Dorsey J L
Med Care. 1975 Jan;13(1):1-9. doi: 10.1097/00005650-197501000-00001.
Passage of the 1973 Health Maintenance Organization Act (P.L. 93-222) represents a significant effort by the Federal government to experiment with organizational change in the structure of the health care delivery system. The history of the bill is briefly reviewed. The most important sections of the bill are analyzed from the perspective of an existing prepaid group practice plan. The author concludes that the bill contains sufficiently stringent requirements that it will not result in a major increase in the number of Health Maintenance Organizations unless similar requirements are imposed on other private insurance carriers. Furthermore, significant allowance for "phasing in" will be required for the existing prepaid group practice prototype plans to qualify for Federal certification.
1973年《健康维护组织法案》（第93 - 222号公法）的通过标志着联邦政府在医疗保健提供系统结构方面进行组织变革的一次重大尝试。本文简要回顾了该法案的历史。从现有的预付费团体医疗模式计划的角度分析了该法案最重要的部分。作者得出结论，该法案包含足够严格的要求，除非对其他私人保险公司也施加类似要求，否则它不会导致健康维护组织的数量大幅增加。此外，现有的预付费团体医疗原型计划要获得联邦认证，需要有大量的“逐步实施”的时间。
