Kenkel P J
Mod Healthc. 1991 Aug 26;21(34):30.
HMOs and other health plans in many states are diversifying into self-insurance to protect market share, but in Minnesota such a shift is leading to a growing deficit in the state-sponsored risk pool for uninsurable residents. That's because health plans must pay an assessment based on revenues to help fund the state's plan, but the burgeoning self-insured plans aren't required to ante up.
在许多州,健康维护组织(HMOs)和其他健康计划正在向自我保险领域多元化发展,以保护市场份额,但在明尼苏达州,这种转变正导致该州为不可参保居民设立的风险池赤字不断增加。这是因为健康计划必须根据收入支付一笔分摊费用,以帮助资助该州的计划,但新兴的自我保险计划却无需支付这笔费用。