Abin da kuke buƙatar sani game da canje-canjen Medicaid na wannan shekara

Labarai

Tare da tsarin Medicaid da ake sabuntawa koyaushe (idan ba'a sake gyara shi ba), yana iya zama da wahala a ci gaba da samun cikakkun bayanai game da ɗaukar hoto. Ga abin da ya canza a cikin 2020.

Medicaid shiri ne na tarayya da na jiha wanda ke taimakawa da tsadar magunguna don mutanen da ke da iyakantaccen kudin shiga da albarkatu waɗanda suka cancanta. Ana biyan kuɗaɗen harajin biyan haraji na Tarayya, kudaden haraji na gaba ɗaya, da kuma waɗanda ke cin gajiyar su don bayar da fa'idojin da ba sauran shirye-shiryen tallafi na gwamnati ke bayarwa ba, gami da kula da gida na kula da marasa lafiya. Medicaid galibi yana rikicewa tare da Medicare (wanda ake gudanarwa a cikin ƙasa, shirin inshorar lafiya na tarayya don mutane 65 da mazan da wasu nakasassu), amma sun bambanta. Amma saboda dogaro da Medicaid akan duka tarayya da gwamnatocin jahohi waɗanda suke canzawa daga wannan gwamnati zuwa na gaba, shirin kuma yana da halin canzawa akan lokaci-yana mai da wuya a san da fahimtar cikakken bayani game da ɗaukar hoto da fa'idodi.

Manufofin Medicaid sun sami sauye-sauye da yawa tun lokacin da aka ƙaddamar da Dokar Kulawa da Kulawa (ACA) a cikin 2010, kuma a sakamakon haka, yawancin Amurkawa waɗanda suka dogara da Medicaid har yanzu ba su san ko yaya kuma yadda abin ya same su ba, ko da shekaru 10 daga baya. Wannan shine dalilin da ya sa muke duban wasu canje-canje na Medicaid da suka gabata da kuma abubuwan yau da kullun don ku iya yin mafi kyawun yanayin lafiyarku na yanzu.

Menene bukatun don cancanta ga Medicaid?

A halin yanzu, don samun cancanta ga Medicaid, dole ne kuɗi ya cika ƙa'idodin (daki-daki a ƙasa) da kuma masu zuwa:

• Masu cin gajiyar gaba ɗaya dole ne su kasance mazaunan jihar da suke karɓar Medicaid.
• Dole ne su zama ko dai 'yan ƙasa na Amurka ko wasu ƙwararrun waɗanda ba' yan ƙasa ba, kamar mazaunan dindindin na halal.
• Wasu groupsungiyoyin cancanta suna iyakance ta shekaru, ko ta hanyar ciki ko matsayin iyaye.
• Iyalai masu karamin karfi, mata masu ciki da yara masu cancanta, da kuma mutanen da ke karɓar Tallafin Tsaro (SSI) sune misalai na kungiyoyin cancanta masu cancanta .

Ari akan haka, kowane jihohi suna da zaɓi don ƙirƙirar shirin mara lafiya na likita don mutane da ke da mahimman buƙatu na kiwon lafiya waɗanda kuɗaɗen su ya yi yawa don in ba haka ba ya cancanci Medicaid a ƙarƙashin wasu kungiyoyin cancanta. Wannan yana buƙatar wannan mutumin ya kashe ƙasa.

Menene sabon canje-canjen Medicaid?

Saboda shirin na Medicaid yana haɗin gwiwa daga tarayya da gwamnatocin jihohi, galibi akwai babban sauyi idan ya zo ga cancanta da fa'idodi daga jiha zuwa jiha. A cewar jami'in Bayanin Medicaid , gwamnatin tarayya tana biyan jihohi kudaden da aka kayyade na kudaden shirin, wanda ake kira da Federal Assistance Percentage (FMAP). Bayan haka, kowace jiha tana da alhakin aiwatar da nata shirin na Medicaid a cikin jagororin tarayya. Jihohi suna da sassauƙa sosai wajen tsarawa da gudanar da shirye-shiryen su. A sakamakon haka, cancantar Medicaid da fa'idodi na iya kuma galibi ya bambanta sosai daga jihar zuwa jiha.

Yanayin cancanta da fadadawa na yanzu

Bayan da aka wuce da ACA a cikin 2010, an faɗaɗa cancantar Medicaid don haɗawa da ƙarin ƙwararrun masu ƙarancin shiga, har zuwa 138% na layin talauci. Wannan yana nufin waɗanda ke da kuɗin shigar shekara-shekara na $ 16,753 ko ƙasa da haka kuma ga iyalai huɗu da ke samun kuɗin shiga gida na shekara-shekara na $ 34,638 ko lessasa da cancanta ga tallafin Medicaid. Don haka gabaɗaya, yawan kuɗin shiga a cikin 2020 shine $ 2,349 kowace wata a cikin yawancin jihohi kuma iyakar kadara shine $ 2,000 don babban mai nema. Don tabbatar da wannan kudin shiga, hukumar Medicaid ta jihar ta ɗora alhakin tabbacin samun kuɗin shiga kowane wata ga mai nema. Fassara: Medicaid yana buƙatar yawancin masu nema don samar da duk takaddun da aka buƙata da buƙata don tabbatar da abin da aka rubuta a cikin aikace-aikacen.

A halin yanzu an ba jihohi izinin ko dai su ɗauki ɓangaren faɗaɗawa ko kuma su fita. Kamar yadda na Afrilu 2020, Jihohi 35 da gundumar Columbia sun aiwatar da faɗaɗa Medicaid don hidimtawa talakawa da masu ƙananan kuɗi. Wadannan jihohin sun hada da:

1. Alaska
2. Arizona
3. Arkansas
4. Kalifoniya
5. Colorado
6. Haɗuwa
7. Shirya
8. Hawaii
9. Idaho
10. Jihar Illinois
11. Indiana
12. Iowa
13. Kentucky
14. Louisiana
15. Maine
16. Maryland
17. Massachusetts
18. Michigan
19. Minnesota
20. Montana
21. Nevada
22. Sabuwar Hampshire
23. New Jersey
24. Sabuwar Mexico
25. New York
26. Dakota ta Arewa
27. Ohio
28. Oregon
29. Pennsylvania
30. Tsibirin Rhode
31. Utah
32. Vermont
33. Virginia
34. Washington
35. Yammacin Virginia

Fadada ya bambanta da kowace jiha, kamar yadda aiwatar da fadadawa yake. Amma hanya daya ita ce cewa idan jihar ku ta yarda da aiwatar da fadada, a yanzu zaku iya samun damar zuwa Medicaid - duk da cewa ba a da ba. Don cikakken duba yadda ake aiwatar da jihar ku, bincika Gidauniyar Kaiser Family Foundation's taswira mai ma'ana . Ya zuwa yanzu, jihohi 14 ba su karɓi faɗaɗa ba. Ga waɗancan jihohin, idan ka faɗi a ko ƙarƙashin Layin Talauci na Tarayya don girman gidan ku ($ 12,760 don samun kuɗin shigar mutum na shekara-shekara), har yanzu kuna iya cancanci ɗaukar Medicaid.

Wasu jihohin yanzu suna da bukatun aiki

Wasu jihohi yanzu suna buƙatar tabbacin aiki don cancanta da riƙe fa'idodin Medicaid. Dangane da Gidauniyar Kaiser Family Foundation, an bayar da Cibiyoyin Kula da Magunguna da Magungunan Medicaid (CMS) shiriya a karkashin gwamnatin Trump don bayar da shawarwari kan yafiyar Medicaid wanda zai sanya bukatun aiki a Medicaid a matsayin sharadin cancanta. Waɗannan wayoyin suna buƙatar masu cin gajiyar don tabbatar da aikin su, binciken su na neman aiki, da / ko shirye-shiryen horar da aiki na wasu awanni a kowane mako don karɓar ko riƙe ɗaukar aikin Medicaid. Cikakkun bayanai game da takamaiman adadin awowi, ayyukan da aka amince da su, keɓewa, da tsarin bayar da rahoto sun bambanta da kowace jiha da ke aiwatar da sharaɗɗa.

Ya kamata a lura cewa yafewar aikin da ake buƙata ya haifar da mutane 17,000 a Arkansas rasa ɗaukar hoto a shekarar 2018.

Shin Medicaid yana canzawa a cikin 2020?

A watan Janairu, gwamnatin Trump ta sanar da hakan zai ba jihohi damar samun freedomancin canza canjin kuɗi da ɗaukar magunguna a ƙarƙashin Medicaid ga manya da yawa matalauta, babban canjin cewa - a cewar New York Times -Ya ba da zaɓi na rage fa'idodin kiwon lafiya ga miliyoyin waɗanda suka sami tallafi ta cikin shirin a ƙarƙashin Dokar Kulawa Mai Tsada. Wannan sabon shirin ana kiran sa da Lafiya Mai Girma, kuma - idan jihohi suka aiwatar da shi - zai ba jihohi damar rufe ƙananan magunguna don masu rajista. Wannan zai zama cikakkiyar canjin manufofi daga abin da ke gudana a halin yanzu, wanda ke bayyana cewa dole ne jihohi su rufe duk magungunan magungunan likita. Kuma kodayake wannan ragin ga Medicaid zai kula da mafi ƙarancin matakin ɗaukar hoto ga mutane a ƙarƙashin jagororin ƙididdigar Dokar Kulawa Mai araha ta 10 na fa'idodin kiwon lafiya masu mahimmanci, ɗaukar hoto zai zama ya fi siriri fiye da yadda yake yanzu. Jihohi za su iya yanke shawarar wanda ya dace ya rufe kuma ya rage ko ya ƙetare fa'idodin Medicaid na gargajiya — gami da kulawa na dogon lokaci, safara zuwa alƙawuran likita, da ɗaukar hoto na baya-baya (aka, ɗaukar hoto na baya) ga mutanen da suka sami kulawa a cikin lokutan kwanaki 90 kafin su cancanci zuwa Medicaid. Idan ana aiwatar da waɗannan canje-canje a cikin 2020, Medicaid da wadataccen damar zuwa kiwon lafiya zasu bambanta sosai.

Shin Shugaba Trump yayi canje-canje ga Medicaid a yayin barkewar cutar coronavirus?

Cutar cutar coronavirus ta duniya ta ɗauki lahani mai yawa a kowane fanni na rayuwarmu, gami da samun damar kiwon lafiya. Kuma manufofin Medicaid suna ganin canje-canje, suma. Nebraska za ta kasance ƙasa ta 37 da ta karɓi faɗaɗa Medicaid, amma ba a aiwatar da ita ba tukuna. Ta hanyar Coronavirus Aid, Relief, da Tsaron Tattalin Arziki ( KULAWA ) Dokar, wacce Shugaba Trump ya rattaba hannu a kanta a kan doka a ranar 27 ga Maris, za a ware wasu kudaden Tarayyar zuwa jihohin fadada fiye da jihohin da ba su fadada. Jihohin faɗaɗa Medicaid za su karɓi $ 1,755 a cikin kuɗin tarayya na kowane ɗan ƙasa kwatankwacin $ 1,198 na kowane mazaunin jihohin da ba ya fadada, bisa ga lissafin da Asusun Commonwealth .

Bugu da ƙari, gwajin bincike na COVID-19 an rufe shi ta Medicaid ba tare da tsada ga marasa lafiya ba-amma a halin yanzu babu wata doka ta tarayya da za a rufe maganin COVID-19 ba tare da biyan kuɗi ga marasa lafiya ba. Yana da ɗan rikicewa, amma wasu jihohi sun nuna cewa suna yafe rarar kuɗin da aka haɗa da gwajin COVID-19 da / ko magani. A cikin bayanan jama'a, jami'an tarayya sun nuna kamfanonin inshora waɗanda ke ba da tallafi ta hanyar Medicaid sun yarda su rufe duk gwajin COVID-19 ba tare da raba farashi ba kuma don tabbatar da an ba da cikakken magani, a cewar KFF .

Batutuwan yau da kullun tare da Medicaid

Bayanai sun nuna cewa gwamnatin tarayya gabaɗaya tana biyan tsakanin kashi 50% zuwa 77% na kowace jiha na yawan kuɗin Medicaid. Amma don farashin manya waɗanda suka cancanci Medicaid a ƙarƙashin Dokar Kulawa mai arha, wannan lambar ta fi girma: 90%. Rage cancanta, ɗaukar magunguna, da ƙarawa gwamnatin jiha ‘yanci don faɗan kyawawan abubuwa na shirye-shiryen Medicaid ƙoƙari ne na rage wannan kashe kuɗi. Amma, wannan na iya haifar da dubban-idan ba miliyoyin-Amurkawa rasa damar samun kulawar lafiya mai araha ba. Hakanan akwai ƙarin fa'idodi ga masu cin gajiyar Medicaid, gami da iyakance zaɓuka da ɗaukar hoto na kulawa, likitoci, magunguna, da wuraren kulawa na dogon lokaci.

Yadda zaka adana kayan aikin likita tare da Medicaid

Duk da yake ba za ku iya amfani da fa'idodin SingleCare da Medicaid ba a lokaci guda , zaka iya amfani da SingleCare idan farashin mu yayi ƙasa da na Medicaid ko kuma idan fa'idodin ka basu rufe takardar sayan magani ba. Lokacin da kake amfani da katinka na SingleCare, kantin magani ke sarrafa shi maimakon haka na katin Medicaid, ba a tare tare da katin Medicaid. SingleCare na iya taimaka maka adana har zuwa 80% a kan magunguna - rage farashin magani don haka kana da sauran kuɗin da za a rage maka sauran abubuwan da kake buƙata. Abinda yakamata kayi shine ka ziyarta shafin yanar gizon mu , bincika maganin ka, kuma rubuta katin Rx zuwa kanka ko ka buga shi nan da nan-duka nau'ikan suna aiki a kantin magani. Kuna iya koyo game da amfani da SingleCare tare da fa'idodin Medicaid nan .