H.R. 2810 would increase Medicare payment rates by 0.5 percent in 2015, and another 0.5 percent in 2016, then hold payments steady through 2023. The system also would use a new “value-based” system to pay extra cash to high-performance physicians and take cash away from low-performance physicians, and it also would create an “alternative payment model” to encourage physicians to use other types of approaches to accept care-related financial risk.
S. 1871 would hold base Medicare physician payment rates level from now through 2023, and it also would create a “value-based” and “alternative payment model” payment systems, in an effort to pay more money to physicians who provide efficient, high-quality care.
Both bills would start by offering physicians “value-based” pay adjustments as large as 4 percent, and, from 2017 through 2022, the physicians who get value-based pay would get lump-sum annual payments equal to 5 percent of their Medicare payments in the prior year.
Implementing House bill would costs about $120 billion from 2014 through 2023, and implementing the Senate bill would cost about $150 billion, the CBO analysts estimate.