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Suggested Citation:"Conference Agenda." Institute of Medicine. 1999. Collaboration Among Competing Managed Care Organizations for Quality Improvement. Washington, DC: The National Academies Press. doi: 10.17226/6417.
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CONFERENCE AGENDA

Institute of Medicine
National Academy of Sciences
Washington, DC 20418

Collaboration Among Managed Care Organizations
for Quality Improvement

November 13, 1997

9:00 a.m.–9:30 a.m.

Introduction to Collaboration

Robert A. Berenson, M.D.

The Lewin Group and Chair, Steering Committee for the Conference

9:30 a.m.–10:30 a.m.

Conceptual Papers

• Legal Issues in Collaboration

Clark Havighurst, J.D.

William Neal Reynolds Professor of Law, Duke University

• Collaboration in Other Industries

George C. Fads, Ph.D.

Charles River Associates, Washington, D.C.

10:30 a.m.–10:50 a.m.

Welcome

Kenneth L Shine

President, Institute of Medicine

10:50 a.m.–11:00 a.m. Break

11:00 a.m.–12:15 p.m.

Panel and group discussion of the papers

  • What are the limits to proprietary interests in quality improvement?
  • When do we compete; when do or might we collaborate to improve quality?
Suggested Citation:"Conference Agenda." Institute of Medicine. 1999. Collaboration Among Competing Managed Care Organizations for Quality Improvement. Washington, DC: The National Academies Press. doi: 10.17226/6417.
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  • What are the concerns, e.g., public goods, the free rider problem, adverse selection?

Panel:

Antitrust

Robert Leibenluft, J.D.

Assistant Director, Health Care, Bureau of Competition, FTC

The Limits of Competition

Paul B. Batalden, M.D.

Director, Health Care Improvement Leadership Development Center for the Evaluative Clinical Sciences, Dartmouth

The Medical Director's Perspective

George J. Isham, M.D.

Medical Director and Chief Health Officer, HealthPartners

Lessons from the Electronics Industry

Bruce Mueller

Corporate Vice President and Director of Human Resources, Infrastructure, and Technology, Motorola, Inc.

12:15 p.m.–1:15 p.m. Lunch

1:15 p.m.–2:45 p.m.

Examples of Collaboration (panel and general discussion)

Panel:

Catherine A. Borbas, Ph.D., M.P.H.

Executive Director, Healthcare Education and Research Foundation St. Paul, MN

Thomas Davies, J.D., M.P.A.

Manager of Managed Care, GTE Services Corporation

Rachel Rowe, R.N.

Executive Vice President, Foundation for Health Communities

Tim Size, M.B.A.

Executive Director, Rural Wisconsin Health Cooperative, and President Elect, National Rural Health Care Coalition

Suggested Citation:"Conference Agenda." Institute of Medicine. 1999. Collaboration Among Competing Managed Care Organizations for Quality Improvement. Washington, DC: The National Academies Press. doi: 10.17226/6417.
×

Donald M. Steinwachs, Ph.D.,

Professor and Chair, Department of Health Policy and Management,

School of Public Hygiene and Public Health, John Hopkins University

2:45 p.m.–3:00 p.m. Break

3:00 p.m.–4:30 p.m.

Working session (all invited participants)

  • What are the problems?
  • Which areas are conducive to collaboration?
  • Which areas present serious impediments to collaboration?

4:30 p.m.–5:30 p.m.

Findings and conclusions

  • Criteria for collaboration
  • Feasible areas for collaboration
  • Elements for evaluation of successful collaboration
  • Identification of the structures that are needed to promote collaboration
  • The role of government?

5:30 p.m. Adjourn

Suggested Citation:"Conference Agenda." Institute of Medicine. 1999. Collaboration Among Competing Managed Care Organizations for Quality Improvement. Washington, DC: The National Academies Press. doi: 10.17226/6417.
×
Page 51
Suggested Citation:"Conference Agenda." Institute of Medicine. 1999. Collaboration Among Competing Managed Care Organizations for Quality Improvement. Washington, DC: The National Academies Press. doi: 10.17226/6417.
×
Page 52
Suggested Citation:"Conference Agenda." Institute of Medicine. 1999. Collaboration Among Competing Managed Care Organizations for Quality Improvement. Washington, DC: The National Academies Press. doi: 10.17226/6417.
×
Page 53
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In November, 1997, The Institute of Medicine convened a one-day conference to explore areas for potential collaboration to improve quality among competing health plans consistent with antitrust and other legal requirements. The conference was convened to clarify the limits of such potential activities and to explore ways to stimulate collaboration; in short, to explore permissible and promising areas for collaboration for competing health plans.

Competition has existed at the provider level in the pre-managed care era and continues among physicians, physician groups and hospitals today. What is new is the extent of competition at the managed care organization level in individual regional markets. As large numbers of individuals are enrolled in health plans, the potential for new forms of cooperation for improving quality of care becomes possible. Along with these new possibilities, however, come questions about whether they bring the potential for antitrust violation.

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