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The SGR Repeal and Medicare Provider Payment Modernization Act of 2014 () is a bill that would replace the Sustainable Growth Rate (SGR) formula, which determines the annual updates to payment rates for physicians’ services in Medicare, with new systems for establishing those payment rates.〔 The bill was introduced into the United States House of Representatives during the 113th United States Congress. The provisions in this bill that would pay for changes in the SGR formula by delaying some provisions of the Affordable Care Act were unpopular with Democrats, leading to the Protecting Access to Medicare Act of 2014 (H.R. 4302; 113th Congress), a bill that would simply delay the April 1, 2014 SGR Medicare cuts until March 2015. ==Background== (詳細はsocial insurance program, administered by the U.S. federal government since 1966, that guarantees access to health insurance for Americans aged 65 and older who have worked and paid into the system, younger people with disabilities, and a few other groups. As a social insurance program, Medicare spreads the financial risk associated with illness across society to protect everyone, and thus has a somewhat different social role from for-profit private insurers, which manage their risk portfolio by adjusting their pricing according to perceived risk. In 2010, Medicare provided health insurance to 48 million Americans—40 million people age 65 and older and eight million younger people with disabilities. It was the primary payer for an estimated 15.3 million inpatient stays in 2011, representing 47.2 percent ($182.7 billion) of total aggregate inpatient hospital costs in the United States.〔Torio CM, Andrews RM. National Inpatient Hospital Costs: The Most Expensive Conditions by Payer, 2011. HCUP Statistical Brief #160. Agency for Healthcare Research and Quality, Rockville, MD. August 2013. ()〕 On average, Medicare covers about half (48 percent) of health care costs for enrollees. Medicare enrollees must cover the rest of the cost. These out-of-pocket costs vary depending on the amount of health care a Medicare enrollee needs. They might include uncovered services—such as long-term, dental, hearing, and vision care—and supplemental insurance.〔(Kaiser Slides | The Henry J. Kaiser Family Foundation ). Facts.kff.org. Retrieved on 2013-07-17.〕 Over the last decade, Congress has been passing legislation to temporarily fix the Medicare payment system to avoid the major cuts that would otherwise go into effect due to existing law.〔 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「SGR Repeal and Medicare Provider Payment Modernization Act of 2014」の詳細全文を読む スポンサード リンク
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