{"id":151205,"date":"2018-09-13T16:41:00","date_gmt":"2018-09-13T21:41:00","guid":{"rendered":"https:\/\/centralhealth.sbdev.io\/?p=151205"},"modified":"2018-09-21T09:39:28","modified_gmt":"2018-09-21T14:39:28","slug":"central-health-board-of-managers-votes-to-cap-funding-for-sendero-health-plans-setting-up-an-eventual-exit-from-the-insurance-market","status":"publish","type":"post","link":"https:\/\/www.centralhealth.net\/zh\/central-health-board-of-managers-votes-to-cap-funding-for-sendero-health-plans-setting-up-an-eventual-exit-from-the-insurance-market\/","title":{"rendered":"\u4e2d\u592e\u5065\u5eb7\u7ba1\u7406\u59d4\u5458\u4f1a\u6295\u7968\u51b3\u5b9a\u5bf9 Sendero \u5065\u5eb7\u8ba1\u5212\u8bbe\u5b9a\u8d44\u52a9\u4e0a\u9650\uff0c\u4e3a\u6700\u7ec8\u9000\u51fa\u4fdd\u9669\u5e02\u573a\u57cb\u4e0b\u4f0f\u7b14"},"content":{"rendered":"<p>(\u5965\u65af\u6c40\uff09--9 \u6708 12 \u65e5\u5468\u4e09\uff0cCentral Health 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\u6b63\u5728\u8003\u8651\u5728 2019 \u5e74\u63d0\u4f9b IdealCare \u9752\u94dc\u8ba1\u5212\u3002<\/p>\n<p>\u5728\u5468\u4e09\u5173\u4e8e 2019 \u8d22\u653f\u5e74\u5ea6\uff08FY\uff09\u9884\u7b97\u548c\u7a0e\u7387\u7684\u8463\u4e8b\u4f1a\u4f1a\u8bae\u4e0a\uff0c\u7ecf\u8fc7\u8fc7\u53bb\u51e0\u4e2a\u6708\u7684\u5e7f\u6cdb\u5206\u6790\u548c\u957f\u65f6\u95f4\u8ba8\u8bba\uff0cCentral Health \u8463\u4e8b\u4f1a\u7684\u5927\u591a\u6570\u6210\u5458\u51b3\u5b9a\u4e3a\u672a\u6765\u98ce\u9669\u8bbe\u5b9a\u4e0a\u9650\uff0c\u4ee5\u4fbf\u4ee5\u8d1f\u8d23\u4efb\u7684\u65b9\u5f0f\u7ed3\u675f Sendero \u7684\u8fd0\u8425\uff0c\u8fd9\u7b26\u5408\u8463\u4e8b\u4f1a\u7684\u6700\u4f73\u5229\u76ca\u3002<\/p>\n<p>\u8463\u4e8b\u4f1a\u4e3b\u5e2d\u74dc\u8fbe\u5362\u4f69-\u8428\u83ab\u62c9\u535a\u58eb\uff08Dr. Guadalupe Zamora\uff09\u867d\u7136\u53cd\u5bf9\u5173\u95ed Sendero 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Daniel\uff09\u63d0\u51fa\u52a8\u8bae\uff0c\u8981\u6c42\u5728 2019 \u8d22\u5e74\u5c06 Central Health \u5bf9 Sendero \u7684\u6295\u8d44\u989d\u518d\u589e\u52a0 $4 \u767e\u4e07\u7f8e\u5143\uff0c\u4f7f\u603b\u989d\u8fbe\u5230 $24 \u767e\u4e07\u7f8e\u5143\u3002\u8fd9\u7b14\u6295\u8d44\u5c06\u4e3a\u8d44\u672c\u652f\u51fa\u548c\u76f8\u5173\u8fd0\u8425\u6210\u672c\u63d0\u4f9b\u8d44\u91d1\uff0c\u6761\u4ef6\u662f Sendero \u5728\u672a\u6765\u4e24\u5e74\u5185\u505c\u6b62\u8fd0\u8425\u3002<\/p>\n<p>\"\u4e39\u5c3c\u5c14\u8bf4\uff1a\"\u6211\u4e00\u76f4\u662f Sendero \u7684\u652f\u6301\u8005\uff0c\u6211\u76f8\u4fe1\u6211\u4eec\u6295\u8d44\u8be5\u516c\u53f8\u7684\u7406\u7531\u90fd\u662f\u6b63\u786e\u7684\u3002\"Sendero \u591a\u5e74\u6765\u9762\u4e34\u7740\u8bb8\u591a\u6311\u6218\uff0c\u5305\u62ec\u6700\u521d\u5e02\u573a\u4e0a\u592a\u591a\u7684\u7ade\u4e89\u5bf9\u624b\uff0c\u4ee5\u53ca\u5982\u4eca\u56f4\u7ed5 ACA \u7684\u4e0d\u786e\u5b9a\u6027\u3002\u6211\u4eec\u6ca1\u6709\u4e8f\u635f--\u6211\u4eec\u6295\u8d44\u4e8e\u4eba\u4eec\u7684\u533b\u7597\u4fdd\u5065\u3002\u4f46\u6211\u8ba4\u4e3a\uff0c\u6211\u4eec\u9700\u8981\u4e3a Central Health \u5f00\u8f9f\u4e00\u6761\u65b0\u7684\u53d1\u5c55\u9053\u8def\uff0c\u4ee5\u63d0\u4f9b\u66f4\u591a\u7684\u8d22\u52a1\u7a33\u5b9a\u6027\u548c\u786e\u5b9a\u6027\u3002<\/p>\n<p>\u8463\u4e8b\u4f1a\u6210\u5458\u4e39\u5c3c\u5c14\u3001\u8c22\u4e3d-\u683c\u6797\u4f2f\u683c\u3001\u9999\u519c-\u743c\u65af\u548c\u739b\u62c9\u59c6-\u7a46\u585e\u63d0\u592b\u4ee5 4 \u6bd4 3 \u7684\u6295\u7968\u7ed3\u679c\uff0c\u5bf9\u9650\u5236\u8d44\u91d1\u548c\u51b3\u5b9a\u5173\u95ed Sendero \u7684\u52a8\u8bae\u6295\u4e86\u8d5e\u6210\u7968\u3002Julie Oliver\u3001Cynthia Valadez \u548c\u8463\u4e8b\u4f1a\u4e3b\u5e2d Guadalupe Zamora \u535a\u58eb\u6295\u4e86\u53cd\u5bf9\u7968\u3002<\/p>\n<p>\u8463\u4e8b\u4f1a\u6210\u5458 Charles Bell \u535a\u58eb\u6295\u4e86\u5f03\u6743\u7968\uff0c\u7406\u7531\u662f\u4ed6\u5728 Sendero \u8463\u4e8b\u4f1a\u4efb\u804c\uff08Bell \u662f Sendero \u8463\u4e8b\u4f1a\u4e3b\u5e2d\uff09\uff0cAbigail Aiken \u535a\u58eb\u56e0\u5de5\u4f5c\u539f\u56e0\u51fa\u56fd\u65c5\u884c\u800c\u7f3a\u5e2d\u3002Central Health \u7684\u51b3\u5b9a\u987b\u7ecf Sendero \u8463\u4e8b\u4f1a\u6279\u51c6\u3002<\/p>\n<p>Central Health \u7684 $24 \u767e\u4e07\u7f8e\u5143\u6295\u8d44\u5c06\u4e3a Sendero \u63d0\u4f9b\u8db3\u591f\u7684\u8d44\u672c\u548c\u76c8\u4f59\u6765\u5b8c\u6210 2018 \u8d22\u5e74\uff0c\u5e76\u5728 Sendero \u8463\u4e8b\u4f1a\u505a\u51fa\u51b3\u5b9a\u4e4b\u524d\uff0c\u63d0\u4f9b\u8db3\u591f\u7684\u8d44\u91d1\u5728 2019 \u5e74\u8d1f\u8d23\u4efb\u5730\u5bf9\u516c\u53f8\u8fdb\u884c\u6e05\u76d8\uff0c\u540c\u65f6\u9650\u5236 Central Health \u672a\u6765\u7684\u4efb\u4f55\u8d22\u52a1\u98ce\u9669\u3002\u9664 19 \u8d22\u5e74\u7684\u8d44\u91d1\u5916\uff0cCentral Health \u8fd8\u9700\u8981\u5728 2020 \u8d22\u5e74\u6295\u5165\u989d\u5916\u8d44\u91d1\uff0c\u4ee5\u652f\u4ed8\u4e0e\u505c\u4e1a\u76f8\u5173\u7684\u8d39\u7528\u3002<\/p>\n<p>\"Sendero \u603b\u88c1\u517c\u9996\u5e2d\u6267\u884c\u5b98\u97e6\u65af-\u675c\u5361\u65af\u57fa\uff08Wes Durkalski\uff09\u5bf9\u8463\u4e8b\u4f1a\u6210\u5458\u8bf4\uff1a\"\u6211\u611f\u8c22\u4f60\u4eec\u4e3a\u6b64\u4ed8\u51fa\u7684\u594b\u6597\u548c\u52aa\u529b\u3002\"\u6211\u4eec\u975e\u5e38\u611f\u8c22\u4f60\u4eec\u591a\u5e74\u6765\u7684\u652f\u6301\uff0c\u6211\u4eec\u4e3a\u81ea\u5df1\u6240\u505a\u7684\u5de5\u4f5c\u611f\u5230\u81ea\u8c6a\u3002\u6211\u4eec\u6539\u5584\u4e86\u793e\u533a\u5065\u5eb7\uff0c\u5e2e\u52a9\u793e\u533a\u8282\u7701\u4e86\u5927\u91cf\u8d44\u91d1--\u6211\u4eec\u90fd\u4e3a\u6b64\u611f\u5230\u81ea\u8c6a\"\u3002<\/p>\n<p>\u7531\u4e8e\u300a\u5e73\u4ef7\u533b\u7597\u6cd5\u6848\u300b\uff08ACA\uff09\u98ce\u9669\u8c03\u6574\u8ba1\u5212\u4ee5\u53ca STAR 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\u767e\u4e07\u7f8e\u5143\uff0c\u539f\u56e0\u662f\u98ce\u9669\u8c03\u6574\u8ba1\u5212\u672a\u80fd\u5145\u5206\u8865\u507f Sendero \u901a\u8fc7\u5176 Idealcare \u4fdd\u9669\u63d0\u4f9b\u7684\u670d\u52a1\u3002<\/p>\n<p>2018 \u5e74 3 \u6708\uff0cSendero \u5ba3\u5e03\u9000\u51fa STAR Medicaid \u548c CHIP \u4fdd\u9669\u5e02\u573a\uff0c\u4e3b\u8981\u539f\u56e0\u662f\u4fdd\u9669\u8d39\u65e0\u6cd5\u652f\u4ed8\u4f1a\u5458\u7684\u9884\u8ba1\u62a4\u7406\u6210\u672c\u3002\u7ea6 18,000 \u540d Sendero \u4f1a\u5458\u5df2\u52a0\u5165\u5176 STAR Medicaid \u548c CHIP \u4fdd\u9669\u8ba1\u5212\uff0c\u4ed6\u4eec\u5df2\u6536\u5230\u53d8\u66f4\u901a\u77e5\uff0c\u5e76\u65e0\u7f1d\u8fc7\u6e21\u5230\u65b0\u7684\u4fdd\u9669\u8986\u76d6\u8303\u56f4\u3002<\/p>\n<p>\u4e0b\u4e00\u6b65\u5de5\u4f5c<br \/>\nCentral Health \u603b\u88c1\u517c\u9996\u5e2d\u6267\u884c\u5b98 Mike Geeslin \u6b63\u5728\u6309\u7167\u7279\u62c9\u7ef4\u65af\u53bf\u4e13\u5458\u6cd5\u9662\u7684\u8981\u6c42\u51c6\u5907\u4e00\u5c01\u89e3\u91ca\u8463\u4e8b\u4f1a\u51b3\u5b9a\u7684\u4fe1\u51fd\uff0c\u6982\u8ff0 Central Health \u5c06\u5982\u4f55\u9650\u5236\u4e0e Sendero \u5408\u4f5c\u7684\u672a\u6765\u98ce\u9669\u3002Central Health \u7684\u9884\u7b97\uff0c\u5305\u62ec\u62df\u8bae\u7684 Sendero \u6295\u8d44\uff0c\u5fc5\u987b\u83b7\u5f97\u7279\u62c9\u7ef4\u65af\u53bf\u4e13\u5458\u7684\u6279\u51c6\u3002\u6709\u5173 Sendero \u7684\u672a\u6765\u8fd0\u8425\u51b3\u7b56\u5fc5\u987b\u83b7\u5f97\u5176\u8463\u4e8b\u4f1a\u7684\u6279\u51c6\u3002<\/p>\n<p>\"Geeslin \u8bf4\uff1a\"\u8fd9\u5c01\u4fe1\u5c06\u89e3\u91ca\u60a8\u505a\u51fa\u8fd9\u4e00\u51b3\u5b9a\u7684\u7406\u7531\uff0c\u5e76\u786e\u8ba4 Central Health \u4e0b\u4e00\u8d22\u5e74\u5bf9 Sendero \u7684\u8d22\u653f\u652f\u6301\u5df2\u83b7\u6279\u51c6\u3002\"\u5f53\u7136\uff0c\u6211\u4eec\u4f1a\u968f\u65f6\u5411\u793e\u533a\u548c\u59d4\u5458\u4eec\u901a\u62a5\u6bcf\u4e00\u6b65\u7684\u6700\u65b0\u60c5\u51b5\uff0c\u5e76\u52aa\u529b\u8ba9 Sendero \u4f1a\u5458\u5c3d\u53ef\u80fd\u987a\u5229\u5730\u5b8c\u6210\u8fc7\u6e21\u3002Geeslin \u6307\u51fa\uff0c\u81ea 2012 \u5e74\u4ee5\u6765\uff0cSendero \u5df2\u4e3a\u7279\u62c9\u7ef4\u65af\u53bf\u7684 13.5 \u4e07\u4eba\u63d0\u4f9b\u4e86\u8d85\u8fc7 $4.7 \u4ebf\u7f8e\u5143\u7684\u533b\u7597\u4fdd\u9669\u3002\"Geeslin \u8bf4\uff1a\"\u8fd9\u9879\u6295\u8d44\u662f\u503c\u5f97\u7684\u3002<\/p>\n<p>ACA \u7684\u5f00\u653e\u6ce8\u518c\u671f\u4ece 2018 \u5e74 11 \u6708 1 \u65e5\u81f3 12 \u6708 15 \u65e5\u300211 \u6708 1 \u65e5\u5f00\u653e\u6ce8\u518c\u5f00\u59cb\u540e\uff0cSendero \u7684 IdealCare \u4f1a\u5458\u5e94\u81f4\u7535 2-1-1\uff0c\u83b7\u53d6\u9009\u62e9 2019 \u5e74\u5065\u5eb7\u4fdd\u9669\u8ba1\u5212\u7684\u514d\u8d39\u5e2e\u52a9\u3002\u5982\u679c\u4f1a\u5458\u4eca\u5929\u6709\u95ee\u9898\uff0c\u53ef\u81f4\u7535 512-978-8855\u3002<\/p>\n<hr \/>\n<h2>Central Health \u8463\u4e8b\u4f1a\u6295\u7968\u8d5e\u6210\u9650\u5236\u5bf9 Sendero \u5065\u5eb7\u8ba1\u5212\u7684\u8d44\u52a9\uff0c\u4e3a\u6700\u7ec8\u9000\u51fa\u533b\u7597\u4fdd\u9669\u5e02\u573a\u505a\u597d\u51c6\u5907<\/h2>\n<p>(\u5965\u65af\u6c40\uff09- El Consejo de Directores de Central Health vot\u00f3 el mi\u00e9rcoles 12 de septiembre para limitar el financiamiento que le proporcionan a Sendero Health Plans, su organizaci\u00f3n de mantenimiento de la salud (HMO, por sus siglas en ingl\u00e9s) sin fines de lucro, debido a los constantes y potencialmente mayores desaf\u00edos financieros que la compa\u00f1\u00eda ha estado enfrentando.<\/p>\n<p>Sendero Health Plans \u4e8e 2012 \u5e74\u7531 Central Health \u521b\u5efa\uff0c\u65e8\u5728\u4e3a\u7ecf\u6d4e\u6536\u5165\u8f83\u4f4e\u7684\u4eba\u7fa4\u63d0\u4f9b\u533b\u7597\u4fdd\u9669\u3002\u5176\u4fdd\u9669\u4ea7\u54c1 IdealCare \u76ee\u524d\u62e5\u6709\u7ea6 24,000 \u540d\u4f1a\u5458\u3002\u5176\u63d0\u4f9b\u7684\u533b\u7597\u4fdd\u9669\u5c06\u5728 2018 \u5e74\u5168\u5e74\u6709\u6548\u3002\u5728\u6839\u636e\u300a\u533b\u7597\u6cd5\u300b\uff08ACA\uff0c\u82f1\u6587\u7f29\u5199\u4e3a ACA\uff09\u5f00\u653e\u6ce8\u518c\u7684\u4e0b\u4e00\u4e2a\u9636\u6bb5\uff0c\u4f1a\u5458\u6709\u673a\u4f1a\u9009\u62e9\u81ea\u5df1\u559c\u6b22\u7684 2019 \u5e74\u533b\u7597\u4fdd\u9669\u8ba1\u5212\u3002\u4f5c\u4e3a\u4e2d\u95f4\u6b65\u9aa4\uff0cSendero \u6b63\u5728\u8003\u8651\u5728 2019 \u5e74\u63d0\u4f9b IdealCare Bronze \u8ba1\u5212\u3002<\/p>\n<p>Durante la reuni\u00f3n del Consejo de Directores, el d\u00eda mi\u00e9rcoles, acerca del presupuesto y las tas impositivas para el a\u00f1o fiscal (FY, por sus siglas en ingl\u00e9s) 2019, y despu\u00e9s de llevar a cabo un an\u00e1lisis exhaustivo y dedicarle muchas horas de discusi\u00f3n al tema durante los \u00faltimos meses\u3001Central Health \u7406\u4e8b\u4f1a\u7684\u5927\u591a\u6570\u6210\u5458\u8ba4\u4e3a\uff0c\u907f\u514d\u4eca\u540e\u51fa\u73b0\u66f4\u591a\u7684\u98ce\u9669\u5bf9\u5176\u4f7f\u547d\u6709\u76ca\uff0c\u5e76\u51b3\u5b9a\u4ee5\u8d1f\u8d23\u4efb\u7684\u65b9\u5f0f\u6682\u505c Sendero \u7684\u8fd0\u4f5c\u3002<\/p>\n<p>Central Health \u7406\u4e8b\u4f1a\u4e3b\u5e2d\u74dc\u8fbe\u5362\u4f69-\u8428\u83ab\u62c9\uff08Guadalupe Zamora\uff09\u535a\u58eb\u627f\u8ba4\u7406\u4e8b\u4f1a\u7684\u8fd9\u4e00\u51b3\u5b9a\u662f\u8270\u96be\u7684\u3002\"Les ped\u00ed que vinieran con una mente abierta,\" dijo el Dr. Zamora.\"\u6211\u4eec\u5206\u6790\u4e86\u8fd9\u4e9b\u6570\u5b57\uff0c\u5e76\u5c31 Sendero \u7684\u672a\u6765\u8fdb\u884c\u4e86\u5e7f\u6cdb\u800c\u70ed\u70c8\u7684\u8ba8\u8bba\u3002\u6700\u540e\uff0c\u6211\u4eec\u652f\u6301\u6295\u7968\u8d5e\u6210\u6682\u505c\u516c\u53f8\u6d3b\u52a8\u7684\u90a3\u4e9b\u4eba\u7684\u51b3\u5b9a\uff0c\u6211\u4eec\u90fd\u5bf9\u505a\u51fa\u5982\u6b64\u8270\u96be\u7684\u51b3\u5b9a\u611f\u5230\u60b2\u75db\"\u3002<\/p>\n<p>Central Health \u8463\u4e8b\u4f1a\u524d\u4e3b\u5e2d\u5361\u7279\u91cc\u5a1c-\u4e39\u5c3c\u5c14\uff08Katrina Daniel\uff09\u63d0\u51fa\u4e86\u5c06 Central Health \u5728 Sendero 2019 \u8d22\u5e74\u7684\u6295\u8d44\u989d\u589e\u52a0 $4 \u767e\u4e07\u7f8e\u5143\u7684\u63d0\u8bae\uff0c\u4f7f\u6295\u8d44\u603b\u989d\u8fbe\u5230 $24 \u767e\u4e07\u7f8e\u5143\u3002\u8fd9\u7b14\u6295\u8d44\u5c06\u4e3a Sendero \u7684\u8d44\u672c\u6210\u672c\u548c\u76f8\u5e94\u7684\u8fd0\u8425\u8d39\u7528\u63d0\u4f9b\u8d44\u91d1\uff0c\u4f46\u6761\u4ef6\u662f Sendero \u5fc5\u987b\u5728\u672a\u6765\u4e24\u5e74\u5185\u5b9e\u73b0\u8fd0\u8425\u3002<\/p>\n<p>\"\u4e39\u5c3c\u5c14\u89e3\u91ca\u8bf4\uff1a\"\u8fc7\u53bb\u51e0\u5e74\u6765\uff0c\u6211\u4e00\u76f4\u662f Sendero \u7684\u4e3b\u8981\u63a8\u52a8\u8005\uff0c\u6211\u8ba4\u4e3a\u6211\u4eec\u6295\u8d44\u8fd9\u5bb6\u516c\u53f8\u7684\u7406\u7531\u90fd\u662f\u6b63\u786e\u7684\u3002\"Sendero \u5728\u8fc7\u53bb\u7684\u51e0\u5e74\u4e2d\u9047\u5230\u4e86\u8bb8\u591a\u56f0\u96be\uff0c\u5305\u62ec\u4fdd\u9669\u5e02\u573a\u4e0a\u7684\u6fc0\u70c8\u7ade\u4e89\u548c ACA \u76ee\u524d\u9762\u4e34\u7684\u4e0d\u786e\u5b9a\u6027\u3002\u6211\u4eec\u6ca1\u6709\u5931\u53bb\u5bf9\u4eba\u7c7b\u5065\u5eb7\u7684\u8d21\u732e\u3002\u5c3d\u7ba1\u5982\u6b64\uff0c\u6211\u4eec\u8ba4\u4e3a\u73b0\u5728\u5df2\u7ecf\u5230\u4e86\u4e3a Central Health \u5bfb\u627e\u4e00\u6761\u65b0\u7684\u9053\u8def\u7684\u65f6\u5019\u4e86\uff0c\u8fd9\u6761\u9053\u8def\u5c06\u4e3a Central Health \u63d0\u4f9b\u66f4\u591a\u7684\u4fdd\u969c\u548c\u66f4\u7a33\u5b9a\u7684\u8d22\u52a1\u72b6\u51b5\"\u3002<br \/>\n-m\u00e1s-<\/p>\n<p>\u5728 4 \u7968\u5bf9 3 \u7968\u7684\u8868\u51b3\u4e2d\uff0c\u4e39\u5c3c\u5c14\u7406\u4e8b\u4f1a\u6210\u5458 Sherri Greenberg\u3001Shannon Jones \u548c Maram Musetif \u6295\u4e86\u8d5e\u6210\u7968\uff0c\u8d5e\u6210\u9650\u5236\u8d44\u91d1\u548c\u505c\u6b62 Sendero \u7684\u8fd0\u4f5c\u3002Julie Oliver\u3001Cynthia Valadez \u548c\u7406\u4e8b\u4f1a\u4e3b\u5e2d Guadalupe Zamora \u535a\u58eb\u6295\u4e86\u53cd\u5bf9\u7968\u3002<\/p>\n<p>El miembro del Consejo Dr. Charles Bell, decidi\u00f3 abstenerse, razonando su voto como miembro del Consejo de Directores de Sendero (Bell es Presidente del Consejo de Directores de Sendero), y la Dra. Abigail Aiken estuvo ausente debido a un viaje internacional relacionado con su trabajo.Central Health \u7684\u51b3\u5b9a\u987b\u7ecf\u53d1\u9001\u65b9\u7406\u4e8b\u4f1a\u6279\u51c6\u3002<\/p>\n<p>Central Health \u7684 $24 \u767e\u4e07\u7f8e\u5143\u7684\u6295\u8d44\u4e3a Sendero \u63d0\u4f9b\u4e86\u5145\u8db3\u7684\u8d44\u672c\u548c\u989d\u5916\u8d44\u91d1\uff0c\u4f7f\u5176\u80fd\u591f\u5728 2018 \u8d22\u5e74\u7ed3\u675f\u8fd0\u8425\uff0c\u5e76\u63d0\u4f9b\u4e86\u5145\u8db3\u7684\u8d44\u91d1\uff0c\u4f7f\u5176\u80fd\u591f\u5728 2019 \u8d22\u5e74\u8d1f\u8d23\u4efb\u5730\u5b8c\u6210\u516c\u53f8\u7684\u8fd0\u8425\uff0c\u540c\u65f6\u9650\u5236\u4e86 Central Health \u672a\u6765\u7684\u4efb\u4f55\u98ce\u9669\u3002\u9664\u4e86 2019 \u8d22\u5e74\u7684\u878d\u8d44\u5916\uff0cCentral Health \u8fd8\u9700\u8981\u5728 2020 \u8d22\u5e74\u8ffd\u52a0\u8d44\u91d1\uff0c\u4ee5\u652f\u4ed8\u8fd0\u8425\u8d39\u7528\u3002<\/p>\n<p>\"\u7406\u4e8b\u4f1a\u4e3b\u5e2d\u517c\u603b\u5e72\u4e8b\u97e6\u65af-\u675c\u5361\u5c14\u65af\u57fa\u5bf9\u7406\u4e8b\u4f1a\u6210\u5458\u8868\u793a\uff1a\"\u975e\u5e38\u611f\u8c22\u4ed6\u4eec\u5728\u8fc7\u53bb\u51e0\u5e74\u91cc\u5bf9\u6211\u4eec\u7684\u652f\u6301\u3002\"\u6211\u4eec\u975e\u5e38\u611f\u8c22\u4ed6\u4eec\u5728\u8fc7\u53bb\u51e0\u5e74\u4e2d\u7684\u652f\u6301\uff0c\u5e76\u4e3a\u6211\u4eec\u6240\u505a\u7684\u5de5\u4f5c\u611f\u5230\u81ea\u8c6a\u3002\u6211\u4eec\u6539\u5584\u4e86\u793e\u533a\u7684\u5065\u5eb7\u72b6\u51b5\uff0c\u5e76\u5e2e\u52a9\u793e\u533a\u8282\u7701\u4e86\u5927\u91cf\u5f00\u652f\uff0c\u6211\u4eec\u5bf9\u6b64\u611f\u5230\u975e\u5e38\u81ea\u8c6a\u3002\"<\/p>\n<p>\u5bf9 Sendero \u800c\u8a00\uff0c\u8fd9\u662f\u4e00\u4e2a\u975e\u5e38\u8270\u96be\u7684\u5e74\u4efd\uff0c\u539f\u56e0\u5305\u62ec\u300a\u533b\u7597\u4fdd\u5065\u6cd5\u300b\u548c STAR Medicaid \u548c Chip \u533b\u7597\u4fdd\u9669\u5e02\u573a\u7684\u8865\u507f\u8ba1\u5212\u53d1\u751f\u4e86\u53d8\u5316\u3002El Programa de Ajuste de Riesgos para el ACA est\u00e1 dise\u00f1ado para compensar a las aseguradoras en el mercado de seguros m\u00e9dicos cuyos membros est\u00e9n m\u00e1s enfermos y necesitan m\u00e1s servicios, que son m\u00e1s costosos.Sin embargo, las compa\u00f1\u00edas de seguros m\u00e9dicos con un n\u00famero mayor de clientes m\u00e1s saludables, tales como Sendero, deben hacer pagos al Programa de Ajuste de Riesgos, en vez de recibir fondos.\u8fd9\u4e9b\u8d39\u7528\u603b\u989d\u8fbe\u6570\u767e\u4e07\u7f8e\u5143\u3002<\/p>\n<p>\u4eca\u5e74 1 \u6708\uff0cCentral Health \u8463\u4e8b\u4f1a\u6295\u7968\u51b3\u5b9a\u5728 2018 \u8d22\u5e74\u4e3a Sendero \u589e\u52a0 $26 \u767e\u4e07\u7f8e\u5143\u7684\u989d\u5916\u8d44\u91d1\uff0c\u603b\u8ba1 $36 \u767e\u4e07\u7f8e\u5143\uff0c\u539f\u56e0\u662f \"\u4e8f\u635f\u8c03\u6574\u8ba1\u5212\"\uff08Programa de Ajuste de Riesgos\uff09\u6ca1\u6709\u4ece Sendero \u901a\u8fc7\u5176\u4fdd\u9669\u673a\u6784 Idealcare \u63d0\u4f9b\u7684\u670d\u52a1\u4e2d\u9002\u5f53\u5730\u6536\u56de\u8d44\u91d1\u3002<\/p>\n<p>2018 \u5e74 3 \u6708\uff0cSendero \u5ba3\u5e03\u9000\u51fa STAR Medicaid \u548c CHIP \u533b\u7597\u4fdd\u9669\u5e02\u573a\uff0c\u4e3b\u8981\u539f\u56e0\u662f\u533b\u7597\u4fdd\u9669\u7684\u4fdd\u8d39\u4e0d\u8db3\u4ee5\u652f\u4ed8\u5176\u6210\u5458\u7684\u533b\u7597\u8d39\u7528\u3002\u5927\u7ea6\u6709 18,000 \u540d Sendero \u4f1a\u5458\u5728 STAR Medicaid \u548c CHIP \u533b\u7597\u4fdd\u9669\u8ba1\u5212\u4e2d\u767b\u8bb0\uff0c\u4ed6\u4eec\u6536\u5230\u4e86\u8fd9\u4e9b\u53d8\u5316\u7684\u901a\u77e5\uff0c\u5e76\u88ab\u8f6c\u5230\u4e86\u5176\u4ed6\u533b\u7597\u4fdd\u9669\u8ba1\u5212\u4e2d\u3002<\/p>\n<p>\u4e0b\u4e00\u6b65\u884c\u52a8<br \/>\n\u6839\u636e\u7279\u62c9\u7ef4\u65af\u5dde\u8bae\u4f1a\u63d0\u51fa\u7684\u8bf7\u6c42\uff0cCentral Health \u8463\u4e8b\u4f1a\u4e3b\u5e2d\u517c\u603b\u5e72\u4e8b Mike Geeslin \u6b63\u5728\u51c6\u5907\u4e00\u4efd\u89e3\u91ca\u7406\u4e8b\u4f1a\u51b3\u5b9a\u7684\u6587\u4ef6\uff0c\u4ee5\u8bf4\u660e Central Health \u5982\u4f55\u9650\u5236\u5176\u672a\u6765\u5728 Sendero \u7684\u98ce\u9669\u3002El presupuesto de Central Health, incluyendo la inversi\u00f3n propuesta en Sendero, debe ser aprobada por los Comisionados del Condado de Travis.Sendero \u516c\u53f8\u672a\u6765\u7684\u8fd0\u8425\u51b3\u7b56\u987b\u7ecf\u5176\u7406\u4e8b\u4f1a\u6279\u51c6\u3002<\/p>\n<p>\"\u76d6\u65af\u6797\u8868\u793a\uff1a\"\u8fd9\u4efd\u6587\u4ef6\u89e3\u91ca\u4e86\u6211\u4eec\u505a\u51fa\u8fd9\u4e00\u51b3\u5b9a\u7684\u539f\u56e0\uff0c\u5e76\u786e\u8ba4\u4e86 Central Health \u4e3a Sendero \u516c\u53f8\u6279\u51c6\u7684\u4e0b\u4e00\u8d22\u653f\u5e74\u5ea6\u7684\u8d44\u91d1\u652f\u6301\u3002\"\u56e0\u6b64\uff0c\u6211\u4eec\u5c06\u7ee7\u7eed\u5411\u793e\u533a\u548c\u59d4\u5458\u4f1a\u901a\u62a5\u524d\u8fdb\u9053\u8def\u4e0a\u7684\u6bcf\u4e00\u6b65\uff0c\u5e76\u52aa\u529b\u4f7f Sendero \u7684\u6210\u5458\u80fd\u591f\u66f4\u8f7b\u677e\u5730\u5b8c\u6210\u8fc7\u6e21\"\u3002Geeslin \u89e3\u91ca\u8bf4\uff0c\u81ea 2012 \u5e74\u4ee5\u6765\uff0cSendero \u5df2\u4e3a\u7279\u62c9\u7ef4\u65af\u5dde\u7684 135,000 \u591a\u4eba\u63d0\u4f9b\u4e86\u8d85\u8fc7 $470 \u767e\u4e07\u7f8e\u5143\u7684\u533b\u7597\u670d\u52a1\u3002\"Geeslin \u603b\u7ed3\u9053\uff1a\"\u6211\u4eec\u7684\u6295\u8d44\u662f\u6b63\u786e\u7684\u3002<\/p>\n<p>ACA \u5f00\u653e\u6ce8\u518c\u671f\u4e3a 2018 \u5e74 11 \u6708 1 \u65e5\u81f3 12 \u6708 15 \u65e5\u3002\u4ece 11 \u6708 1 \u65e5\u8d77\uff0cIdealCare de Sendero \u7684\u4f1a\u5458\u53ef\u62e8\u6253 2-1-1 \u514d\u8d39\u83b7\u53d6 2019 \u5e74\u533b\u7597\u4fdd\u9669\u8ba1\u5212\u3002\u5982\u679c\u4f1a\u5458\u4eca\u5929\u6709\u4efb\u4f55\u7591\u95ee\uff0c\u53ef\u62e8\u6253\u7535\u8bdd 512-978-8855\u3002<\/p>\n<hr \/>\n<p><strong>Central Health \u7ba1\u7406\u59d4\u5458\u4f1a\u5c06\u4e8e 9 \u6708 22 \u65e5\u661f\u671f\u516d\u4e0b\u5348 1 \u70b9\u53ec\u5f00\u7279\u522b\u53ec\u96c6\u4f1a\u8bae\uff0c\u8fdb\u4e00\u6b65\u8ba8\u8bba Sendero \u5065\u5eb7\u8ba1\u5212\u3002\u516c\u6c11\u4ea4\u6d41\u5c06\u5217\u5165\u8bae\u7a0b\uff0c\u5141\u8bb8\u516c\u4f17\u53d1\u8868\u610f\u89c1 (<a href=\"https:\/\/centralhealth-local.sbdev.io\/meetings\/citizens-communications\/\" target=\"_blank\" rel=\"noopener\">\u9002\u7528\u6b63\u5e38\u51c6\u5219<\/a>).<\/strong><\/p>\n<p><strong>\u4f1a\u8bae\u5c06\u5728 <a href=\"https:\/\/centralhealth-local.sbdev.io\/meetings\/\" target=\"_blank\" rel=\"noopener\">\u4f1a\u8bae\u9875\u9762<\/a> \u548c\u6211\u4eec\u7684 <a href=\"https:\/\/www.youtube.com\/user\/tchealthdistrict\" target=\"_blank\" rel=\"noopener\">YouTube \u9891\u9053<\/a>.<\/strong><\/p>\n<p><strong><a href=\"https:\/\/centralhealth-local.sbdev.io\/central-health-board-of-managers-votes-to-cap-funding-for-sendero-health-plans-setting-up-an-eventual-exit-from-the-insurance-market\/\" target=\"_blank\" rel=\"noopener\">\u4e86\u89e3\u66f4\u591a<\/a> \u8ba8\u8bba\u7684\u95ee\u9898\u3002<\/strong><\/p>\n<p><strong>\u5982\u679c\u60a8\u5e0c\u671b\u5728\u4f1a\u524d\u63d0\u4ea4\u4e66\u9762\u610f\u89c1\uff0c\u8bf7\u70b9\u51fb\u4ee5\u4e0b\u94fe\u63a5\u3002<\/strong><\/p>\n<p style=\"text-align: center;\"><strong><a class=\"button\" href=\"https:\/\/centralhealth-local.sbdev.io\/meetings\/sendero-health-plans-feedback\/\" target=\"_blank\" rel=\"noopener\">\u63d0\u4f9b\u53cd\u9988<\/a><\/strong><\/p>","protected":false},"excerpt":{"rendered":"<p>(Austin) \u2013 The Central Health Board of Managers voted Wednesday, Sept. 12, to cap funding for Sendero Health Plans, its nonprofit Health Maintenance Organization (HMO), due to ongoing and potentially [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":149083,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[68,4,70],"tags":[],"class_list":["post-151205","post","type-post","status-publish","format-standard","has-post-thumbnail","category-featured","category-news","category-press-releases","entry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.centralhealth.net\/zh\/wp-json\/wp\/v2\/posts\/151205","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.centralhealth.net\/zh\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.centralhealth.net\/zh\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.centralhealth.net\/zh\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/www.centralhealth.net\/zh\/wp-json\/wp\/v2\/comments?post=151205"}],"version-history":[{"count":0,"href":"https:\/\/www.centralhealth.net\/zh\/wp-json\/wp\/v2\/posts\/151205\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.centralhealth.net\/zh\/wp-json\/wp\/v2\/media\/149083"}],"wp:attachment":[{"href":"https:\/\/www.centralhealth.net\/zh\/wp-json\/wp\/v2\/media?parent=151205"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.centralhealth.net\/zh\/wp-json\/wp\/v2\/categories?post=151205"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.centralhealth.net\/zh\/wp-json\/wp\/v2\/tags?post=151205"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}