Fed Regist. 1998 Apr 14;63(71):18124-35.
The Balanced Budget Act of 1997 establishes a new Medicare + Choice program that significantly expands the health care options available to Medicare beneficiaries. Under this program, eligible individuals may elect to receive Medicare benefits through enrollment in one of an array of private health plans that contract with HCFA. Among the new options available to Medicare beneficiaries is enrollment in a provider-sponsored organization (PSO). This interim final rule with comment period defines the term "provider-sponsored organization" for purposes of the Medicare program and establishes requirements related to meeting this definition. We believe that setting forth the definition of a PSO and the related requirements will facilitate the submission of applications to participate in the Medicare program as a PSO.
1997年的《平衡预算法案》设立了一项新的“医疗保险+选择”计划,该计划大幅扩展了医疗保险受益人可获得的医疗保健选择。根据该计划,符合条件的个人可以通过加入一系列与医疗保健财务管理局(HCFA)签约的私人健康计划之一来选择接受医疗保险福利。医疗保险受益人可获得的新选择之一是加入提供者发起组织(PSO)。本带有意见征求期的暂行最终规则为医疗保险计划的目的定义了“提供者发起组织”一词,并确立了与符合该定义相关的要求。我们认为,阐述PSO的定义及相关要求将有助于提交作为PSO参与医疗保险计划的申请。