Woody Iara O
American Association of Homes and Services for the Aging, Washington, DC 20008, USA.
J Am Coll Radiol. 2005 Feb;2(2):139-50. doi: 10.1016/j.jacr.2004.07.023.
The Medicare program, enacted in 1965, is a federally funded health care coverage plan for people aged 65 years and older, for those who are disabled, and for those needing renal dialysis or kidney transplants for the treatment of end-stage renal disease. Today, nearly 40 million Americans rely on Medicare for their health care services. The purpose of the Medicare program is to increase access to quality care for the elderly while maintaining a financially viable federal fund from which health care reimbursements can be appropriately and efficiently allocated to health care providers. This paper has three main objectives: (1) introduce the functioning of the Medicare payment system, (2) explain in more detail how the program currently reimburses physicians, and (3) discuss the current challenges facing the physician reimbursement system.
1965年颁布的医疗保险计划是一项由联邦政府资助的医疗保健覆盖计划，覆盖对象为65岁及以上的老年人、残疾人士以及因终末期肾病需要进行肾透析或肾移植的患者。如今，近4000万美国人依靠医疗保险获得医疗服务。医疗保险计划的目的是增加老年人获得优质医疗服务的机会，同时维持一个财政上可行的联邦基金，以便能够将医疗保健报销费用合理有效地分配给医疗服务提供者。本文有三个主要目标：（1）介绍医疗保险支付系统的运作情况；（2）更详细地解释该计划目前如何向医生报销费用；（3）讨论医生报销系统目前面临的挑战。
