Kia Roa te Utunga a Medicare mo te Tiaki Hospice? Aratohu Whakauru

Kia roa te utunga a Medicare mo te tiaki hospice? Karekau he rohe wā whaiaro ki te painga o te hospice a Medicare. Ahakoa kei te tutuki tonu koe i ngā paearu o te mate whakamutunga, ka utua e Medicare te hospice mō ake tonu atu. Kua whakatauhia te painga ki ngā wā motuhake (e rua ngā wā 90-ra, kātahi ka kore-mutunga ngā wā 60-ra) me te hiahiatia he tautokotanga i te tīmatanga o ia wā. He maha ngā tūroro e whiwhi ana i te hospice mō ngā marama maha. He tokomaha e whiwhi ana mō te tau neke atu i te wā e noho tōtika ana tō rātou āhua ki te painga o te hospice. Ko te "ture 6 marama" e korerotia nuitia ana e whakaatu ana i te matapae e hiahiatia ana mō te tautokotanga tuatahi, ehara i te rohe ki te kapinga.

E whakaatu ana tēnei aratohu me pēhea te mahi o ngā wā painga o te hospice a Medicare, ā, ka puta te tautokotanga, ka pēhea ki te pai ake tō āhua, me ngā mea e hiahiatia ana e ngā whānau mō te wā. Ka puta ngā kōrero mai i te CMS, Medicare.gov, me te Rōpū Motu mō te Hospice me te Tiaki Palliative.

Te hanganga o ngā wā painga 90/90/60 ra

Ka wehea te painga hospice a Medicare ki ngā wā motuhake:

• Wā painga tuatahi: 90 ra

• Wā painga tuarua: 90 ra

• Wā painga tuatoru, me ētahi atu: Ngā wā 60-ra kāore he mutunga

Karekau he maha rawa o ngā wā painga. Ahakoa ka tautokotahia e te ākomanga hauora o te hospice i te tīmatanga o ia wā hou, kei te mate whakamutunga koe, ka haere tonu te painga me te kore e whati.

He rahunga māramatanga noa: ko te matapae "6 marama, iti iho rānei" e hiahiatia ana mō te tautokotanga tuatahi ehara i te mea ka mutu te utu a Medicare i muri i te 6 marama. Ko taua reo e whakaatu ana i te paearu hauora mō te tautokotanga, ehara i te roa o te kapinga. He roa ake te ora o ētahi tūroro i te mea i tatūria, ā, ahakoa ka haere tonu te tākuta hospice ki te tautokotaha i tō rātou āhua whakamutunga, ka haere tonu te hospice.

E ai ki ngā raraunga a Medicare, ko te roa o te noho i te hospice he 18 ra. Tata ki te 30% o ngā tūroro hospice ka whiwhi tiaki mō te 7 ra, iti iho rānei. Tata ki te 10% ka whiwhi hospice mō te 6 marama, neke atu rānei. Ko te rerekeetanga e whakaatu ana i te koretake o te ara o te mate whakamutunga, ehara i te ngākau mahaki o Medicare ki te utu mo te hospice mo te roa.

Tautokotanga: me pēhea te whakahaere a Medicare i te tika tonu

I te tīmatanga o ia wā painga, me tautokotaha te ākomanga hauora o te hospice, te tākuta rānei o te hospice, kei te mate whakamutunga tonu koe (he ora taitara 6 marama, iti iho rānei, ki te haere te mate i tōna ara noa).

Mō te wā painga tuatoru me ngā wā katoa i muri mai, me whai hui kanohi ki te kanohi ki te tākuta hospice, ki te kaiwhakatere nēhi rānei, kaua e neke atu i te 30 ra i mua i te tīmatanga o ia wā painga. I tāpirihia tēnei whakaritenga kanohi ki te kanohi e te Ture Tiaki Tūroa i te tau 2011 hei whakarite kia whakamanahia te tika o te hospice, ehara i te mea nā te pepa noa.

Ko te tukanga tautokotanga he whakahaere i te taha o te hospice. Kare ngā tūroro me ngā whānau e kite i te tautokotanga hei kaupapa motuhake. Ka tae mai te nēhi hospice, te kaimahi āwhina rānei i ia wā, ā, ka puta te tuhinga tautokotanga i muri.

Ngā mea e kitea ana e ngā tūroro me ngā whānau:

• Te rere tonu o te tiaki me te kore e whati

• Ka haere tonu te kapa hospice ki ngā ratonga katoa

• Ka noho tonu te whakamarie me te mana hei kaupapa matua

• Ka whakarerekē te mahere tiaki i te ahuatanga o te mate

Mō ngā taipitopito mō ngā mea e hipokina ana e te hospice a Medicare (te painga katoa), tirohia ta mātou aratahi mō te tiaki hospice a Medicare.

Me pēhea ki te pai ake tō āhua?

He tokoiti noa o ngā tūroro hospice ka pai ake, ā, kāore ratou e tutuki i ngā paearu tika o te hospice. Tēnei ka puta nā te pai o te whakahaere tohu me te iti o te taumaha ka āhei te tinana kia noho tōtika, otirā ki ngā mate mau tonu pērā i te ngoikore o te ngākau, te mate ngongo o te kohao.

Ki te whakatau te ākomanga hauora o te hospice kāore koe e tutuki i ngā paearu o te mate whakamutunga, ka whakaputa te kapa hospice i a koe me te mahere "putanga ora". Ehara tēnei i te arai. He tohu tēnei kei te rerekē te ara o te mate i te mea i tatūria.

Tukanga putanga ora:

• Ka tukua e te hospice he whakamōhiotanga tuhia e whakamārama ana he aha te take kāore ai te tika e pā ana

• Ka hoki koe ki te kapinga Medicare noa mō ngā mate whakamutunga me ngā mate kāore e pā ana

• Ka taea e koe te rehita anō ki te hospice i muri mai ki te heke anō tō āhua

• Kāore koe e ngaro i te painga hospice a muri ake nei nā te putanga

Tata ki te 17% o ngā tūroro hospice a Medicare ka puta ora i te tau, e ai ki ngā raraunga a CMS. Ko ngā take tino kitea ko te noho tōtika o te āhua (te tino kitea), te whakatau a te tūroro ki te whai maimoatanga whakaora, te whakawhiti ki tētahi atu wāhi kāore he hospice, te whakatau rānei kāore i te tika i te wā tautokotanga.

Whakakorenga Kōwhiri: whakamutu i te hospice i raro i ō tikanga

Ka taea e ngā tūroro te whakakore i te kōwhiringa hospice i ngā wā katoa, mō ngā take katoa. Ko te whakakore i te hospice ka hoki koe ki te kapinga Medicare noa, tae atu ki te kaha ki te whai maimoatanga whakaora mō te mate whakamutunga.

Ngā take noa mō te whakakore kōwhiri:

• E hiahia ana te tūroro ki te whakamātau i tētahi momo maimoatanga hou kua puta

• Ka whakarerekē te whānau, te tūroro rānei i tōna whakaaro mō te huarahi o te hospice

• E hiahia ana te tūroro ki te whai tiaki e aro ana ki te whakaora

• Te whakawhiti ki tētahi wāhi kāore e hototahi ki te hospice (rare)

Ki te whakakore, hainatia tētahi tauākī whakakore me tō kapa hospice. Ka puta te whakawhiti kapinga i te wa tonu. Ko te rā e whakakore ai koe te rā whakamutunga o tō wā painga o nāianei. Ko ngā rā i whakamahia ka tatauhia ki tō painga katoa (arā, ki te whakakore koe i te rā 30 o te wā painga tuatahi, kua whakamahi koe i te 30 o te 90 rā i taua wā).

Ka taea e koe te kōwhiri anō i te hospice i muri mai. Ko te kōwhiringa anō ka timata he wā painga hou e rite ana ki tō āhua i taua wā.

Te whakarerekē i ngā kaiwhakarato hospice

He tika tō te whakarerekē kaiwhakarato hospice kotahi i ia wā painga. Ko tēnei te ingoa "whakawhiti" i ētahi wā, ehara i te whakakore. Rerekē ana ki te whakakore, kāore te whakawhiti e tautuhi anō i tō tatau wā painga.

Ngā take ka whakarerekē ai ngā whānau i ngā kaiwhakarato hospice:

• Te kore e mālohi ki te kounga tiaki, te whakawhiti kōrero rānei

• Te neke ki tētahi wāhi hou e whakahaeretia ana e tētahi atu kapa

• Ngā hiahia motuhake e kore e taea e te kapa o nāianei

• Ngā manakohanga whakapono, tikanga rānei mō tētahi hospice whakapono

Ki te whakawhiti, hainatia tētahi tauākī whakawhiti ki te hospice hou. Ka whakamōhiotia te hospice o nāianei, ā, ka tango te hospice hou i te tiaki. Karekau he wāhi i roto i te kapinga.

Te poto katoa o te hospice (me te take kāore e pā ana ki a koe)

Ka rongo koe i ngā kōrero mō te "poto hospice". Ko tēnei kupu e pā ana ki ngā kaiwhakarato hospice, ehara ki ngā tūroro takitahi. Ka whakatauhia e Medicare he poto katoa ā-tau ki ia kapa hospice i runga i tētahi tikanga e hera ai te nui o te utu a Medicare ki tētahi kapa motuhake e pā ana ki te maha o ngā tūroro e mahi ana ia.

Ko tēnei poto e pā ana ki te utu ki ngā kapa hospice engari kāore e aukati i te kapinga mō tētahi tūroro takitahi e tutuki ana i ngā paearu hospice. Ko tō tika ka puta i tō āhua hauhau, ehara i te utu katoa a Medicare a tō kaiwhakarato hospice.

Mō te tau 2026, kua piki te 2.6% o ngā reiti utu hospice, ka hoatu he $750 miriona anō hei tautoko hospice puta noa i te motu. Ka whakarerekē te tataunga o te poto katoa.

Te Wā o te Hospice a Medicare: me pēhea te tūmanako ki ia wāhanga

Mō ngā whānau e tata ana ki te kōwhiringa hospice, koinei te wā tūmau:

Wāhanga whakatau-i-mua i te kōwhiringa: Kōrero ki te tākuta tuatahi me te whānau mō te tuku atu ki te hospice. Ka tukua e te kapa hospice tētahi kōrero mōhiohio kore utu me te kore herenga. Karekau he rohe wā ki tēnei wāhanga.

Kōwhiringa: Ka hainatia e te tūroro, tona kanohi rānei te Tauākī Kōwhiringa Hospice. Ka tīmata te kapinga i te wa tonu. Ka tukua e te hospice he Panui Kōwhiringa ki a Medicare i roto i ngā rā mahi 5.

Ngā 90 ra tuatahi: Ngā ratonga hospice noa. Ka whakatauhia e te kapa hospice ngā tikanga me ngā hononga whānau. Ka kite te tūroro i te pai ake o te whakamarie me te whakahaere mamae.

Rā 90: Tautokotanga mō te wā painga tuarua. Ka tautokotaha te tākuta hospice. Kare te whānau e kite i tēnei hei kaupapa motuhake.

Rā 180: Me whai hui kanohi ki te kanohi mō te wā painga tuatoru. Ka tae te tākuta hospice, te NP rānei ki te tūroro i roto i ngā rā 30 i mua i te rā 180. Ka oti te tautokotanga.

Rā 240, 300, 360, me ētahi atu: Ngā hui kanohi ki te kanohi ia 60 rā. Tonongaitanga o te tiaki noa.

Te mutunga o te ora: Ka kaha ake te tiaki i ngā rā whakamutunga (ka tukua e te Tautoko Rahi Ratonga he utu atu anō a Medicare mō te 7 rā whakamutunga). Ka haere tonu te tautoko tangi mō te whānau kia 13 marama i muri i te matenga.

Mō te whānui ake mō te kapinga hospice a Medicare, tirohia ta mātou aratahi mō te tiaki hospice a Medicare me te aratahi mō te tiaki hauora kāinga a Medicare.

Ngā Pātai Auau

He rohe 6 marama tēnei ki te hospice a Medicare?

Kāore. Ko te "6 marama, iti iho rānei" e pā ana ki te matapae e hiahiatia ana mō te tautokotanga tuatahi o te hospice, ehara i te roa rawa o te noho. Ahakoa ka tautokotaha te ākomanga hauora o te hospice kei te mate whakamutunga tonu koe i ia wā painga, ka haere tonu te kapinga mō ake tonu atu. Ko ētahi tūroro ka whiwhi hospice mō te tau neke atu.

Ka pēhea ki te noho ahau i te hospice mō te neke atu i te 6 marama?

Ka haere tonu te kapinga me te kore e whati i te mea ka whakapumautia e te tautokotanga te tika tonu. I muri i te rā 180 (te tīmatanga o te wā painga tuatoru), me whai te tākuta hospice, te kaiwhakatere nēhi rānei i tētahi hui kanohi ki te kanohi i roto i ngā rā 30 i mua i ia wā painga hou hei whakapūmautanga i te tika tonu. Ka haere tonu te tiaki hospice me te kore e whati.

Ka mutu te utu a Medicare mō te hospice i waenganui i te noho?

Kāore a Medicare e mutu te utu mō te hospice. Ka mutu te kapinga ki te: (1) ka whakatau te ākomanga hauora o te hospice kāore koe e tutuki i ngā paearu o te mate whakamutunga i te wā tautokotanga (putanga ora), (2) ka whakakorehia e koe te kōwhiringa hospice, (3) ka whakawhiti koe ki tētahi kaiwhakarato kāore he hospice mō te mate whakamutunga. I ngā wā katoa, ka hoki tonu mai tō kapinga Medicare noa. Ka taea e koe te kōwhiri anō i te hospice i muri mai ki te heke anō tō āhua.

Kia hiahiatia te tautokotanga o te hospice?

Ka puta te tautokotanga i te tīmatanga o ia wā painga: i te rā 90 (te tīmatanga o te wā 90-ra tuarua), te rā 180 (te tīmatanga o te wā 60-ra tuatahi), me ia 60 rā i muri mai. I muri i te rā 180, ka hiahiatia hoki te tautokotanga i tētahi hui kanohi ki te kanohi ki tētahi tākuta hospice, NP rānei i roto i ngā rā 30 i mua i ia wā painga hou.

Ka taea e au te whakarerekē i te kaiwhakarato hospice ki te kore ahau e mālohi?

Āe, kotahi i ia wā painga. Ka hainatia e koe tētahi tauākī whakawhiti me te kaiwhakarato hospice hou, ā, ka riro māna te tiaki i a koe. He rerekē tēnei ki te whakakore i te hospice katoa. Kāore te whakawhiti e tautuhi anō i tō tatau wā painga, kāore hoki e puta he wāhi i roto i te kapinga.

He aha te putanga ora mai i te hospice?

Ka puta te putanga ora ki te whakatau te ākomanga hauora o te hospice kāore koe e tutuki i ngā paearu o te mate whakamutunga. Ka puta tēnei i ētahi wā nā te pai o te tiaki hospice ki te noho tōtika o te āhua o te tūroro, ā, kāore te matapae 6-marama e pā ana. Ka hoki koe ki te kapinga Medicare noa i te wa tonu. Ka taea e koe te kōwhiri anō i te hospice i muri mai ki te heke anō tō āhua. Tata ki te 17% o ngā tūroro hospice ka puta ora ia tau.

Te take nui

Ka utua e Medicare te tiaki hospice mō ake tonu atu i te mea kei te tutuki tonu koe i ngā paearu o te mate whakamutunga. Ka puta te painga ki roto i ngā wā 90-ra e rua, ka whai ake ko ngā wā 60-ra kāore he mutunga, me te tautokotanga e hiahiatia ana i te tīmatanga o ia wā. I muri i te rā 180, ka hiahiatia ngā hui kanohi ki te kanohi ki tētahi tākuta hospice, NP rānei i mua i ia wā painga i muri mai. Ko te "6 marama" i roto i te tika o te hospice e pā ana ki te matapae i te wā tautokotanga, ehara i te roa rawa o te noho. Ka taea e ngā tūroro te whakakore i te hospice i ngā wā katoa, ā, ka kōwhiri anō i muri mai. Ka puta te putanga ora ki te 17% o ngā tūroro hospice i te wā ka pai ake tō rātou āhua i ngā paearu o te hospice. Mō ngā taipitopito mō ngā mea e hipokina ana e te hospice me te pēhea te mahi, tirohia ta mātou aratahi mō te tiaki hospice a Medicare me te aratahi mō te Medicare.