Johnson Foundation Improving Chronic Illness Care Initiative, and chairman of the Robert Wood Johnson Foundation National Diabetes Initiative advisory committee.


Howard B. Beckman, M.D., is medical director of the Rochester Individual Practice Association (RIPA)—a 3,200-practitioner community-wide physician organization—which has contracted both for capitated care and consulting services since 1998. Dr. Beckman is also a clinical professor of medicine and family medicine at the University of Rochester School of Medicine and Dentistry, where he conducts health services research and maintains a small internal medicine and geriatrics practice. Dr. Beckman received his undergraduate degree from Brandeis University and his M.D. from the Wayne State University School of Medicine. His primary administrative and research interests are creating and evaluating effective partnerships. Dr. Beckman served as a co-investigator for the Excellus/RIPA Robert Wood Johnson Rewarding Results grant. This work led to publications under his co-authorship that address the effects of pay-for-performance on reducing overuse, underuse, and misuse of services. Recently published work in the Journal of Healthcare Management, for example, demonstrated a positive return-on-investment for the pay-for-performance initiative and improved quality measures in treating diabetes and coronary disease.


Melinda Beeuwkes Buntin, Ph.D., is a senior health economist at RAND, deputy director of RAND Health’s Economics, Financing, and Organization Program, and director of Public Sector Initiatives for RAND Health. She specializes in insurance benefit design, health insurance markets, provider payment, and the care use and needs of the elderly. Her current projects include a study of the effects of consumer-directed health care on healthcare access, costs, and quality involving more than 40 employers offering consumer-directed plans; an assessment of national policy reform options involving extensive literature reviews and a microsimulation model; and an National Institute of Aging (NIA)-funded study of the effects of Medicare payment changes on post-acute care costs and outcomes. Dr. Buntin is also currently leading a study for Assistant Secretary for Planning and Evaluation of the determinants of increases in Medicare spending for physicians’ services. She was principal investigator (PI) on RAND’s recently completed project to monitor the effects of Medicare’s new inpatient rehabilitation facility prospective payment system and to refine that payment system. Her work on that project included developing an access-to-care monitoring system for Medicare post-acute care, focusing on the effects of the inpatient rehabilitation prospective payment system. Dr. Buntin also completed work for the Medicare Payment Advisory Committee (MedPAC) on the costs and outcomes of PAC for lower-extremity joint replacement patients. She has



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