Harrison D H, Kimberly J R
J Health Polit Policy Law. 1982 Spring;7(1):80-95. doi: 10.1215/03616878-7-1-80.
Public policy controversies about the cost-containing potential of HMOs and the failures of many plans should not overshadow the fact that HMOs will be forces in the health care sector in the 1980s, largely as the result of increasing private investment. There is a large, stable segment of the prepaid industry that developed as a result of private sector and community concern long before the federal HMO Act of 1973, and it is their initiatives along with increasing investment activity by insurance companies and management companies in particular, that will serve as a base for consolidation and growth of HMO plans. HMOs have not proved to be the miraculous cost-containing mechanism of the future, but their impact will be felt even more for the changes they stimulate in the customary organizational forms, in financing, and in the role of business in health care.
关于健康维护组织（HMO）控制成本的潜力以及许多计划的失败所引发的公共政策争议，不应掩盖这样一个事实：HMO将成为20世纪80年代医疗保健领域的一股力量，这主要是私人投资增加的结果。早在1973年联邦HMO法案之前，由于私营部门和社区的关注，预付行业就已形成了一个庞大、稳定的部分。正是它们的举措，以及特别是保险公司和管理公司日益增加的投资活动，将成为HMO计划整合和增长的基础。HMO尚未被证明是未来神奇的成本控制机制，但其影响将在它们对传统组织形式、融资以及商业在医疗保健中所起作用的刺激变革中更强烈地显现出来。
