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医疗保险计划;减少直接与医疗保健财务管理局打交道的服务提供者和健康维护组织的数量。拟议规则制定通知。

Medicare program; reduction in the number of providers and health maintenance organizations dealing directly with HCFA. Notice of proposed rulemaking.

出版信息

Fed Regist. 1983 Aug 2;48(149):34979-85.

PMID:10299124
Abstract

These proposed regulations would modify current Medicare rules concerning the option that allows Medicare providers to elect to receive payment directly from HCFA, rather than through an intermediary, for covered services furnished to beneficiaries. The regulations would also give HCFA the authority to make other arrangements to service Health Maintenance Organizations (HMOs) that are presently dealing directly with HCFA. The regulations would clarify that HCFA may contract with any organization for the purpose of making payments to providers and HMOs.

摘要

这些拟议的法规将修改现行医疗保险规则,涉及允许医疗保险提供者选择直接从医疗保健财务管理局(HCFA)而非通过中介机构获得为受益人提供的承保服务款项的选项。这些法规还将赋予HCFA权力,以便为目前直接与HCFA打交道的健康维护组织(HMO)做出其他服务安排。这些法规将明确,HCFA可以为向提供者和HMO付款的目的与任何组织签订合同。

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