Xa Unokufumana Uncedo lwabaxhamli beMpilo kubala njani umlinganiselo weeDrugs?
Kwiintsuku zengxelo yokuba ukugqithisa okubulalayo kwe-fungal meningitis kwakubangelwa yi-injection steroid engcolileyo eyenzelwe yinkampani ekwenza ishishini njenge-pharmacy edibeneyo, izigulane kunye nabalawuli bezibuza ukuba kutheni i-US Food and Drug Administration ayingeneli ukuqinisekisa ukukhuseleko iipilisi ezenziwe ngeziko.
Yintoni edibanisa iziyobisi?
Ubungcali kunye nokwenzululwazi ekulungiseleleni amayeza enziwe ngezigulane kubhekiswe njengeziyobisi ezidibeneyo.
Ngokusekelwe kwimiyalelo yesigqirha, i-pharmacy edibeneyo iya kuxubusha izithako zomntu kunye kunye namandla afanelekileyo kunye nemilinganiselo efunekayo kwisigulane.
Umxhamli:
Iimpapasho zeeendaba zabuza kamva ukuba inkqubo ye-Medicare, eyabonakala ihlawule iindidi zeemveliso ezilawulwa zizigulane ezinokubuhlungu kwintlungu, zingayithintela ingxaki. U- Associated Press , umzekelo, waphawula ukuba amaziko e-Medicare & Medicaid Services (CMS) anemithetho yokulwa nokuhlawula iinguqu ezongeziweyo zamachiza aqhelekileyo ezifumaneka kubavelisi bamachiza.
Eli phepha libhekise ngokukhethekileyo kwisigqibo seCMS sokuba siyeke ukuhlanganisa yonke iisombululo eziqulathe izibilini ezilawulwe nge-nebulizer.
I-Medicare iyaqhubeka nokugqithisa izidakamizwa ezininzi, kodwa abagcini beemviwo kufuneka balandele imithetho ye-agunya ukuqinisekisa ukuba izigulane ezifanelekileyo zifumana ifom yezilingo eziyidingayo ngaphandle kokuhlawula iindleko ezipheleleyo ngaphandle kwepokothini.
Imigaqo yeMedare
Ngaphandle kokuba kuchazwe ngenye indlela, i- Medicare Part B ibandakanya iziyobisi ezinobungozi ezilawulwa kwizibhedlele kunye nezibonelelo zonyango lwangexesha elide. Oku kubandakanya iipowders edibeneyo kunye ne-saline.
Ukulahlwa kweNgcaciso
Ukukhishwa kwenkcazo kungabangela ukuzimisela kwe-CMS okanye i-FDA ukuba imithi ayimfuneko imithi, imiselwe ngokungekho mthethweni okanye iveliswe yi-pharmacy evelisa amanani amaninzi njengomenzi weziyobisi.
NgoFebruwari 19, 2010, ukuhlaziywa kweNcwadana yokuNikwa kweMithi ye- Medicare ngokuchanekileyo kuchaza ngokucacileyo inkcazo kunye nemigqaliselo yokufikelela kwiimveliso ezixubekileyo ezinikezwa kwiCandelo D abaxhamli:
Iimveliso zonyango ezichanekileyo zonyango zingabandakanya: (1) zonke iCandelo D zecandelo lemveliso yeziyobisi; (2) ezinye zeCandelo D zecandelo lemveliso yeziyobisi; okanye (3) akukho nxalenye yeCandelo leziyobisi. Iindleko ezihambelana nezo zixhobo ezizalisekisa inkcazo yeCandelo D iziyobisi zivumelekile iindleko phantsi kweCandelo D ....
Iindleko zomsebenzi ezihambelana nokudibanisa imveliso ehlanganisiweyo equle ubuncinane icandelo leCandelo D lonyango lingabandakanywa kwimirhumo yokuhambisa. ...
Kwiimveliso eziqukethe yonke imveliso yobudala, ukwabelana ngeendleko ezifunekayo kufuneka kusetyenziswe [oko kukuthi, ukuhlawuliswa isigulane]. Ukuba iqela liqukethe nayiphi na imveliso yegama lomkhiqizo, iCandelo D elixhasayo lingasebenzisa igama eliphezulu legama lomnxeba kwixabiso elipheleleyo.
Ngokuqhelekileyo, izinga lokubuyiselwa kwe-CMS yesilwanyana esiqingqiweyo lubonisa inxalenye B okanye iCandelo D eliqhelekileyo lempahla okanye intengo yentengiso yomkhiqizo okhoyo othengiswayo oqulethe izithako ezisebenzayo kunye neendleko zokuhambisa ngokuqhelekileyo. Iintlawulo zemveliso ethile zihluka ngokusekelwe kwixabiso lekota zeemveliso zonyango kunye neenkonzo ezininzi ze-APIs.
Izicwangciso zeCandelo D zibuye zilungelelanise ukubuyiswa kwemali ngokwemvumelwano yeekontraki. Isiqendu 20.1.2 sale khowudi ye- CMS isiqulatho sichaza ukubala okuyisiseko sokubuyisela.
Indlela yoYilwayo ngokuchanekileyo
Ukulungiselela, ukuhambisa kunye nokulawula imichiza ehlanganisiweyo ye-Medicare inzuzo kufuneka ibhathwe "isiganeko." Oko kuthetha ukuba, okokuqala, ukuba isiguli kufuneka sibe phantsi konyango logqirha, umongikazi okanye omnye umniki-nkathalo wezempilo we-CMS owamisela isigxina. Okwesibini, amayeza afakelweyo kufuneka asetyenziswe njengenxalenye yonyango oluqhubekayo. Isikhokelo sokubhalwa kwamanqaku eenkcukacha zamabango ukuba izibango zentsholongwane kwaye zifakelwe iziyobisi ezihlawulwa phantsi kweCandelo B ziyakuthi zihlawulwe ngaphandle kwemingeni.
Ngaphantsi kweNkqubo yeCoding yeCoding System, okanye i-HCPS J3490, ukusetyenziswa kweziyobisi kutyunjwe izidakamizwa ezingekho phantsi kwezinto. IsiGama sokuSebenza samanje, okanye i-CPT, iikhowudi zikhoyo kwiintlobo ezininzi zeemveliso. Ngeendlela zombini zokuhlawula, i-API kufuneka icaciswe.
Kuthiwani NgeMedicaid?
Iimbuyekezo kunye neenkqubo zokuhlawula izidakamizwa ezixinzelelweyo ezinikezelwa abaxhamli beMedicaid zihluke kwilizwe ukuya kummandla kuba ilizwe ngalinye lisenza imigaqo ebanzi eyenziwe yiCMS ngeendlela ezahlukeneyo. Kwinqanaba le-federal, iMedicaid idinga ukuthengiswa kweziyobisi ezixakini xa
- I-APIs ezisetyenziswayo zivunyiwe yi-FDA.
- Iiprogram zikaRhulumente ziye zazisa iintlawulo zokuhlawula kunye nezaphulelo zemveliso equkethe ii-API.
- Isilinganiso esenziwe ngokwezifiso salungiselelwa kwaye sinikezwa ngokulandela umyalelo osemthethweni wesigulane ngesigulane esinesidingo esisisiseko.
Ukuchazwa kwemithetho kwinkqubo nganye yeMedicaid iya kuthatha incwadi. Umbutho weSizwe we-Medicaid Directors ukhankanya iindwendwe kwiwebhusayithi ye-Medicaid nganye yelizwe, eya kuba neenkcukacha ezithile ekuhlanganiseni iziyobisi kwizigulana zeMedicaid.