Ukuguga kwindawo yokuqhubela i-fuel fuel industry
Ngokwe-National Association for Care Care and Hospice, ukunakekelwa kwasekhaya kwaqala e-US ngawo-1880. Phantse abantu abayizigidi ezili-12 ngoku bafumana unonophelo kubaboneleli abangaphezu kwama-33,000. Ngo-2009, iindleko zonyaka zonyango lwezempilo zasekhaya zacetywa ukuba zi-$ 72.2 yezigidigidi.
Uhlobo lomboneleli
"Imibutho yokunakekelwa kwekhaya" iquka i-arhente yezempilo yasekhaya, imibutho yokuncedisa ekhaya, kunye ne- hospice s.
Eminye yale mibutho iqinisekisiwe yi-Medicare, evumela ababoneleli ukuba bahlawule i-Medicare ukuba bahlawulele.
- Amaphesenti angama-62 e-arhente ahlala ngokukhululeka
- Iipesenti ezili-12 zibhekiselele esibhedlele.
Ii-arhente zokunakekelwa kwekhaya ezingaqinisekisiweyo, iinkonzo zoncedo lwekhaya, kunye nezibhedlele ezihlala ngaphandle kwe-Medicare zenza izizathu ezahlukeneyo. Ngokuqhelekileyo abanikezeli ububanzi beenkonzo ezifunwa yiMedare, njengokuba unonophelo olunyamekela ngononophelo.
Iinkonzo
Iinkonzo zezempilo zasekhaya ziquka:
- Iinkonzo zeeMpilo zeKhaya
- IiNkonzo zoLuntu ngezeNtlalo
- IiNkonzo zoLondolozo
- Iinkonzo Zempilo
- IiNkonzo zonyango
- IiNkonzo zonyango
- IiNkonzo zokuNyango zokuPhepha
- Iinkonzo Zonyango IiNtetho
- IiNkonzo zezoLonyango kunye nezixhobo
- IiNkonzo zoVavanyo lweeMpilo zoLuntu
Ukusetyenziswa
Iiprojekthi zeCMS ezi:
- Inkcitho yelizwe jikelele yeenkonzo zempilo ngo-2009 yayiyi-$ 2.5 trillion.
- Ukusetyenziswa kwempilo ngabahlawuli-ntlalo kwanda kuma-8.7 ekhulwini ngo-2009, ngokungafani nokukhula kweepesenti ezingama-3.0 kwiindleko zabahlawuli abazimeleyo.
- Ubhaliso lwabansununu lwangasese lwahlahla iipesenti ze-1.2, lucotha ukukhula kwenkcitho yokuhlawula yangasese ngo-2009.
Abahlawuli
I-Medicare ngowona mhlawuleli oyedwa omkhulu weenkonzo zonyango lwezempilo ekhaya. Ngo-2009, imali yokusetyenziswa kweMedare yabiza malunga neepesenti ezingama-41 zempilo yekhaya.
Iintlawulo zeMedicaid zokunakekelwa kwekhaya zihlukelelwe kwiindidi eziphambili zentlalo: inzuzo yempilo yekhaya yemveli, kunye neenkqubo ezimbini zokuzikhethela, ukhetho lokukhathalela umntu kunye nokukhutshwa kwezindlu kunye noluntu.
Ngokubambisana, le nkonzo yeenkonzo zokunakekelwa kwezindlu ezintathu ibonisa isahlulo esincinci kodwa sikhula seentlawulo zeMedicaid.
Iinkonzo zononophelo lwezeMpilo eUnited States zixhaswa ngokuxhaswa ngemibutho yonakekelo. Imibutho yokunyamekela, kuquka nemibutho yokugcinwa kwempilo (i-HMOs), ngokuqhelekileyo iinkonzo zempilo zononophelo ngeenkonzo ezixubulweyo, ezihlawulwa ngokubonelela kuboneleli bezempilo.
Abamkeli boNonophelo kunye nabanakekeli
- Abantu abayizigidi ezi-7.6 e-US bafuna uhlobo oluthile lokunakekelwa kwempilo ekhaya.
- Ababoneleli abangabangama-20 000 abahlala ekhaya bekhona namhlanje.
- Phantse ezibini kwisithathu (iipesenti ezingama-63,8) zabamkeli bezempilo ekhaya bafazi.
- Ingaphezulu kweyesibini-ntathu (iipesenti ezingama-69.1) zabamkeli bezempilo ekhaya baya ngaphezu kweminyaka engama-65.
- Iimeko ezifuna ukunakekelwa kwezempilo kwindlu zihlala ziquka isifo sikashukela, ukungaphumeleli kwentliziyo, isilonda esingapheliyo sikhumba, i-osteoarthritis, kunye negazi.
- Amakhaya angaphezu kweyodwa kwizindlu zaseMelika (abaqikelelwayo abangama-48.9 abaneminyaka engaphezu kwe-18 ubudala) abanononophelo abangenasesikweni kumntu oneminyaka engama-18 ubudala, kunye nezigidi ezili-168 ezinyamekela abantwana okanye babini kunye nabantu abadala, ngokubaluleka kwezigidi ezingama-65.7 ezizimeleyo .
- Amaphesenti angama-63 abantu abanonophelo abatshatileyo kunye / okanye bahlala kunye neqabane, kunye neyesithathu (66 ekhulwini) ngabafazi.
- Ingxenye yesithathu (34 ekhulwini) inakekelwa ngabantu ababini okanye ngaphezulu, kunye neepesenti ezingama-86 zinika ukunakekela kwisihlobo-ngaphezu kwesithathu kwisondlo somzali kunye neyesisixhenxe (iipesenti ezili-14) ezinyamekela umntwana wazo.
- Umnakekeli oqhelekileyo ungumfazi oneminyaka engama-48 ubudala onika iiyure ezingama-20 zokunyamekela ngeveki nganye.
Abanakekeli Abaxhasiweyo
Abanakekeli abasemthethweni baquka abaqeqeshi kunye nama-paraprofessionals ahlawulelwa ukubonelela ngononophelo lwempilo nakwiinkonzo zonyango.
- Abantu abangama-958,000 baqeshwe kwii-arhente zempilo zonyango ngo-2008.
- Inani elikhulu labasebenzi / ii-FTEs zibonelela ngoncedo lwekhaya kunye neeRN.
- ukususela ngo-1993 ukuya ku-2008, ukunakekelwa kwekhaya kwengqesho kwanda kwimivuzo engama-5.4 ekhulwini ngonyaka (510,000 ukuya kuma-961,400).
Ukufaneleka kweNkathalo
Ukunyamekela ekhaya yinkonzo enemali-mboleko kubantu abaphinda behlala esibhedlele kunye nalabo, ngenxa yokukhubazeka okusebenzayo okanye engqondweni, abakwazi ukuzinyamekela. Ukunyamekelwa kwekhaya kuyomeleza kwaye kuncedisa ukunakekelwa okunikezelwa ngamalungu entsapho kunye nabahlobo kunye nokugcina isithunzi kunye nokuzimela. Izigulane ezithe zafumana iinkonzo zonyango zasekhaya nazo zazingenakwenzeka ukuba zifakwe kwiinkonzo zonyango.
Mngeni
Ngo-2011 imboni ibhekane nomngeni omtsha. Abaxhamli be-Medicare kufuneka babone ugqirha iintsuku eziyi-90 ngaphambi kweentsuku ezingama-30 emva kokuqalisa iinkonzo zezempilo zasekhaya ukuze i-agesi yezempilo yasekhaya ihlawulwe. Ngaphantsi komthetho omdala, ugqirha unokumisela ukunakekelwa kwempilo ekhaya kwiigulane ukufumana iinkonzo, kodwa ugqirha akazange abone isigulane sokwenza eso sigqibo.
Ngaphantsi komgaqo omtsha, oogqirha kufuneka bazalise ifomu yokuqinisekisa ukuba bona okanye omnye umboneleli wezempilo njengonogqirha wabahlengikazi babone isigulane ngenjongo ethile yokumisela imfuno yesigulane sokunakekelwa ekhaya. Oku kudibanisa kwimisebenzi yangoku oogqirha yokumisela ukunakekelwa kwezempilo ekhaya kunye nokusayina kwisicwangciso sokunyamekela, esivakaliswe yinkampani yezempilo yekhaya.