Merrill Douglas G
Merrill Healthcare, Reno, NV 89511, USA.
Anesthesiol Clin. 2019 Jun;37(2):373-388. doi: 10.1016/j.anclin.2019.01.011.
Congress passed the Medicare Access and Chip Reauthorization Act of 2015 to replace the flawed sustainable growth rate system and it consolidates all pay-for-performance programs. These programs are intended to reduce health care costs but do not address the lack of funding for the social networks that (in all other developed countries) support better health and lower health care use and cost. These programs require reporting by providers about performance on quality, cost, and other metrics, leading to bonuses for those who exceed Centers for Medicare & Medicaid Services-determined metrics and financial penalties for those who do not.
国会通过了2015年《医疗保险准入与儿童健康保险计划再授权法案》，以取代存在缺陷的可持续增长率系统，并整合了所有按绩效付费计划。这些计划旨在降低医疗成本，但并未解决（在所有其他发达国家）支持更好健康状况以及降低医疗使用和成本的社会网络资金不足的问题。这些计划要求医疗服务提供者报告质量、成本和其他指标方面的表现，对那些超过医疗保险和医疗补助服务中心确定指标的人给予奖金，对未达标的人进行经济处罚。
