Medicare program; definition of provider-sponsored organization and related requirements--HCFA. Interim final rule with comment period.
The Balanced Budget Act of 1997 establishes a new Medicare + Choice program that significantly expands the health care options available to Medicare beneficiaries. Under this program, eligible individuals may elect to receive Medicare benefits through enrollment in one of an array of private health plans that contract with HCFA. Among the new options available to Medicare beneficiaries is enrollment in a provider-sponsored organization (PSO). This interim final rule with comment period defines the term "provider-sponsored organization" for purposes of the Medicare program and establishes requirements related to meeting this definition. We believe that setting forth the definition of a PSO and the related requirements will facilitate the submission of applications to participate in the Medicare program as a PSO.
D000368:Aged; D014487:Centers for Medicare and Medicaid Services, U.S.; D019058:Community Networks / Q000331:legislation & jurisprudence* / Q000458:organization & administration; D003256:Community Participation / Q000331:legislation & jurisprudence*; D006801:Humans; D008329:Managed Care Programs / Q000331:legislation & jurisprudence* / Q000458:organization & administration; D016345:Medicare Part B / Q000331:legislation & jurisprudence*; D012308:Risk Management; D014481:United States