{"id":732880,"date":"2025-03-31T08:36:47","date_gmt":"2025-03-31T06:36:47","guid":{"rendered":"https:\/\/www.hashtag.al\/?p=732880"},"modified":"2025-03-31T08:36:47","modified_gmt":"2025-03-31T06:36:47","slug":"mashtrim-200-milione-euro-ne-sistemin-shendetesor-gjerman","status":"publish","type":"post","link":"https:\/\/www.hashtag.al\/index.php\/2025\/03\/31\/mashtrim-200-milione-euro-ne-sistemin-shendetesor-gjerman\/","title":{"rendered":"Mashtrim 200 milion\u00eb euro n\u00eb sistemin sh\u00ebndet\u00ebsor gjerman","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"<p><span style=\"color: #000000;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-732881\" src=\"https:\/\/www.hashtag.al\/wp-content\/uploads\/2025\/03\/1743402219_ozempic.jpg\" alt=\"\" width=\"780\" height=\"440\" srcset=\"https:\/\/www.hashtag.al\/wp-content\/uploads\/2025\/03\/1743402219_ozempic.jpg 780w, https:\/\/www.hashtag.al\/wp-content\/uploads\/2025\/03\/1743402219_ozempic-300x169.jpg 300w, https:\/\/www.hashtag.al\/wp-content\/uploads\/2025\/03\/1743402219_ozempic-768x433.jpg 768w\" sizes=\"auto, (max-width: 780px) 100vw, 780px\" \/><\/span><\/p>\n<p><span style=\"color: #000000;\">Ozempic, fillimisht nj\u00eb ila\u00e7 p\u00ebr diabetin, po b\u00ebn buj\u00eb t\u00eb madhe, pasi trendi filloi n\u00eb Hollywood. Nj\u00eb shiring\u00eb Ozempic p\u00ebr humbje peshe kushton nga 80 deri n\u00eb 217 euro, n\u00eb var\u00ebsi t\u00eb doz\u00ebs. Por edhe rrjetet kriminale n\u00eb\u00a0Gjermani\u00a0p\u00ebrpiqen t\u00eb p\u00ebrfitojn\u00eb, duke falsifikuar\u00a0recetat n\u00eb let\u00ebr q\u00eb m\u00eb pas t&#8217;i rishesin shiringat. Kompanit\u00eb e sigurimeve sh\u00ebndet\u00ebsore i paguajn\u00eb k\u00ebto ila\u00e7e. Vet\u00ebm nj\u00eb nga shum\u00eb shembuj q\u00eb tregon se si mashtrohen kompanit\u00eb ligjore t\u00eb sigurimeve sh\u00ebndet\u00ebsore n\u00eb k\u00ebt\u00eb vend.<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>Mashtrime t\u00eb m\u00ebdha n\u00eb fush\u00ebn e kujdesit p\u00ebr t\u00eb moshuarit<\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\">N\u00eb total, sigurimet sh\u00ebndet\u00ebsore zbuluan mashtrime me vler\u00eb 200 milion\u00eb euro n\u00eb vitet 2022 dhe 2023, q\u00eb shihet si shuma m\u00eb e lart\u00eb q\u00eb nga mbajtja e statistikave n\u00eb vitin 2008, sipas raportit aktual t\u00eb Shoqat\u00ebs Komb\u00ebtare t\u00eb Sigurimeve Sh\u00ebndet\u00ebsore q\u00eb u publikua t\u00eb premten, GKV (28.03.). Sipas tij kriminel\u00ebt po ia dalin gjithnj\u00eb e m\u00eb shpesh t\u00eb rimbursojn\u00eb receta t\u00eb rreme p\u00ebr medikamente t\u00eb shtrenjta. P\u00ebrve\u00e7 Ozempic, n\u00eb farmaci dor\u00ebzohen receta dhe faturohen edhe ila\u00e7et kund\u00ebr dhimbjeve si Tilidine dhe Fentanyl me shpenzime t\u00eb kompanive t\u00eb sigurimit sh\u00ebndet\u00ebsor. Por n\u00ebse mashtrimi zbulohet, sigurimet sh\u00ebndet\u00ebsore k\u00ebrkojn\u00eb d\u00ebmshp\u00ebrblim edhe nga farmacit\u00eb q\u00eb nuk i kan\u00eb zbuluar recetat e falsifikuara.<\/span><\/p>\n<p><span style=\"color: #000000;\">Raporti bazohet n\u00eb informacione nga 94 sigurime an\u00ebtare t\u00eb Shoqat\u00ebs Komb\u00ebtare dhe personane q\u00eb kan\u00eb denoncuar rastet e q\u00eb punojn\u00eb n\u00eb sektorin e kujdesit sh\u00ebndet\u00ebsor. N\u00eb total, jan\u00eb raportuar rreth 50.000 denoncime gjat\u00eb periudh\u00ebs raportuese. Kjo \u00ebsht\u00eb nj\u00eb rritje prej m\u00eb shum\u00eb se 20 p\u00ebr qind krahasuar me periudh\u00ebn e m\u00ebparshme raportuese 2021\/2020.\u00a0<\/span><\/p>\n<p><span style=\"color: #000000;\">Por pothuajse gjysma e t\u00eb gjitha raportimeve lidheshin me shkelje n\u00eb fush\u00ebn e\u00a0p\u00ebrkujdesit sh\u00ebndet\u00ebsor. Ofruesit e sh\u00ebrbimeve thuhet se kan\u00eb mashtruar me koh\u00ebn e p\u00ebrkushtuar p\u00ebr trajim dhe se kan\u00eb vendosur m\u00eb shum\u00eb sh\u00ebrbime sesa jan\u00eb ofruar n\u00eb t\u00eb v\u00ebrtet\u00eb. GKV citon gjithashtu certifikatat e rreme profesionale dhe n\u00ebnshkrimet e pacient\u00ebve si shembuj tipik\u00eb t\u00eb mashtrimit n\u00eb k\u00ebt\u00eb industri.<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>Kompanit\u00eb fiktive<\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\">Sipas GKV-s\u00eb, nj\u00eb tjet\u00ebr model mashtrimi profesional po b\u00ebhet gjithnj\u00eb e m\u00eb i duksh\u00ebm: fjala \u00ebsht\u00eb p\u00ebr krijimin e t\u00eb ashtuquajturave kompani fiktive. Sipas hulumtimit t\u00eb transmentuesit publik gjerman, rbb, shpesh em\u00ebrohen si drejtor\u00eb menaxhues t\u00eb k\u00ebtyre kompanive persona t\u00eb painformuar me s\u00ebmundje e var\u00ebsi t\u00eb caktuara nga Evropa Lindore. Por kompanit\u00eb ekzistojn\u00eb vet\u00ebm n\u00eb let\u00ebr ose si kuti postare. N\u00ebp\u00ebrmjet k\u00ebtyre kompanive false njer\u00ebzit regjistrohen n\u00eb kompanit\u00eb e sigurimeve sh\u00ebndet\u00ebsore dhe aty ku mund t\u00eb marrin ndihmat shoq\u00ebrore n\u00eb Gjermani. Shpesh k\u00ebta jan\u00eb njer\u00ebz q\u00eb nuk jan\u00eb t\u00eb pun\u00ebsuar nga kompanit\u00eb. Llogarit\u00eb e pagave t\u00eb tyre, pagesat e pagave dhe kontratat e pun\u00ebs manipulohen ose falsifikohen.<span style=\"color: #0000ff;\">\/<a style=\"color: #0000ff;\" href=\"https:\/\/www.dw.com\/sq\/mashtrim-200-milion%C3%ABsh-n%C3%AB-sistemin-sh%C3%ABndet%C3%ABsor-gjerman\/a-72086477\"><strong>DW<\/strong><\/a><\/span><\/span><\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"<p>Ozempic, fillimisht nj\u00eb ila\u00e7 p\u00ebr diabetin, po b\u00ebn buj\u00eb t\u00eb madhe, pasi trendi filloi n\u00eb Hollywood. Nj\u00eb shiring\u00eb Ozempic p\u00ebr humbje peshe kushton nga 80 deri n\u00eb 217 euro, n\u00eb var\u00ebsi t\u00eb doz\u00ebs. Por edhe rrjetet kriminale n\u00eb\u00a0Gjermani\u00a0p\u00ebrpiqen t\u00eb p\u00ebrfitojn\u00eb, duke falsifikuar\u00a0recetat n\u00eb let\u00ebr q\u00eb m\u00eb pas t&#8217;i rishesin shiringat. Kompanit\u00eb e sigurimeve sh\u00ebndet\u00ebsore i [&hellip;]<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"author":49,"featured_media":732881,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[],"class_list":["post-732880","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nderkombetare"],"gt_translate_keys":[{"key":"link","format":"url"}],"_links":{"self":[{"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/posts\/732880","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/users\/49"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/comments?post=732880"}],"version-history":[{"count":99999,"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/posts\/732880\/revisions"}],"predecessor-version":[{"id":732882,"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/posts\/732880\/revisions\/732882"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/media\/732881"}],"wp:attachment":[{"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/media?parent=732880"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/categories?post=732880"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hashtag.al\/index.php\/wp-json\/wp\/v2\/tags?post=732880"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}