医疗保险风险合同：市场进入的决定因素。
Medicare risk contracting: determinants of market entry.
作者信息
Porell F W, Wallack S S
机构信息
Heller School, Brandeis University, Waltham, MA 02254.
出版信息
Health Care Financ Rev. 1990 Winter;12(2):75-85.
The Tax Equity and Fiscal Responsibility Act (TEFRA) of 1982 made it more attractive for health maintenance organizations (HMOs) and other competitive medical plans to enter into risk contracts with Medicare. Since the start of the TEFRA program in April 1985, more than 160 HMOs have had risk contracts with Medicare under the program. An investigation of factors associated with TEFRA risk-market entry at the end of 1986 revealed that high adjusted average per capita cost payment levels, prior Medicare cost-contract experience, and prior Federal qualification were the most important factors distinguishing market entrants from nonentrants.
1982年的《税收公平与财政责任法》（TEFRA）使健康维护组织（HMO）和其他竞争性医疗计划与医疗保险签订风险合同更具吸引力。自1985年4月TEFRA计划启动以来，已有160多家HMO根据该计划与医疗保险签订了风险合同。1986年底对与TEFRA风险市场进入相关因素的调查显示，高调整后人均成本支付水平、先前的医疗保险成本合同经验以及先前的联邦资格是区分市场进入者和非进入者的最重要因素。
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