Appendix B

Public Committee Meeting Agendas

Committee Meeting 1 Agenda

SEPTEMBER 16–17, 2010
20 F STREET, NW, CONFNFERENCNCE ROOM B,
WASHINGTON, DC 20001

DAY 1: Thursday, September 16, 2010

OPEN SESSION ONE

10:30 – 10:45 Welcome and Introductory Remarks
  Frank Sloan, Ph.D., Chair and Moderator
Policy and Legislative Context for the Study
10:45 – 11:15 Remarks from Study Sponsor (CMS)
  Jonathan Blum, M.A., Director, Center for Medicare Management, Centers for Medicare and Medicaid Services (CMS), U.S. Department of Health and Human Services
 
11:15 – 12:00 Legislative Perspectives
  The Honorable Bruce Braley, U.S. House of Representatives (D-Iowa)
  The Honorable Allyson Schwartz, U.S. House of Representatives (D-Pennsylvania)
  Joint Q and A
 
12:00 Adjourn Open Session


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Appendix B Public Committee Meeting Agendas Committee Meeting 1 Agenda September 16–17, 2010 20 F Street, NW, CoNFereNCe room b, WaShiNgtoN, DC 20001 DAY 1: Thursday, September 16, 2010 Open SeSSiOn One 10:30 – 10:45 Welcome and Introductory Remarks Frank Sloan, Ph.D., Chair and Moderator Policy and Legislative Context for the Study 10:45 – 11:15 Remarks from Study Sponsor (CMS) Jonathan Blum, M.A., Director, Center for Medicare Management, Centers for Medicare and Medicaid Services (CMS), U.S. Department of Health and Human Services 11:15 – 12:00 Legislative Perspectives The Honorable Bruce Braley, U.S. House of Representatives (D-Iowa) The Honorable Allyson Schwartz, U.S. House of Representatives (D-Pennsylvania) Joint Q and A Adjourn Open Session 12:00 163

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164 GEOGRAPHIC ADJUSTMENT IN MEDICARE PAYMENT Open SeSSiOn TwO Payment Adjustment Factors 1:00 – 2:00 Current Geographic Adjustment Factors Under Medicare: The Hospital Wage Index and Physician Fee Schedule Marc Hartstein, Deputy Director, Hospital and Ambulatory Policy Group, CMS 2:00 – 2:40 MedPAC’s Approach to the Hospital Wage Index and Geographic Practice Cost Indexes (GPCIs) Mark Miller, Ph.D., Executive Director, MedPAC 2:40 – 3:30 Physician and Hospital Perspectives on the Geographic Adjustment Factors Sherry Smith, M.S., C.P.A., Director, Physician Payment Policy and Systems, American Medical Association James Bentley, Ph.D., Former Senior Vice President, American Hospital Association Joint Q and A Adjourn 3:30 DAY 2: Friday, September 17, 2010 Open SeSSiOn Three Labor Markets 8:00 Welcome 8:05 – 8:50 Theoretical Approaches to Labor Market Variations Dan A. Black, Ph.D., Professor and Dean, Harris School of Public Policy, University of Chicago SeSSiOn Three, pArT 2: Practitioners’ Recommendations for Change 8:50 – 10:00 Recommended Changes in Physician and Hospital Geographic Adjustment Factors Michael Kitchell, M.D., Neurologist and President of Board of Directors, McFarland Clinic, Ames, Iowa, and President, Iowa Medical Society Jennie Rhinehart, Administrator and CEO, Community Hospital, Tallassee, Alabama, American Hospital Association Task Force on Variations in Health Care Spending Larry deGhetaldi, M.D., Family Medicine, Palo Alto Medical Foundation, and Chair of Medicare Committee, California Medical Association Douglas Reding, M.D., F.A.C.P., M.P.H., Vice President, Marshfield Clinic, Marshfield, Wisconsin

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165 APPENDIX B Karen Heller, M.B.A., Executive Vice President, Greater New York Hospital Association, New York, New York Alice Tolbert Coombs, M.D., Anesthesiologist and President, Massachusetts Medical Society 10:00 – 10:15 Break 10:15 – 11:00 Q and A Adjourn Open Session 11:00 Day 2: Friday, September 17, 2010 Open SeSSiOn FOur Public Comments 1:00 – 2:00 Additional Public Statements on Hospital and Physician Adjustment Factor Components and Calculations (by request through IOM website) Dario de Ghetaldi, Corey, Luzaich, Pliska, de Ghetaldi & Nastari LLP, Millbrae, California Dale Baker, Baker Healthcare Consulting, Inc., Indianapolis, Indiana Edward Bentley, M.D., California Medical Association, Santa Barbara, California Jerome Connolly, American Academy of Family Physicians, Washington, DC Craig Boyer, North Country Health Services, Bemidji, Minnesota Tim Bartholow, Wisconsin Medical Society, Madison, Wisconsin Steve Speil, Federation of American Hospitals Adjourn 2:00 Committee Meeting 3 Agenda JaNuary 20, 2011 500 FiFth Street, NW, room 101 WaShiNgtoN, DC 20001 3:15 – 3:30 Speaker arrivals and room set-up 3:30 – 4:45 Panel One: Provider Perspectives on Medicare Payment 10-minute individual presentations followed by Q and A with committee and audience Roland Goertz, M.D., President, American Academy of Family Physicians Jan Towers, Ph.D., F.A.A.N.P., F.A.A.N., Health Policy Director, American Academy of Nurse Practitioners James G. Potter, Senior VP of Advocacy and Government Relations, American Academy of Physician Assistants

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166 GEOGRAPHIC ADJUSTMENT IN MEDICARE PAYMENT Elena Rios, M.D., President, National Hispanic Medical Association Byron Sogie-Thomas, M.S., Director, Office of Health Policy and Government Relations Panel Two: Open Forum for Stakeholders 4:45 – 6:00 5-minute individual presentations followed by Q and A with committee and audience Dale Baker, President, Baker Healthcare Consulting, Inc. Adjourn 6:00