Kelly M
Jennings Ryan and Kolb, Jacksonville, FL, USA.
Healthc Financ Manage. 1998 May;52(5):43-5.
The new Medicare+Choice managed care program authorized by the Balanced Budget Act of 1997 affords hospitals and physicians an opportunity to contract directly with HCFA to provide services to Medicare beneficiaries through a provider-sponsored organization (PSO). Developing and operating a Medicare PSO is a complex process, however, and organizations that lack certain strategic and operational "readiness" characteristics may encounter significant barriers to success. To ascertain their readiness to form a Medicare PSO, providers should assess their capabilities in six key strategic areas: culture and governance, organizational and legal structure, market position and strategy, provider network, risk-contracting experience and supporting infrastructure, and capital resources and fiscal soundness.
1997年《平衡预算法案》授权实施的新“医疗保险+选择”管理式医疗计划，为医院和医生提供了一个机会，使其能够通过提供者发起组织（PSO）直接与医疗保健财务管理局（HCFA）签约，为医疗保险受益人提供服务。然而，开发和运营一个医疗保险PSO是一个复杂的过程，缺乏某些战略和运营“准备就绪”特征的组织可能会遇到重大的成功障碍。为确定其组建医疗保险PSO的准备情况，提供者应评估其在六个关键战略领域的能力：文化与治理、组织与法律结构、市场地位与战略、提供者网络、风险签约经验与支持基础设施，以及资本资源与财务稳健性。
