<prompt> Translate the following text to SwahiliHospitals, government insurers, and private insurers have stepped in with standard guidelines for care, review of medical decisions, and changes in how doctors are paid.  <response>: Hospitali, bima za serikali, na bima za kibinafsi zimeingia na miongozo ya kawaida ya utunzaji, ukaguzi wa maamuzi ya matibabu, na mabadiliko katika jinsi madaktari wanalipwa. 