Fed Regist. 1999 Dec 22;64(245):71673-8.
The Balanced Budget Act of 1997 established a new Medicare+Choice (M+C) program that offers eligible individuals Medicare benefits through enrollment in one of an array of private health plans that contract with us. Among the new options available to Medicare beneficiaries is enrollment in a provider-sponsored organization (PSO). This final rule revises and responds to comments on solvency standards that certain entities must meet to contract as PSOs under the new M+C program. These standards, originally established in an interim final rule published on May 7, 1998, apply to PSOs that have received a waiver of the requirement that M+C organizations must be licensed by a State as risk-bearing entities.
1997年的《平衡预算法案》设立了一项新的“医疗保险+选择”（M+C）计划，该计划通过让符合条件的个人加入与我们签约的一系列私人健康计划之一来提供医疗保险福利。医疗保险受益人可选择的新选项之一是加入提供者赞助组织（PSO）。本最终规则修订并回应了关于某些实体根据新的M+C计划作为PSO签约必须满足的偿付能力标准的评论。这些标准最初于1998年5月7日发布的暂行最终规则中确立，适用于已获得豁免的PSO，该豁免规定M+C组织必须获得州政府作为风险承担实体的许可。
