
maryland aasupatri chellimpu vyavastha

1970la chivari nundi, maryland aasupatri chellimpu vyavastha aasupatri sevala kosam mottam chellimpudaarula vyavasthanu upayoginchindi, dheenilo chellimpudaarulandaruu oka nirdishta aasupatrilo icchina seva kosam oke mottaanni chellistaaru. oka swatantra commission prati aasupatriki raetu nirmaanaanni erpaatu chestundi. eee vyavastha aasupatri kharchulanu chellimpudaarula madhya maradanni tolaginchindi mariyu pariharam laeni samrakshana mariyu vaidya vidya kharchulanu mariyu parimita vyaya vruddhini marinta samanamga vistarinchindi, ayithe talasari vaidya aasupatri kharchulu desamlone atyadhikam.
vyavasthalo medicare yokka bhagaswamyam saamaajika bhadrata chattam dwara adhikaram pondindi mariyu prati pravaesaaniki chellimpuloo vruddhi parimititoe mudipadi untundi. vaidya samrakshana maafee andinchina sevala parimaanaanni penchadaaniki prothsaahakaalanu srushtinchindi. jaateeya bhaavi chellimpu vyavasthala kante maereelaandlooni aasupatri sevalaku medicare adhika retlanu chellistundi.
2014 savaranalu.
2014 janavari 10naa, centers pharr medicare und mediquide services (cms) mariyu rashtram oka kotta namuunaanu prakatinchaayi, idhi aasupatri sevala kosam mottam talasari kharchulapai, alaage samrakshana naanhyata mariyu janabha aarogya phalitaalalo merugudalalapai drushti saaristundi. 2014 nundi praarambhamayye 5 samvatsaraala paatu, maryland talasari aasupatri kharchula vruddhini 2015 nundi 2018 varaku vaastava jaateeya vruddhi raetu kante 3.58% ledhaa 0.5% takkuvagaa parimitam chestundi. eee maarpu vaidya samrakshananu kaneesam 330 million dollarlu aadaa chestundani anchanaa. 3.58 saatam anedi maryland yokka talasari sthuula rashtra utpatti yokka chaaritraatmaka 10 samvatsaraala vruddhi raetu.
vidigaa, maryland medicare labdhidaarula kosam daani sardubaatu cheyani anni kaaranaala, anni-sait aasupatri redemission retunu jaateeya sagatuku tagginchaalani yochistondi. 30 rojula episodku chellimpu sthaayila aadhaaramgaa ippatike unna redemission-taggimpu karyakramam saanukuula prarambha phalitaalanu choopinchindi. maryland aasupatri samrakshanaku sambandhinchina 65 nivaarinchagala paristhitulanu kooda kolustundi mariyu 5 samvatsaraalalo eee charyalapai mottam 30 saatam taggimpunu korutundi. perugutunna aadaaya mottaalu sampoorna mariyu saapeksha naanhyata samrakshana yokka kolatalapai panitiirutoe mudipadi untaayi.
aarogya sevala vyaya sameeksha commission anie piluvabade maryland yokka raetu-nirdhaarana commission, daani vaarshika raetu-nirdhaarana vidhaanaalanu maarustundi. eee naveekarana bahula karakalapai aadharapadi untundi, mariyu idhi perigina parimaanaaniki prothsaahaanni tagginchadaaniki uddesinchabadindi. parimitiloo sevalanu unchinanduku bonaslanu sweekaristuu, lekkinchina-conny-sardubaatu cheyagala vaarshika parimiti kante ekkuva sevalanu andinchinanduku aasupatrulu praamaanika retulo kontha bhaganni matrame andukuntaayi. aarogya phalitaalanu meruguparachadam, naanhyatanu penchadam mariyu kharchulanu niyantrinchadam kosam providerlaku bahumati ichhe janabha aadhaarita chellimpu namuunaalaku maaradaaniki commission prayatnistundi.
graameena aasupatrulu.
maryland ippatike "mottam roogi aadaayam" namuunaanu nirvahistondi, idhi konni graameena aasupatrula chaaritraka vyaya pokadala aadhaaramgaa sthiramaina prapancha budjetlanu erpaatu chestundi.
prapancha mariyu/ledhaa capited chellimpulu samanvaya samrakshananu prothsahistaayani, samrakshana parivartanalaku praadhaanyata istayani mariyu nivaaranapai drushti saaristaayani bhaavistunnaaru.