Appendix F


Committee and Staff Biographies

COMMITTEE MEMBERS

Frank A. Sloan, Ph.D. (Chair), has been the J. Alexander McMahon Professor of Health Policy and Management and professor of economics at Duke University since 1993. He is also the director of the Center for Health Policy, Law, and Management at Duke. Professor Sloan did his undergraduate work at Oberlin College and received his Ph.D. in economics from Harvard University. Before joining the faculty at Duke in July 1993, he was a research economist at the RAND Corporation and on the faculties of the University of Florida and Vanderbilt University. He was chair of the department of economics at Vanderbilt from 1986 to 1989. His current research interests include alcohol use prevention, long-term care, medical malpractice, and cost- effectiveness analyses of medical technologies. Professor Sloan also has a longstanding interest in hospitals, health care financing, and health manpower. He has served on several national advisory public and private groups. He is a member of the Institute of Medicine of the National Academy of Sciences and was recently a member of the Physician Payment Review Commission.

M. Roy Wilson, M.D., M.S. (Vice-Chair), is chancellor emeritus of the University of Colorado Denver (UC Denver), where he served from July 2006 until June 2010. UC Denver consists of a general academic campus with eight schools and colleges and a health sciences campus with five schools and colleges and serves approximately 28,000 students. Dr. Wilson is an elected member of the Institute of Medicine of the National Academies, the American Ophthalmological Society, and the Glaucoma Research Society. He served as chair of the Board of Trustees at Charles R. Drew University of Medicine and Science from 2010 to 2011. In addition to the board of the University of Colorado Hospital, for which he has been the chairman, Dr. Wilson has served on the governing boards of the Denver Children’s Hospital, Auraria Higher Education Center, Fitzsimons Redevelopment Authority, Institute of International Education, Colorado Bioscience Association, Association of Academic Health Centers, and the Association of Public and Land Grant Universities. Dr. Wilson was an initial advisory council member of the National Center on Minority Health and Health Disparities of the National Institutes of Health and served



The National Academies | 500 Fifth St. N.W. | Washington, D.C. 20001
Copyright © National Academy of Sciences. All rights reserved.
Terms of Use and Privacy Statement



Below are the first 10 and last 10 pages of uncorrected machine-read text (when available) of this chapter, followed by the top 30 algorithmically extracted key phrases from the chapter as a whole.
Intended to provide our own search engines and external engines with highly rich, chapter-representative searchable text on the opening pages of each chapter. Because it is UNCORRECTED material, please consider the following text as a useful but insufficient proxy for the authoritative book pages.

Do not use for reproduction, copying, pasting, or reading; exclusively for search engines.

OCR for page 195
Appendix F Committee and Staff Biographies COMMITTEE MEMBERS Frank A. Sloan, Ph.D. (Chair), has been the J. Alexander McMahon Professor of Health Policy and Management and professor of economics at Duke University since 1993. He is also the director of the Center for Health Policy, Law, and Management at Duke. Professor Sloan did his undergraduate work at Oberlin College and received his Ph.D. in economics from Harvard University. Before joining the faculty at Duke in July 1993, he was a research economist at the RAND Corporation and on the faculties of the University of Florida and Vanderbilt University. He was chair of the department of economics at Vanderbilt from 1986 to 1989. His current research interests include alcohol use prevention, long-term care, medical malpractice, and cost- effectiveness analyses of medical technologies. Professor Sloan also has a longstanding interest in hospitals, health care financing, and health manpower. He has served on several national advisory public and private groups. He is a member of the Institute of Medicine of the National Academy of Sciences and was recently a member of the Physician Payment Review Commission. M. Roy Wilson, M.D., M.S. (Vice-Chair), is chancellor emeritus of the University of Colorado Denver (UC Denver), where he served from July 2006 until June 2010. UC Denver consists of a general academic campus with eight schools and colleges and a health sciences campus with five schools and colleges and serves approximately 28,000 students. Dr. Wilson is an elected member of the Institute of Medicine of the National Academies, the American Ophthalmologi- cal Society, and the Glaucoma Research Society. He served as chair of the Board of Trustees at Charles R. Drew University of Medicine and Science from 2010 to 2011. In addition to the board of the University of Colorado Hospital, for which he has been the chairman, Dr. Wilson has served on the governing boards of the Denver Children's Hospital, Auraria Higher Educa- tion Center, Fitzsimons Redevelopment Authority, Institute of International Education, Colorado Bioscience Association, Association of Academic Health Centers, and the Association of Public and Land Grant Universities. Dr. Wilson was an initial advisory council member of the National Center on Minority Health and Health Disparities of the National Institutes of Health and served 195

OCR for page 195
196 GEOGRAPHIC ADJUSTMENT IN MEDICARE PAYMENT 4 years as chair of its strategic plan subcommittee. Dr. Wilson received his medical degree from Harvard Medical School and his master of science in epidemiology from the University of Cali- fornia, Los Angeles, School of Public Health. He performed both his ophthalmology residency and glaucoma fellowship at the Massachusetts Eye and Ear Infirmary, Harvard Medical School. Dr. Wilson was named president of the Texas Tech University Health Sciences Center in 2003. In 1998, he was appointed dean of the School of Medicine at Creighton University, and then served as both dean and Vice President for Health Sciences from 1999 to 2003. Prior to that time, he was dean of the School of Medicine at Charles R. Drew University of Medicine and Science. Dr. Wilson's major scientific contributions have been in bridging the fields of epidemiology and ophthalmology. He has delivered more than 200 invited lectures, many of these internationally, and has published more than 300 articles, book chapters, and abstracts. Dr. Wilson was selected for "Best Doctors in America" for consecutive years from 1996 to 2008. Among his many awards are the Distinguished Physician Award from the Minority Health Institute, the Honored Alum- nus Award from the Massachusetts Eye and Ear Infirmary, the Senior Achievement Award from the American Academy of Ophthalmology, the Gold Citation from Allegheny College, and the Association of American Medical College's Herbert W. Nickens Award. Jon B. Christianson, Ph.D., is professor and James A. Hamilton Chair in Health Policy and Management in the division of health policy and management at the University of Minnesota School of Public Health. His research interests include competition and competitive health care markets, health insurance, financial incentives in health care, public reporting, employer strategies for purchasing health care, implementation of evidence-based treatment processes in health care organizations, and tracking change in health care markets. He is a member of the Synthesis Project Advisory Group at the Robert Wood Johnson Foundation; holds current editorial appointments at Medical Care Research and Review, the Journal of Health Administra- tion Education, and the American Journal of Managed Care; and was recently appointed to the Consumer Operated and Oriented Plan Advisory Board (Department of Health and Human Services, Office of Consumer Information and Insurance Oversight). Previously, he was chair of the 2007 Academy Health Annual Research Meeting, cochairperson of the Seventh Biennial Research Conference on the Economics of Mental Health, and a member of the Institute of Medicine Subcommittee on Maximizing the Value of Health Investments, Committee on Quality of Health Care in America. Dr. Christianson received his Ph.D. in economics from the University of WisconsinMadison. Stuart Guterman, M.A., is vice president for the Commonwealth Fund's program on pay- ment and system reform, based in Washington, DC. He is responsible for the Fund's research agenda on the use of payment incentives to elicit changes in health care delivery that can achieve high performance; the development, management, and review of grants to be funded under the program; and analyses related to the current performance and future improvements in the payment system and the health system overall. Mr. Guterman was director of the Office of Research, Development, and Information at the Centers for Medicare & Medicaid Services from 2002 to 2005. Prior to that, he was a senior analyst at the Congressional Budget Office, a principal research associate in the health policy center at the Urban Institute, and deputy director of the Medicare Payment Advisory Commission (and its predecessor, the Prospective Payment Assessment Commission) from 1988 through 1999. Previously, Mr. Guterman was chief of institutional studies in the Health Care Financing Administration's Office of Research, where

OCR for page 195
APPENDIX F 197 he directed the evaluation of the Medicare Prospective Payment System for inpatient hospital services and other intramural and extramural research on hospital payment. He holds an A.B. in Economics from Rutgers College and an M.A. in Economics from Brown University, and did further work toward the Ph.D. in economics at the State University of New York at Stony Brook. Carlos Roberto Jan, M.D., Ph.D., FAAFP, is the John Smith Jr. Endowed Professor and Chair of the Department of Family and Community Medicine at the University of Texas Health Science Center at San Antonio, where he codirects the Center for Research in Family Medicine and Primary Care. Over the last 18 years, the Center has studied almost 500 mostly indepen- dent, community-based primary care practices and recently completed the evaluation of the American Academy of Family Physicians' national demonstration project of the patient-centered medical home in 36 practices. Dr. Jan has special interests that include improving preventive care for individuals of all ages, preventing complications from such chronic diseases as diabetes, high blood pressure, and heart disease. He is passionate about building and studying high- performance primary care offices. He served on the panels that published smoking cessation guidelines in 1996 and 2000 and was cochair of the panel that published an update in May 2008. In 2005, he was appointed to a 3-year term on the National Advisory Council to the Agency for Healthcare Research and Quality. He received a Generalist Physician Faculty Scholar Award from the Robert Wood Johnson Foundation and a Cancer Control Career Development Award for Primary Care Physicians from the American Cancer Society. He is a practicing family physician and has been selected for "Best Doctors in America" annually since 2002. His interests include building a healthier San Antonio through efforts in community wellness. He obtained a B.S. and M.S. from Niagara University in Lewiston, New York, and an M.D./Ph.D. in epidemiol- ogy and community health from the State University of New York in Buffalo. He completed a Family Medicine Residency and a Primary Care Research Fellowship at Case Western Reserve University in Cleveland, Ohio. Previously, he has served as medical director at the Niagara Family Health Center and has been in private practice in Ohio. Jack Kalbfleisch, Ph.D., is a professor of biostatistics and statistics and he serves as director of the Kidney Epidemiology and Cost Center at the University of Michigan. He served as chair of the department of biostatistics from 2002 to 2007. He received his Ph.D. in statistics in 1969 from the University of Waterloo. He was an assistant professor of statistics at the State University of New York at Buffalo (19701973) and on faculty at the University of Waterloo (19732002). At Waterloo, he served as chair of the department of statistics and actuarial science (19841990) and as dean of the faculty of mathematics (19901998). He has held visiting appointments as professor at the University of Washington; the University of California, San Francisco; the University of Auckland, Fred Hutchinson Cancer Research Center, and the National University of Singapore. He has interests in and has published in various areas of statistics and biostatis- tics including life history and survival analysis, likelihood methods of inference, bootstrapping, and estimating equations, mixture and mixed effects models, and medical applications. Dr. Kalbfleisch is a fellow of the American Statistical Association and the Institute of Mathematical Statistics. He is also an elected member of the International Statistical Institute, a fellow of the Royal Society of Canada, and a Gold Medalist of the Statistical Society of Canada. Marilyn Moon, Ph.D., is a nationally known expert on Medicare, having served as a senior fellow at the Urban Institute and as a public trustee for the Social Security and Medicare trust

OCR for page 195
198 GEOGRAPHIC ADJUSTMENT IN MEDICARE PAYMENT funds. She is also an expert on health care financing and benefits, and has increasingly worked in the area of patient information and engagement. As senior vice president and director of the health program at American Institutes for Research, Dr. Moon is responsible for ensuring client satisfaction with all aspects of the health program's research and development activities and products. In addition, she provides overall direction of the health program, supervising 120 staff members. She also leads strategic planning efforts and supervises senior-level researchers, unit directors, research assistants, and support staff. Dr. Moon is responsible for overseeing the allocation of resources for 50 currently active projects, with a total annual value of more than $30 million. Other duties include serving as corporate monitor on two Centers for Medicare and Medicaid Services indefinite delivery/indefinite quantity (IDIQ) contracts, and as project director on one Agency for Healthcare Research and Quality IDIQ contract, while continuing to conduct research on a range of health policy issues. In addition to a long list of awards and honorary positions, Dr. Moon has a large number of peer-reviewed journal articles, books and book chapters, other publications, testimonies, and professional presentations to her credit. Cathryn Nation, M.D., is the Associate Vice President for Health Sciences in the University of California's (UC's) Office of the President. She completed her undergraduate studies at the University of California, Davis, earning honors in political science/public policy and Spanish. She earned her medical degree from the University of California, San Francisco, in 1989. Her UC duties include leadership and coordination of health sciences academic affairs; liaising with deans and faculty involving educational policy and program planning; development of enrollment plans for UC's 16 health sciences schools; monitoring of health workforce needs; and representation of UC health sciences programs internally and externally. She oversees the university's anatomical materials programs and directs the systemwide Academic Geriatric Resource Program--a state-funded, multicampus program in geriatrics. Dr. Nation has exten- sive knowledge of undergraduate and graduate medical education, medical school admissions, health professions workforce issues, and matters related to health sciences instruction and institutional accreditation. In 2008, she was appointed as a commissioner on the California Healthcare Workforce Policy Commission--a statewide body established by statute to promote primary care training and workforce diversity. Within UC, she has primary responsibility for coordinating new initiatives in telemedicine supported by $200 million in voter-approved bond funding. Dr. Nation has authored numerous reports and studies addressing medical and health sciences education and was invited by the Institute of Medicine Committee on Institutional and Policy-Level Strategies for Increasing the Diversity of the U.S. Health Care Workforce to serve as author of a commissioned paper on health professions admissions practices. This paper identifies best practices in admissions and was published in 2004 by the National Academies Press in a report titled In the Nation's Compelling Interest: Ensuring the Diversity in the Health-Care Workforce. Dr. Nation continues to lead efforts with UC medical schools to develop new programs in medical education, which provide specialized training to prepare future graduates to meet the needs of the underserved. Five programs are offered, each involving a unique area of focus: program-specific standards for admission, specialized coursework, structured clinical experiences, independent study, and faculty mentoring. Areas of focus include rural health and telemedicine (Davis); Latino health (Irvine); diverse and disadvantaged communities (Los Angeles); promotion of health equity (San Diego); and the urban underserved (San Francisco).

OCR for page 195
APPENDIX F 199 Joanne M. Pohl, Ph.D., ANP-BC, FAAN, FAANP, is a health services researcher with 30 years of clinical experience as a nurse practitioner. She is currently professor emerita and principal investigator, Institute for Nursing Centers at the University of Michigan School of Nursing. Dr. Pohl's research has focused on health care quality and outcomes, cost of care in nurse-managed health centers, disparities, and health informatics in safety-net practices and has been funded by the Agency for Healthcare Research and Quality, Health Resources and Services Administra- tion, and private foundations. At the University of Michigan, she served as associate dean for community partnerships from 2001 to 2008 and directed the Adult Nurse Practitioner Program from 1992 to 2001. From 2003 to 2008, she was a research fellow with the Michigan Public Health Institute. She is a recent past president of the National Organization of Nurse Practi- tioner Faculties, a member of the expert advisory panel of the Health Professional Workforce Initiative of the Bipartisan Policy Center, and a member of the advisory board for the Nursing Alliance for Quality Care. She also has been involved in the quality and safety education for nurses and is actively involved in policy related to primary care and nurse practitioners. She earned her Ph.D. from University of Michigan, her M.S.N. from Wayne State University, and her B.S. from Southern Connecticut State University. Dr. Pohl has received many awards, including a Lifetime Achievement Award from the National Organization of Nurse Practitioner Faculties and a President's Leadership Award from the Michigan Council of Nurse Practitioners, and is a fellow in the American Academy of Nursing and the American Academy of Nurse Practitioners. Thomas C. Ricketts III, Ph.D., M.P.H., is professor of health policy and management and social medicine at the University of North Carolina (UNC) Gillings School of Global Public Health and the UNC School of Medicine. In 2008, he was named Gillings Visiting Professor at the cole des Hautes tudes en Sant Publique in Paris and Rennes, France. He is also codirector of the American College of Surgeons (ACS) Institute for Health Policy Research. His work with the ACS focuses on the future supply of surgeons and access to surgical care. Dr. Ricketts works actively in health workforce policy making and research and has developed national and state policies to influence the distribution of health care practitioners, including the development of a new approach to designating primary care and dental health professional shortage and medically underserved areas. From 2001 to 2010, he chaired the scientific advisory committee for the United Health Foundation's America's Health Rankings. In 2008 he was appointed to the secretary of Veterans' Affairs Rural Advisory Committee. He previously served on the secretary's National Advisory Committee on Rural Health and Human Services (Department of Health and Human Services). In 1997, Dr. Ricketts received the Distinguished Rural Health Researcher award from the National Rural Health Association, and in 1998, the Cecil G. Sheps Distinguished Investigator award from the University of North Carolina at Chapel Hill. He is a member of the North Carolina Institute of Medicine and serves as an advisor to national and state health policy organizations. Dr. Ricketts is editor of the North Carolina Medical Journal, having previously served as editor of the Journal of Rural Health from 1990 until 1996. Dr. Ricketts has authored many scientific articles, book chapters, and monographs and edited texts on rural health and geographic methods in health services research. Jane E. Sisk, Ph.D., M.A., is an Institute of Medicine (IOM) scholar in residence and former director of the Division of Health Care Statistics for the National Center for Health Statistics at the Centers for Disease Control and Prevention. This division collects data from health care providers in different settings, including physicians, hospitals, and long-term care facilities. Dr.

OCR for page 195
200 GEOGRAPHIC ADJUSTMENT IN MEDICARE PAYMENT Sisk has been a professor in the department of health policy, Mount Sinai School of Medicine, and before that at the Mailman School of Public Health, Columbia University. While a senior associate at the Congressional Office of Technology Assessment, she directed studies on Medi- care payment for physician services and measures of the quality of hospital and physician care. Her research has focused on interventions to improve the quality of care, especially to reduce disparities among population subgroups; evaluation of Medicaid managed care; and the cost- effectiveness of health care interventions, including pneumococcal and influenza vaccination for elderly people. At Mount Sinai, she led randomized controlled trials in Harlem on the effective- ness and cost-effectiveness of nurse-management interventions for heart failure and hyperten- sion. Dr. Sisk holds a Ph.D. in economics from McGill University, an M.A. in economics from George Washington University, and a B.A. with a major in international relations from Brown University. She serves on editorial boards for Health Services Research, Medical Decision Making, and the International Journal of Technology Assessment in Health Care. Dr. Sisk has been elected a fellow of AcademyHealth; a fellow of the New York Academy of Medicine; and a member of the IOM of the National Academies. A. Bruce Steinwald, M.B.A., is an independent consultant in Washington, DC, who focuses on health policy, health economics and financing, and Medicare payment issues. Prior to this, he was director of health care at the U.S. Government Accountability Office (GAO). There, he testified before Congress on Medicare payment systems and other health care financing issues; supervised the preparation of health policy analyses, testimony, and reports to Congress; and met routinely with congressional staff to advise, inform, and instruct on health policy, financing, and payment issues. Prior to joining GAO, he served with the National Health Policy Forum of George Washington University, Covance Health Economics and Outcomes Services, Inc., and as deputy director of the Prospective Payment Assessment Commission (now the Medicare Pay- ment Advisory Commission). He has served as an expert panelist/presenter at policy institutes and other organizations. He has a B.A. in business from Johns Hopkins University and an M.B.A. in hospital administration from the University of Chicago. David Vlahov, Ph.D., R.N., is dean and professor, University of California, San Francisco, School of Nursing. Previously, he was Senior Vice President for Research and director of the Center for Urban Epidemiologic Studies at the New York Academy of Medicine. He has been professor of clinical epidemiology at the Mailman School of Public Health at Columbia University, and adjunct professor in epidemiology at the Johns Hopkins Bloomberg School of Public Health. Dr. Vlahov has conducted studies of urban populations in Baltimore for over 20 years, including several longitudinal cohort studies for which he received the National Institutes of Health MERIT Award. He brings expertise in epidemiology, infectious diseases, substance abuse, and mental health, and he has served on the National Advisory Council on Drug Abuse. More recently, Dr. Vlahov led epidemiologic studies in Harlem and the Bronx, which have served as a platform for subsequent individual- and community-level intervention studies and community-based par- ticipatory research (involving partnerships with residents, community-based organizations, and academic and public health departments) to address social determinants of health. This work has contributed information on racial/ethnic disparities in health and approaches to address such disparities. Dr. Vlahov led population-based studies on mental health and substance abuse in New York City residents following the September 11, 2001, attacks on the World Trade Center. Uniting all of these interests, Dr. Vlahov initiated the International Society for Urban Health (the

OCR for page 195
APPENDIX F 201 website is www.isuh.org), serving as its first president. The society brings together an interdis- ciplinary and international group of scientists to examine the health effects of urbanicity (in developed countries) and urbanization (in both developed and developing countries). He is a visiting professor at the Medical School in Belo Horizonte, Brazil, where he develops programs in urban health, and is working with the World Health Organization's Urban Health Center in Kobe, Japan. Dr. Vlahov is the editor-in-chief of the Journal of Urban Health, and serves as an editor for the American Journal of Epidemiology and Epidemiology. He has edited three books on urban health and published more than 600 scholarly papers. Dr. Vlahov received a baccalaure- ate and masters in nursing from the University of Maryland and a doctorate in epidemiology from the Johns Hopkins School of Hygiene and Public Health. Barbara O. Wynn, M.A., is a senior policy analyst at RAND Corporation, where she has been principal investigator on a variety of studies involving Medicare issues, such as studies examin- ing differences in Medicare patient characteristics, cost and quality of procedures performed in multiple ambulatory settings, and an evaluation of severity-adjusted patient classification systems and relative weight methodologies. She also conducts research related to financing of graduate medical education and federal support for safety net hospitals. She has led cost and quality studies for the California workers' compensation system, TRICARE, the Department of Veterans Affairs, and the State of Qatar. Prior to joining RAND in 1999, Ms. Wynn spent 24 years with the Health Care Financing Administration (HCFA, the predecessor agency to the Centers for Medicare & Medicaid Services). As deputy director of the Bureau of Policy Development and later director of the Plan and Provider Purchasing Policy Group, she was responsible for the full range of Medicare payment and coverage issues. Ms. Wynn led major Medicare regulatory initiatives, including the Medicare hospital inpatient capital prospective payment system, the hospital outpatient prospective payment system, the resource-based practice expense for phy- sician services, and implementation of the Medicare+Choice program. For a number of years, she directed HCFA's Division of Hospital Payment Policy and was responsible for the policies and annual updates to the Medicare prospective payment system for inpatient hospital services. Alan M. Zaslavsky, Ph.D., is a professor of health care policy (statistics) in the Department of Health Care Policy at Harvard Medical School. His methodological research interests include surveys, census methodology, microsimulation models, missing data, hierarchical modeling, small-area estimation, and applied Bayesian methodology. His health services research focuses primarily on developing methodology for quality measurement of health plans and providers and understanding the implications of these quality measurements. An important part of his work concerns the development, implementation, and analysis of the Consumer Assessments of Healthcare Providers and Systems (CAHPS) survey, a comprehensive program involving a survey instrument for eliciting enrollee reports and ratings of their health plans and the care they receive through them, a standard analysis package, and methods for reporting results to potential enrollees and purchasers. As a statistical leader in the implementation of the CAHPS survey for the Medicare population, he has studied individual characteristics affecting responses to the survey, the main dimensions of quality measured by the survey, the contributions of the health plan and geographical location to CAHPS-measured quality, comparisons of traditional Medicare to Medicare Advantage, and risk selection among health plans. In collaboration with Dr. Ronald Kessler, he leads analyses of the National Comorbidity Survey-Adolescent, a large study of mental health in U.S. adolescents aimed at validation and improvement of the CIDI-A

OCR for page 195
202 GEOGRAPHIC ADJUSTMENT IN MEDICARE PAYMENT instrument and estimation of mental disorder for small geographic areas and schools. He also collaborates with Dr. Kessler on analyses for the World Mental Health Surveys and for the STARRS study of suicides in the armed forces. Another of Dr. Zaslavsky's research areas is methodology for measuring racial and ethnic disparities in care and determining their causes. Finally, Dr. Zaslavsky is part of the Statistical Coordinating Center of the Cancer Care Outcomes Research and Surveillance consortium, a major study sponsored by the National Cancer Institute to study process-outcomes relationships and sources of disparities in cancer care. He is developing meth- ods of integrating cancer registry data with surveys and medical record reviews to better detect such relationships. Dr. Zaslavsky earned his B.A. from Harvard College, his M.S. in statistics and computer science from Northeastern University, and his Ph.D. in applied mathematics, with a specialty in statistics, from the Massachusetts Institute of Technology. He is a fellow of the American Statistical Association, an elected member of the International Statistical Institute, and a National Associate of the National Academy of Sciences. He has served on numerous panels on decennial census methodology, small-area estimation, and measurement of race for health and health services research, and health care quality reporting for the Institute of Medicine and the Committee on National Statistics of the National Academy of Sciences, of which he is a member. Stephen Zuckerman, Ph.D., is a senior fellow in the Health Policy Center of the Urban Institute. He received his doctorate in economics from Columbia University in 1983. During his 25 years as a health economist, he has studied issues related to physician payment, insurance coverage and market reforms, and the health care safety net. His current research is focused on Medicare physician payment, the development of "medical homes," Medicare benefit design, the tax treatment of employer-sponsored health insurance premiums, and health care among undocumented immigrants. He recently coauthored a study examining the determinants of geographic differences in Medicare spending across individuals. Dr. Zuckerman's research on Medicare physician payment includes several studies that developed the geographic practice cost indices used in the fee schedule for physician services, estimated the extent of the volume offset in the market for physician services, analyzed the growth in the volume and intensity of physician services, and outlined an approach to Medicare assignment that could avoid manda- tory assignment of all claims yet protect low-income beneficiaries. He has also studied hospital rate setting, Medicaid managed care, state coverage expansions for adults, the Indian Health Service, the effects of the State Children's Health Insurance Program on private insurance cover- age, state budget problems and their impact on health policies, and medical malpractice. He directed the health care component of the National Survey of America's Families (NSAF)--the Assessing the New Federalism's household survey. Dr. Zuckerman used the NSAF to study the effects of modifying health insurance survey questions like those used in the Current Popula- tion Survey by including a question confirming that those who did not report coverage were actually uninsured. Results from this study were cited as part of the justification for including a confirmation question at the end of the Current Population Survey insurance coverage sequence. Prior to joining the Urban Institute, he worked at the American Medical Association's Center for Health Policy Research. RTI INTERNATIONAL CONSULTANTS Walter Adamache, Ph.D., received his Ph.D. in economics from Vanderbilt University in 1982. His 25-year career in health economics includes both behavioral and policy-related research.

OCR for page 195
APPENDIX F 203 His hospital research includes studies on hospital costs, hospital labor markets, capital costs, investment, closures, and mergers. He examined geographic variation of prices paid by hospitals and physicians for labor and nonlabor input prices and suggested to the Health Care Financing Administration (HCFA, now the Centers for Medicare & Medicaid Services) a methodology to smooth out intertemporal changes in Inpatient Prospective Payment System (IPPS) area wage index values. During the 1990s, he submitted recommendations to HCFA regarding updating the physician malpractice insurance component of the Medicare Geographic Practice Cost Index. Recent work includes examining alternative methods for configuring payment localities for the Medicare Physician Fee Schedule and an examination of the relative merits of the Bureau of Labor Statistics versus hospital-specific wage data for the IPPS area wage index. He is currently evaluating the impact of the alignment of hospital and physician incentives on hospital costs. Justine L. E. Allpress is a research geographic information systems analyst in RTI International's Environmental Health and Safety Division. Ms. Allpress has extensive experience in working with clients and production and editorial staff to coordinate the production of mapping for reports and major projects. She is responsible for the development and production of automated map- ping in support of survey and statistical projects. Her technical skills include data manipulation, map preparation, map production and design, and the development of software and tools to automate complicated mapping and analysis tasks. Kathleen Dalton, Ph.D., has experience in health care finance that spans the roles of man- agement, industry consultant, trustee, and researcher. Following a 20-year career in health care finance, she earned her doctorate in health policy from the School of Public Health at the University of North Carolina (UNC). After completing a Centers for Medicare & Medicaid Servicesfunded dissertation on payments to teaching hospitals under the Medicare prospec- tive payment system, she remained at UNC for 5 years as a research faculty member and also a fellow at the Cecil G. Sheps Center for Health Services Research. Her work focused on hospital reimbursement, financial performance, and Medicare payment policy, including two studies of geographic wage variation in hospitals and in skilled nursing facilities. Since joining RTI in 2005, she has continued to focus Medicare payment policy, financial performance of hospitals and postacute care providers, and the effects of reimbursement incentives on care delivery. She is a quantitative analyst specializing in secondary data modeling, is a recognized expert in prospective payment systems, and has extensive experience in analysis of Medicare claims data and cost reports. Gregory C. Pope, M.S., directs RTI's Health Care Financing and Payment Program based in Waltham, Massachusetts. Mr. Pope has more than 25 years of experience in health econom- ics and health policy research, after completing his graduate education in economics at the Massachusetts Institute of Technology. Much of Mr. Pope's work has focused on design and evaluation of provider payment methods for the Medicare program. Mr. Pope is a codeveloper of the Geographic Practice Cost Index used in Medicare physician payment and has conducted analyses of Medicare's hospital wage index for the Centers for Medicare & Medicaid Services (CMS) and the Medicare Payment Advisory Commission. He has led the development and refinement of the CMS's Hierarchical Condition Categories system for risk adjustment of man- aged care capitation payment. A current focus of Mr. Pope's work is developing shared savings payment methods for Medicare accountable care organizations.

OCR for page 195
204 GEOGRAPHIC ADJUSTMENT IN MEDICARE PAYMENT Elizabeth Seeley, Ph.D., M.P.H., is a health policy researcher at RTI International. She has more than a decade of research and practical work experience in both domestic health policy and international health policy issues. While at the London School of Economics, her research focused on pharmaceutical purchasing efficiency, through which she constructed sophisticated pharmaceutical price indices in order to conduct international pharmaceutical price comparisons. As a manager of policy analysis at the Massachusetts Hospital Associa- tion, Dr. Seeley worked directly on Medicare hospital wage index issues as well as on other issues relevant to hospital pricing, including helping hospital managers develop fair pricing guidelines for low-income populations. At the Center for Studying Health System Change and as an independent consultant, Dr. Seeley has led site visits to multiple states, where she has gained insight on geographic differences in health system delivery. Dr. Seeley has a doctorate in social policy from the London School of Economics, a master's degree in health policy and management from the Harvard School of Public Health, and a bachelor's degree in economics from Boston College. Nathan West, M.P.A., is a health research analyst for RTI International. Mr. West has nearly 15 years of experience in health services and health policy research after completing his under- graduate education in public policy from the University of North Carolina at Chapel Hill and graduate education in public administration from North Carolina State University. Much of Mr. West's work has focused on the evaluation of Medicare demonstration programs related to qual- ity measurement, quality improvement, and payment reform. He assisted with the analyses of Medicare's hospital wage index for the Medicare Payment Advisory Commission in 20062007. Alton Wright, B.S., joined RTI in 2009 as a public health analyst in RTI's Health Care Financing and Payment Program. Before joining RTI, Alton attended the University of North Carolina at Chapel Hill, where he completed his degree in health policy and administration. While completing his degree, he worked for the North Carolina Office of Emergency Medical Services as a research assistant for a cost study of the State Medical Response System. Since joining RTI, Mr. Wright has served as project coordinator for various projects. In this role he has assisted project managers by monitoring achievement milestones, drafting meeting notes and progress reports, and coordinating the logistics of team meetings and interviews with stakeholders and experts. IHS GLOBAL INSIGHT CONSULTANTS Tim Dall is a health economist with more than 17 years' experience conducting research and policy analysis in the areas of burden of disease, health promotion, and the health workforce. He is currently managing director, Health Care Consulting, at IHS Global Insight and previ- ously was vice president at The Lewin Group. His work applies economic theory, statistical and econometric analysis, cost/benefit analysis, program evaluation, and computer modeling skills. His recent publications have appeared in journals such as Health Affairs, Medical Care, American Journal of Managed Care, Diabetes Care, Population Health Management, American Journal of Health Promotion, Military Medicine, and Circulation. Mr. Dall specializes in forecasting and predic- tive modeling, health workforce, burden of disease, and health promotion, and conducts health economic studies for federal and state government agencies, associations, insurers, and for-profit companies. He received his master's in economics from the University of WisconsinMadison.

OCR for page 195
APPENDIX F 205 Paul Gallo is an economist and analyst in the health care consulting practice at IHS Global Insight. He has extensive experience analyzing pricing and reimbursement data and developing computer models. Mike Storm is an analyst in the health care consulting practice at IHS Global Insight. With a background in economics, he has extensive experience analyzing the pricing and reimburse- ment landscapes of European markets and has also worked extensively with modeling supply and demand for health care services in the United States. INSTITUTE OF MEDICINE STAFF Margaret Edmunds, Ph.D., director of the Institute of Medicine (IOM) Study of Geographic Adjustment Factors in Medicare Payment, is a health policy analyst with a clinical background in disease management. She has designed, implemented, and evaluated initiatives on health care coverage and access, health information technology adoption, health information exchange, and consumer health communications for federal and state government, foundations, and associations. Previously, she was a vice president of The Lewin Group, adjunct associate profes- sor of health policy and management at the Johns Hopkins Bloomberg School of Public Health, and a senior associate on the Health IT team at Booz Allen Hamilton, where she coauthored white papers on meaningful use of electronic health records and public health informatics. She also served as study director for previous IOM studies on the State Children's Health Insurance Program and quality assurance for managed behavioral health care. Dr. Edmunds chairs the Public Policy Committee of the American Medical Informatics Association, chaired the Health IT Interest Group for AcademyHealth from 2007 to 2010, and is a fellow and former member of the board of directors of the Society of Behavioral Medicine. Her published work also includes three reports for the National Academies Press, book chapters, journal articles, white papers, technical reports, media backgrounders, and online commentary. She began her health care career as a Research and Clinical Fellow at the Johns Hopkins School of Medicine and as a member of the affiliate staff at the Johns Hopkins Hospital. Dr. Edmunds completed her doctoral degree in human development at The Pennsylvania State University and completed postdoctoral fellowships at the Johns Hopkins School of Medicine and School of Hygiene and Public Health. Kathleen Haddad, Ph.D., senior program officer for the Institute of Medicine (IOM) Study of Geographic Adjustment Factors in Medicare Payment, is a health services researcher with extensive background in Medicare claims data analysis, Medicare payment systems, Medicare quality, chronic disease management, health insurance policy, and geriatric mental health. In addition, Dr. Haddad has a background in journalism and communications. She came to the IOM from the Centers for Medicare & Medicaid Services Office of Policy, where she designed a standardized and risk-adjusted database of all Medicare claims and a set of composite quality measures based on four consensus-based measure sets for use in small area variation studies. She directed a Robert Wood Johnson Foundationfunded research group on chronic care at Johns Hopkins Bloomberg School of Public Health, where she received her Ph.D. in health ser- vices research. Dr. Haddad served as director of health policy at Families USA, senior associate for policy at the American College of Physicians, and director of communications in the Office of the New York State Assembly Majority Leader. She began her career in Albany, New York, as health writer for the Albany Times Union, reporting on and writing about public health and

OCR for page 195
206 GEOGRAPHIC ADJUSTMENT IN MEDICARE PAYMENT health care financing issues emerging from the state department of health and state legislature. Her published work also includes journal articles and numerous reports on Medicare, Medicaid, and private health insurance policy. She is a reviewer for the American Public Health Associa- tion Dissertation Awards Committee and a former member of the board of the New York State Mental Health Association. In addition to completing her Ph.D., Dr. Haddad also completed an M.S. degree at the Columbia University Graduate School of Journalism. Ashley McWilliams, B.S., joined the Institute of Medicine (IOM) in September 2008 as a senior program assistant for the Board on Health Care Services and the National Cancer Policy Forum. Besides assisting on the Geographic Adjustment Factors project, she worked on the Breast Cancer and the Environment: The Scientific Methodology, Research Findings, and Future Directions study funded by Susan G. Komen for the Cure; the Defining and Revising an Essen- tial Health Benefits Package for Qualified Health Plans study; and the Expert Panel on Access to Medicare Part D Routine Vaccines project. She has also worked with the IOM's Roundtable on Evidence-Based Medicine and in the Office of Reports and Communication. Prior to join- ing the IOM, Ashley graduated magna cum laude and as a member of Phi Beta Kappa from Howard University with a degree in biology in 2008. During college, Ashley was copresident of the Health Professions Society, an inductee into Who's Who Among Students at American Col- leges and Universities, and a member of several honor societies. Ashley has also participated in summer research programs at the University of California, San Francisco; Massachusetts Institute of Technology; and Virginia Polytechnic and State University. She also participated in a summer health careers program at Case Western Reserve University. Serina S. Reckling, M.P.H., joined the Institute of Medicine (IOM) in August 2010 as a research associate for the Board of Health Care Services study on Geographic Adjustment Fac- tors in Medicare Payment. Her previous experience includes work in community health in Santa Cruz and Watsonville, California, and Monte Christi, Dominican Republic. Prior to joining the IOM, Serina interned at Insure the Uninsured Project in Los Angeles, where she assisted staff in collecting health care reform literature and analyzing the impact of health insurance exchanges on California. She also interned for Grantmakers in Health in Washington, DC, where she con- ducted research on program and policy initiatives among grantees. She developed a passion for health policy after working with uninsured patients in a small community hospital in a rural area of California and serving as a community health promoter in the Peace Corps. Serina is a member of the Delta Omega Honorary Society in Public Health and an associate member of the National Academy of Social Insurance. She earned a master's in public health and health services policy from the University of California, Los Angeles, School of Public Health and received a B.A. in sociology from University of California, Santa Cruz. She is fluent in Spanish and a native speaker of German. Sara Spizzirri, M.P.A., joined the Institute of Medicine in August 2010 as a research assistant on the Board on Health Care Services. She provides research and administrative support to her team members working on the study of Geographic Adjustment Factors in Medicare Payment for the Centers for Medicare & Medicaid Services. Previously, Sara supported a variety of pro- grammatic and administrative activities at the Proceedings of the National Academy of Sciences. She also completed internships with the British Parliament and a general practice law firm in upstate New York. Sara graduated from Ithaca College in 2008 with a B.A. in politics and a

OCR for page 195
APPENDIX F 207 minor in biology. She earned her M.P.A. with a double concentration in nonprofit management and science policy from American University in May 2010. Joi D. Washington, B.S., is a research assistant for the Institute of Medicine (IOM) Board on the Health of Select Populations. Prior to joining the IOM in May 2008, Ms. Washington held the position of registrar at the National Minority AIDS Council, in which she oversaw the regis- tration process for two large national conferences. Ms. Washington received her B.S. in public and community health from the University of Maryland, College Park, in 2007 and is currently pursuing a dual master's degree in health care administration and business administration from the University of Maryland, University College. Roger C. Herdman, M.D., is director of the Institute of Medicine (IOM) Board on Health Care Services. He received his undergraduate and medical school degrees from Yale University. Following an internship at the University of Minnesota and a stint in the U.S. Navy, he returned to Minnesota, where he completed a residency in pediatrics and a fellowship in immunology and nephrology and also served on the faculty. He served as professor of pediatrics at Albany Medical College until 1979. In 1969, Dr. Herdman was appointed director of the New York State Kidney Disease Institute in Albany, New York, and shortly thereafter was appointed deputy commissioner of the New York State Department of Health (19691977). In 1977 he was named New York State's director of public health. From 1979 until joining the U.S. Congress Office of Technology Assessment (OTA), he served as a vice president of Memorial Sloan-Kettering Cancer Center in New York City. In 1983, Dr. Herdman was named assistant director of OTA, where he subsequently served as director from 1993 to 1996. He later joined the IOM as a senior scholar and directed studies on graduate medical education, organ transplantation, silicone breast implants, and the Department of Veterans Affairs national formulary. Dr. Herdman was appointed director of the IOM/National Research Council National Cancer Policy Board from 2000 through 2005. From 2005 until 2009, Dr. Herdman directed the IOM National Cancer Policy Forum. In 2007, he was also appointed director of the IOM Board on Health Care Ser- vices. During his work at the IOM, Dr. Herdman has worked closely with the U.S. Congress on a wide variety of health care policy issues.

OCR for page 195