Nkikigo nderabuzima cyujuje ubuziranenge Reba-Alike hamwe n’umutekano utanga umutekano, Ikigo cyita ku buzima bw’abaturage gitanga serivisi zita ku buzima bwuzuye kandi buhendutse ku bana ndetse n’abantu bakuru batitaye ku bwishingizi cyangwa kutabasha kwishyura. Kanda hano urebe ibibazo bikunze kubazwa.
Ikigo cyita ku buzima bw’abaturage gifasha abarwayi kumenya niba bemerewe guhitamo ubuzima bwiza, harimo n’amafaranga yatanzwe. Kwemererwa kugipimo cyacu cyo kunyerera gishingiye kumuryango (cyangwa murugo) amafaranga yinjiza nubunini kandi bitanga urwego rwo kugabanya abarwayi bujuje ibisabwa. Kanda hano urebe igipimo cyo kunyerera.
Ibikoresho byose bikubiye kururu rubuga birinzwe n’amategeko y’uburenganzira bwa Leta zunze ubumwe z’Amerika kandi ntibishobora gusubirwamo, gukwirakwizwa, koherezwa, kwerekanwa, gutangazwa, cyangwa gutangazwa nta ruhushya rwanditse rwabanje kubiherwa uruhushya rwanditse n’ikigo cyita ku buzima bw’abaturage n’ikigo kibishamikiyeho, Wright Center for Kurangiza amashuri yubuvuzi.
Mu mwaka w’ingengo y’imari 2023, ikigo cya Wright Centre for Health Health (TWCCH) cyatewe inkunga n’amafaranga yinjira muri serivisi z’abarwayi bava muri gahunda ya Medicare na Medicaid na gahunda y’ubwishingizi bw’abikorera, kwitabira gahunda ya 340B y’ibiyobyabwenge, ibikoresho by’uburezi biva mu kigo cya Wright Centre for Graduate Medical Education Education , no gutera inkunga ituruka mu bigo bitandukanye bya leta, leta, n’ibigo by’abagiraneza. Muri miliyoni 58.3 z'amadorali yakoreshejwe mu bikorwa byakozwe na TWCCH, miliyoni 48.4 z'amadolari, ni ukuvuga 83%, yatewe inkunga mu buryo butaziguye cyangwa butaziguye n'amafaranga ya leta.
Mu mwaka w’ingengo y’imari 2023, Wright Centre for Graduate Medical Education's (TWCGME) yatewe inkunga n’inkunga itaziguye yatanzwe n’ikigo cy’ubuzima gishinzwe ubuzima muri Leta zunze ubumwe z’Amerika hamwe n’ubuyobozi bw’abasirikare, inkunga itaziguye yatanzwe n’ikigo gishinzwe ubuvuzi na Medicaid binyuze mu masezerano y’ubufatanye n'amasezerano akomeye kandi ibitaro byita ku barwayi basubiza mu buzima busanzwe, kandi basangiye kuzigama muri gahunda yo kuzigama ya Medicare basangiye kuzigama binyuze muri 10% nyir'ikigo cyitwa Keystone Accountable Care Organisation. Muri miliyoni 42.2 z'amadorali yakoreshejwe mu bikorwa byakozwe na TWCGME, miliyoni 37.2 z'amadolari, ni ukuvuga 88%, yatewe inkunga mu buryo butaziguye cyangwa butaziguye n'amafaranga ya leta;