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Geographic Adjustment in Medicare Payment: Phase I: Improving Accuracy (2012)

Chapter: Appendix C: List of Contributors and Participants

« Previous: Appendix B: Public Committee Meeting Agendas
Suggested Citation:"Appendix C: List of Contributors and Participants." Institute of Medicine. 2012. Geographic Adjustment in Medicare Payment: Phase I: Improving Accuracy. Washington, DC: The National Academies Press. doi: 10.17226/13138.
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Appendix C

List of Contributors and Participants

The following individuals and organizations provided testimony and/or attended public meetings of the IOM Committee on Geographic Adjustment Factors in Medicare Payment:

National Organizations and Associations Location Contact Person
American Academy of Family Physicians1 Washington, DC Jerome Connolly, PT, CAE Senior Government Relations Representative
 
American Academy of Family1 Physicians Waco, TX Roland Goertz, M.D. President
 
American Academy of Nurse Practitioners1 Washington, DC Jan Towers, Ph.D., F.A.A.N.P., F.A.A.N. Health Policy Director
 
American Academy of Physician Assistants1 Alexandria, VA James Potter, M.P.P. Senior VP of Advocacy and Government Relations
 
American Hospital Association2 Washington, DC Joanna Kim Senior Associate Director, Policy
 
American Medical Association1 Chicago, IL Sherry Smith, M.S., CPA Director of Physician Payment Policy & Systems
 
Association of American Medical Colleges2 Washington, DC Atul Grover, M.D., Ph.D. Chief Advocacy Officer
 
Suggested Citation:"Appendix C: List of Contributors and Participants." Institute of Medicine. 2012. Geographic Adjustment in Medicare Payment: Phase I: Improving Accuracy. Washington, DC: The National Academies Press. doi: 10.17226/13138.
×
Baker Healthcare Consulting, Inc.1,2 Indianapolis, IN Dale Baker President
 
California Hospital Association2 Sacramento, CA Anne O’Rourke Senior Vice President of Federal Relations
 
California Medical Association1 Sacramento, CA Edward Bentley, M.D.
 
Corey, Luzaich, Pliska, de Ghetaldi & Nastari, LLP1 Millbrae, CA Dario de Ghetaldi, Esq.
 
Federation of American Hospitals2 Washington, DC Steve Speil, Esq., M.P.H. Senior Vice President, Health and Finance Policy
 
Greater New York Hospital Association1 New York, NY Karen Heller, M.B.A. Executive Vice President, Health Economics & Finance
 
Hospital & Ambulatory Policy Center, Centers for Medicaid and Medicare Services1 Baltimore, MD Marc Hartstein Deputy Director
 
Independent Consultant1,2 Maryland James Bentley, Ph.D. Former Senior Vice President, American Hospital Association
 
Iowa Medical Society1,2 West Des Moines, IA Michael Kitchell, M.D.
 
Jackson Health System2 Maimi, FL Eneida Roldan, M.D., M.P.H., M.B.A. President and CEO
 
Maine Hospital Association2 Augusta, ME David Winslow, M.B.A. Vice President, Finance
 
Marshfield Clinic1,2 Marshfield, WI Douglas Reding, M.D., F.A.C.P., M.P.H. Vice President
 
Massachusetts Medical Society1,2 Waltham, MA Alice Tolbert Coombs, M.D. President
 
Medicare Payment Advisory Commission1 Washington, DC Mark Miller, Ph.D. Executive Director
 
National Association of Urban Hospitals2 Sterling, VA Ellen Kugler, Esq.
 
Suggested Citation:"Appendix C: List of Contributors and Participants." Institute of Medicine. 2012. Geographic Adjustment in Medicare Payment: Phase I: Improving Accuracy. Washington, DC: The National Academies Press. doi: 10.17226/13138.
×
National Hispanic Medical Association1 Washington, DC Elena Rios, M.D. President
 
National Medical Association1,2 Silver Spring, MD Byron Sogie-Thomas, M.S. Director, Office of Health Policy & Government Relations
 
North Country Health Services1 Bemidji, MN Craig Boyer Vice President, Finance
 
Northern Indiana Region, Franciscan Alliance1 Michigan City, IN Scott Mundell
 
Palo Alto Medical Foundation1 Santa Cruz, CA Larry de Ghetaldi, M.D. President
 
Santa Barbara Gastroenterology Consultants1 Santa Barbara, CA Edward Bentley, M.D.
 
Tallassee Community Hospital1,2 Tallassee, AL Jennifer Rhinehart President and CEO
 
United States Congress, House of Representatives1 Congressional District 1, IA The Honorable Bruce Braley
 
United States Congress, House of Representatives1,2 Congressional District 13, PA The Honorable Allyson Schwartz
 
United States Congress, Senate2 Butler County, IA The Honorable Chuck Grassley
 
University of Chicago1 Chicago, IL Dan Black, Ph.D.
 
Wisconsin Medical Society2 Milwaukee, WI Tim Bartholow, M.D. Senior Vice President

1 Provided formal presentations to the committee.

2 Submitted written testimony.

Suggested Citation:"Appendix C: List of Contributors and Participants." Institute of Medicine. 2012. Geographic Adjustment in Medicare Payment: Phase I: Improving Accuracy. Washington, DC: The National Academies Press. doi: 10.17226/13138.
×

The following individuals attended the public committee meetings on September 16–17, 2010, and/or January 2, 2011:

Name Affiliation
Bartholow, Tim Wisconsin Medical Society
 
Bee Chong, Sharon Strategic Health Care
 
Bentley, Edward California Medical Association
 
Bohnet, Sarah The Minnesota Hospital Association
 
Boyer, Craig North Country Health Services
 
Calcagno, Alexandra Massachusetts Medical Society
 
Cannon, Jim Washington State Hospital Association
 
Connolly, Jerome American Association of Family Physicians
 
Corry, Martin Buchannan Ingersoll and Rooney
 
Curran, Kathy Catholic Health Association of the United States
 
Davanzo, Joan Dobson Davanzo and Associates, LLC
 
DeBrunner, Benjamin DeBrunner and Associates National Association of Urban Hospitals
 
Delestienne, Emilie West Penn Allegheny Health System
 
Dixit, Rachana
 
Dobson, Al Dobson Davanzo and Associates, LLC
 
Ferguson, Karen American Medical Group Association
 
Fernandez, Danny National Rural Health Association
 
Fisher, Karen Association of American Medical Colleges
 
Fonticiella, Albert Avalere Health, LLC
 
Foster, Griffin Office of Congresswoman Judy Biggert, U.S. House of Representatives
 
Freeman, Jeanine Iowa Medical Society
 
Gillis, Kurt American Medical Association
 
Giovanis, Theodore
 
Suggested Citation:"Appendix C: List of Contributors and Participants." Institute of Medicine. 2012. Geographic Adjustment in Medicare Payment: Phase I: Improving Accuracy. Washington, DC: The National Academies Press. doi: 10.17226/13138.
×
Goodman, Michelle Office of Rural Health Policy, Health Resources and Services Administration, Department of Health and Human Services
 
Gronniger, Tim Committee on Energy and Commerce, U.S. House of Representatives
 
Harris, Katie MaineHealth
 
Hartstein, Marc Centers for Medicare and Medicaid Services, Department of Health and Human Services
 
Harvey-McPherson, Lisa EMHS
 
Harwell, Stephen Healthcare Association of New York State
 
Hayes, Kevin Medicare Payment Advisory Commission
 
Keefe, Alyssa California Hospital Association
 
Kim, Joanna American Hospital Association
 
Kitchell, Michael McFarland Clinic
 
Kugler, Ellen National Association of Urban Hospitals
 
Kupferman, Gloria Healthcare Association of New York State
 
Leeson, Kate Holland and Knight
 
Madhani, Sheila American Society for Radiation Oncology
 
Marks, Sandy American Medical Association
 
May, Don American Hospital Association
 
McIlrath, Sharon American Medical Association
 
Miller, Brent Marshfield Clinic
 
Miller, Lisa American Academy of Dermatology
 
Mir, Arielle Medicare Payment Advisory Commission
 
Mosbaek, Craig Committee on Ways and Means, Health Subcommittee, U.S. House of Representatives
 
Muiroy, Kyle Washington Strategic Consulting
 
Munevar, Dianne Avalere Health, LLC
 
Nickelson, Dan Cleveland Clinic
 
Suggested Citation:"Appendix C: List of Contributors and Participants." Institute of Medicine. 2012. Geographic Adjustment in Medicare Payment: Phase I: Improving Accuracy. Washington, DC: The National Academies Press. doi: 10.17226/13138.
×
O’Rourke, Anne California Hospital Association
 
Pahner, Katie Health Policy Source
 
Reep, Kathy Florida Hospital Association
 
Richter, Judith Centers for Medicare and Medicaid Services, Department of Health and Human Services
 
Rigg, John Centers for Medicare and Medicaid Services, Department of Health and Human Services
 
Roth, Jessica McDermott Will & Emery
 
Shively, Christa Office of Congressman Earl Blumenauer, U.S. House of Representatives
 
Speil, Steven Federation of American Hospitals
 
Steinbert, Caroline American Hospital Association
 
Stensland, Jeff Medicare Payment Advisory Committee
 
Stephansky, Joe Michigan Health and Hospital Association
 
Stork, Abigail Iowa Hospital Association
 
Swygert, Tiffany Centers for Medicare and Medicaid Services, Department of Health and Human Services
 
Vaz, Christopher American Hospital Association
 
VonReuden, Cathy SMDC Health System
 
Waldon, Sue Committee on Finance, U.S. Senate
 
Walradt, Jessica Jennifer Bell and Partners
 
Walton, Jessica
 
Warde Zaccarelli, Aisling Greater New York Hospital Association
 
Weixel, Nathaniel Bureau of National Affairs
 
Young, Joanna Avalere Health, LLC
Suggested Citation:"Appendix C: List of Contributors and Participants." Institute of Medicine. 2012. Geographic Adjustment in Medicare Payment: Phase I: Improving Accuracy. Washington, DC: The National Academies Press. doi: 10.17226/13138.
×
Page 167
Suggested Citation:"Appendix C: List of Contributors and Participants." Institute of Medicine. 2012. Geographic Adjustment in Medicare Payment: Phase I: Improving Accuracy. Washington, DC: The National Academies Press. doi: 10.17226/13138.
×
Page 168
Suggested Citation:"Appendix C: List of Contributors and Participants." Institute of Medicine. 2012. Geographic Adjustment in Medicare Payment: Phase I: Improving Accuracy. Washington, DC: The National Academies Press. doi: 10.17226/13138.
×
Page 169
Suggested Citation:"Appendix C: List of Contributors and Participants." Institute of Medicine. 2012. Geographic Adjustment in Medicare Payment: Phase I: Improving Accuracy. Washington, DC: The National Academies Press. doi: 10.17226/13138.
×
Page 170
Suggested Citation:"Appendix C: List of Contributors and Participants." Institute of Medicine. 2012. Geographic Adjustment in Medicare Payment: Phase I: Improving Accuracy. Washington, DC: The National Academies Press. doi: 10.17226/13138.
×
Page 171
Suggested Citation:"Appendix C: List of Contributors and Participants." Institute of Medicine. 2012. Geographic Adjustment in Medicare Payment: Phase I: Improving Accuracy. Washington, DC: The National Academies Press. doi: 10.17226/13138.
×
Page 172
Next: Appendix D: Statistical Reliability of the Bureau of Labor Statistics (BLS) Wage Data »
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Medicare is the largest health insurer in the United States, providing coverage for 39 million people aged 65 and older and 8 million people with disabilities, and reaching more than an estimated $500 billion in payments in 2010. Although Medicare is a national program, it adjusts fee-for-service payments according to the geographic location of a practice. While there is widespread agreement about the importance of providing accurate payments to providers, there is disagreement about how best to adjust payment based on geographic location.

At the request of Congress and the Department of Health and Human Services (HHS), the Institute of Medicine (IOM) examined ways to improve the accuracy of data sources and methods used for making the geographic adjustments to payments. The IOM recommends an integrated approach that includes moving to a single source of wage and benefits data; changing to one set of payment areas; and expanding the range of occupations included in the index calculations. The first of two reports, Geographic Adjustment in Medicare Payment: Phase I: Improving Accuracy, assesses existing practices in regards to accuracy, criteria consistency, evidence for adjustment, sound rationale, transparency, and separate policy adjustments to reform the current payment system. Adopting the recommendations outlined in this report will mean a change in the way that the indexes are calculated, and will require a combination of legislative, rule-making, and administrative actions, as well as a period of public comment.

Geographic Adjustment in Medicare Payment will inform the work of government agencies such as HHS, the Centers for Medicare and Medicaid Services, congressional members and staff, the health care industry, national professional organizations and state medical and nursing societies, and Medicare advocacy groups.

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