Silversmith Janet
Minn Med. 2017 Jan;100(1):32-34.
The Medicare Access and Children's Health Insurance Program (CHIP) Reauthorization Act of 2015 fundamentally changes how physicians who care for Medicare patients will be paid. Although physicians won't see changes in their payments in 2017, they need to understand that their performance in 2017 will be the basis for the payments made to them starting in 2019. This article summarizes the two paths for determining future Medicare payments established by the law: the merit-based incentive payment system and advanced alternative payment models.
《2015年医疗保险接入与儿童健康保险计划（CHIP）再授权法案》从根本上改变了为医疗保险患者提供治疗的医生的支付方式。尽管医生在2017年不会看到其支付金额的变化，但他们需要明白，2017年的表现将成为从2019年起向他们支付款项的依据。本文总结了该法律确立的确定未来医疗保险支付的两条途径：基于绩效的激励支付系统和先进的替代支付模式。
