Ta yaya Dokar Stark Law Impacts Patients
Lokacin da ya shafi ka'idodin kiwon lafiya, ɗaya daga cikin mahimmanci kuma mafi yawan lokuta mafi wuya ka'idoji shine Dokar Stark. An kira shi bayan mai tallafa wa doka, wakilin Amurka Pete Stark na California, an kuma san wannan doka a matsayin dokar likita.
Da farko, an tsara Dokar Stark don hana likitoci daga Magana da Medicare da Medicaid don ƙarin gwaje-gwaje ko ayyukan layi idan likitan (ko dangi na likita) yana da sha'awar kudi ga kamfanin yin gwajin.
Abinda ya damu shi ne cewa likitoci sun iya yin umurni da gwaje-gwaje, ko kuma sun sanya sabis na kiwon lafiya (DHS), idan sun tsaya don samun kuɗi daga ƙarin gwaji.
Wasu daga cikin ayyukan kiwon lafiyar da Dokar Stark ta tanada sun hada da: Ayyukan dakunan gwaji, farfadowa na jiki , aikin likita, radiology, radiation da kuma kayan aiki, kayan aikin kiwon lafiya da kayan aiki, masu bautar gumaka , kothotics , kiwon lafiya na gida, ayyukan maganin maganganu, sabis na asibiti na asibiti , da kuma sabis na asibiti. Idan marasa lafiya suna buƙatar waɗannan ayyuka, likitoci ba za su iya mayar da su a wuraren da suke da sha'awa ba.
Ƙalubalen da Dokar Stark Law Pros
Tun lokacin da aka fara shi a shekarar 1989, an sake nazarin Dokar Stark da kuma fadada. Binciken da aka yi tsakanin 1992 da 2007, ana kiransa Stark I, Stark II, da Stark III. Sakamakon haka, doka ta zama tsayin daka kuma ta bi doka ta zama ɗan ƙalubalanci ga likitoci.
Abinda ya fi haka, Dokar Stark wata doka ce mai wuya. Abin da ake nufi shi ne cewa ba a kula da niyyar likita ba idan aka bincika masu bi. A sakamakon haka, likita za a iya samun laifin keta doka ba tare da yin niyya ba.
A karkashin Dokar Stark, Idan likita ya sanya mahimmanci kuma babu wani kisa a cikin doka, to, an haramta Dokar Stark.
Kuma wannan zai iya zama da tsada. A gaskiya ma, likitoci na iya yiwuwar cajista har zuwa $ 25,000 na cin zarafin har zuwa sau uku adadin da aka yi daga Medicare.
Sauran ramifications zasu iya haɗawa da ake buƙatar karbar dukiyar da aka karɓa don sabis, dalar Amurka $ 100,000 don ƙoƙari na ƙeta dokar da kuma kaucewa daga shirye-shiryen kiwon lafiya na tarayya. Ma'aikatan likita na iya fuskanci ƙarin alhaki a ƙarƙashin Dokar Sashin Karyar Tarayya. Dokar Fadaha ta Fasaha, wanda ake kira Lincoln Law, wani dokar tarayya ne wanda ya sanya wajibi ne a kan mutane ko kamfanonin da suka keta shirye-shiryen gwamnati kamar Medicare. Wannan aikin shine kayan aiki na gwamnati na yaki da cin zarafi ga gwamnati.
Masu ma'anar Dokar Stark sun nuna cewa likitan likitoci ba su da yawa. Abin da ya fi haka, suna da'awar cewa likitoci da ke mallaki ko zuba jari a wuraren kiwon lafiya suna amsawa ga bukatar a cikin al'umman da ba za a hadu ba. Har ila yau, suna kula da cewa ƙungiyoyin masu kula da likitoci suna sau da yawa a madadin farashi.
Manufar Dokar Stark
Dokar asali ta kasance mai sauki kuma mai sauƙi. Manufarsa ita ce ta haramta likita mai kula da likita don DHS lokacin da Medicare ya rufe maciji ko wani mai biya na gwamnati.
Tunanin shine likitan likita na wakiltar rikici saboda likita yana amfani da nasu.
A sakamakon haka, mutane da dama da suka goyi bayan Dokar Stark sun yi imanin cewa ba tare da shi ba, likitoci zasu iya yin amfani da ayyukan yin amfani da su. Wannan aikin zai biyo bayan farashin kiwon lafiya. Abin da yafi, sun yi imanin cewa zai haifar da tsarin tsarin ƙaura wanda zai iya cutar da wasu masu samar da lalacewa.
Har ila yau akwai damuwa cewa ba tare da Dokar Stark ba, za a mayar da shawarar yanke shawara na kiwon lafiya a kan jagorancin marasa lafiya zuwa wasu gwaje-gwaje da kuma wurare maimakon a ba da haƙuri da bukatunsa na farko.
Hakanan zai haifar da yanke shawarar yanke shawara na kiwon lafiya da kuma sanya marasa lafiya a hadari.
Ta yaya Dokar Stark Law Impacts Patients
Tare da Dokar Stark a wurin, yawancin masu bada shawara sunyi imanin cewa yana rike likitoci daga sarrafa gwajin da ba dole ba . Bugu da ƙari, sun ce yana taimakawa wajen kula da kiwon lafiyar ta hanyar tashi ba tare da wata hanya ba kuma ta inganta ƙaddamarwa ta hanyar ta'azantar da abubuwan da suke da shi a kan ayyukan. Har ila yau, ya tabbatar da cewa yanke shawarar kiwon lafiyar ba zai iya rinjayar da yiwuwar likita zai iya amfana daga ƙarin gwaji.
A gefe guda, duk da haka, masu sukar suna damu cewa idan mai ciwo yana zaune a kananan ƙananan al'umma kuma yana buƙatar gwaje-gwaje na musamman wanda zai iya sa su a cikin hasara musamman ma idan zaɓi ɗaya ne mai mallakar likita. A lokuta irin wannan, mai yiwuwa a bukaci mai haƙuri ya fitar da miliyoyin kilomita don gwadawa domin likitansa ba zai iya mayar da shi zuwa wurin makaman ba saboda likita yana da sha'awa akan wannan makaman. Abin da ya fi haka, idan mai haƙuri ba shi da sufuri ko kudi don fitar da wani kayan aiki, ba zai iya samun lafiyar da yake bukata ba. A sakamakon haka, Dokar Stark na iya sanya wasu marasa lafiya a hadari saboda rashin samun lafiyar lafiya.
Bugu da ƙari kuma, masu sukar suna damu da cewa Dokar Stark tana hana yin gyaran lokaci. A cikin misali daya da aka gabatar a gaban majalisa, wata kungiya ta likita ta buƙaci samar da kyauta na kyauta a cikin ofisoshin masu ba da izini. Wadannan masu shawarwari za'a shawarce su lokacin da likita ta gano cewa tayi zata mutu a lokacin haihuwar ko kuma bayan jimawa. Kodayake sabis zai amfana da marasa lafiya ta hanyar samar da karin amsoshin da gwaji, a karkashin Dokar Stark da za a yi la'akari da masu amfani da su ga masu zaman kansu.
Kalma Daga
Bayyana ainihin ka'idar Stark Law ita ce ta kare marasa lafiyar Medicare daga yin amfani da su ta hanyar likitocin da zasu iya samun amfana daga masu neman gwaji. Amma tare da dukan canje-canje da gyare-gyare ga Dokar Stark, ya zama da wuya ga likitoci su san ko suna hana doka. A gaskiya ma, akwai wasu kamfanonin lauyoyi da ke kwarewa a likitocin horo game da Stark Law. Kuma akwai wani zaɓi ga likitoci wanda suka san ka'idar Stark Law ba tare da sani ba.
A gefe guda, akwai likitoci da ke san ka'idar Stark da kuma zaɓin su watsi da ita. Idan kun ji likitanku na yin gwajin gwajin gwagwarmaya domin zai amfana musu da kuɗi, za ku iya tuntuɓar Ofishin Inspector Janar a Ma'aikatar Kiwon Lafiya ta Amurka da Ayyukan Dan Adam a (800) HHS-TIPS ko (800) 447-8477.
> Sources:
> "Wurin Magana ga sababbin likitoci: Cin zamba da zalunci." Ma'aikatar Lafiya ta Amurka da kuma Ayyukan Dan Adam. https://oig.hhs.gov/compliance/physician-education/01laws.asp
> Betbeze, Philip. "Sau da yawa, lokacin da za a gyara Dokar Stark," Shugabannin Rikicin Lafiya, Nuwamba 10, 2016. http://www.healthleadersmedia.com/leadership/quick-time-fix-stark-law
> Ellison, Ayla. "15 Abubuwa da za a sani game da Dokar Stark," Binciken Asibitin Becker, Fabrairu 18, 2017. https://www.beckershospitalreview.com/legal-regulatory-issues/15-things-to-know-about-stark-law- 021717.html
> Gosfield JD, Alice. Sanarwar Gaskiya game da Dokar Stark, "Cibiyar Nazarin Kasuwancin Amirka ta Kwararrun Iyaye, Disamba 2003. http://www.aafp.org/fpm/2003/1100/p27.html
> Higashi DC, Stephanie. "Jahilci Ba Wajaba ba ne: Kada ku Keta Dokokin Kasuwanci," Cikakken Chiropractic, Fabrairu 15, 2017. https://www.chiroeco.com/violate-stark-laws/
> "Magana na Kasuwancin Likita." Cibiyoyin Kula da Magungunan Magunguna da Magunguna. https://www.cms.gov/Medicare/Fraud-and-Abuse/PhysicianSelfReferral/index.html