelo loluntu ngasese: ukwahlula amaqiniso kwixabiso. Prehosp Care Emner . 1998 Julayi-Sep; 2 (3): 196-202.