A
Workshop Agenda

CHOICE AND MANAGED CARE:

Developing the Information Infrastructure for Medicare Beneficiaries

Workshop

March 4–5, 1998

March 4

8:30 a.m.

Welcome and Introductions

 

Harry P. Cain II, Ph.D. (Co-Chair)

Executive Vice President, Business Alliances

Blue Cross and Blue Shield Association

Chicago, Illinois

 

Stanley B. Jones (Co-Chair)

Director

Health Insurance Reform Project

George Washington University

Washington, D.C.

8:45 a.m.

Setting the Stage: Critical Issues and Questions

 

Lynn Etheredge, Ph.D.

Consultant (commissioned paper author)

Chevy Chase, Maryland

9:10 a.m.

A Status Report from HCFA

 

Michael McMullan

Director, Center for Beneficiary Services

Health Care Financing Administration

Baltimore, Maryland



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--> A Workshop Agenda CHOICE AND MANAGED CARE: Developing the Information Infrastructure for Medicare Beneficiaries Workshop March 4–5, 1998 March 4 8:30 a.m. Welcome and Introductions   Harry P. Cain II, Ph.D. (Co-Chair) Executive Vice President, Business Alliances Blue Cross and Blue Shield Association Chicago, Illinois   Stanley B. Jones (Co-Chair) Director Health Insurance Reform Project George Washington University Washington, D.C. 8:45 a.m. Setting the Stage: Critical Issues and Questions   Lynn Etheredge, Ph.D. Consultant (commissioned paper author) Chevy Chase, Maryland 9:10 a.m. A Status Report from HCFA   Michael McMullan Director, Center for Beneficiary Services Health Care Financing Administration Baltimore, Maryland

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--> Additional Perspective: W. Doug Davidson Director of Communications Foundation for Accountability Portland, Oregon 9:45 a.m. Panel: Issues in Marketing to Medicare Beneficiaries   Who is likely to "change" and take advantage of the new options? How will the private sector market to these groups? How should you market to subgroups of the elderly? What are or will be the likely segmentation strategies? What influences "choice" from a marketing perspective? Moderator: Harry P. Cain II, Ph.D. Executive Vice President, Business Alliances Blue Cross and Blue Shield Association Chicago, Illinois   Frederick S. Adler President and CEO The Senior Network, Inc. Stamford, Connecticut   Tom L. Anderson Vice President, Medicare United HealthCare Edina, Minnesota   Bruce Clark, Dr.P.H. Senior Vice President/Co-founder Age Wave Health Services Emeryville, California   Martin Rosen Senior Vice President NYLCare New York, New York   Jack Tighe Senior Vice President for Government Programs Independence Blue Cross Philadelphia, Pennsylvania

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--> 11:15 a.m. Panel: Roles of the Public and Private Sectors,Information Brokers, and Potential Liability   This session will discuss the potential roles and responsibilities of information brokers, community-based organizations, physicians/health care providers, etc. This panel also will discuss the issues of potential liability related to different sources of advice and what happens when beneficiaries choose poorly. Moderator:  Shoshanna Sofaer, Dr.P.H. Schering Plough Professor of Health Policy Baruch College New York, New York   Aileen Harper Director, Direct Service Programs Center for Health Care Rights Los Angeles, California   Judith Hibbard, Dr.P.H. Professor of Health Policy Department of Planning, Public Policy & Management University of Oregon Eugene, Oregon   Gail Povar, M.D. Private Practice Physician Cameron Medical Group, LLP Silver Spring, Maryland   Robyn Stone, Dr.P.H Executive Director International Longevity Center New York Academy of Medicine New York, New York 12:45 p.m. Lunch: Highlights of a Recent Report from the California Managed Health Care Improvement Task Force

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-->   Sara Singer Director, Health Care Management Graduate School of Business Stanford University Palo Alto, California 2:15 p.m. Panel: Best Practices and Potential Models for an Open Season Health Plan Enrollment Process   This session will showcase representatives from model programs in the public and private sectors that may offer lessons (as well as cautions) on how to develop an effective health benefit information infrastructure targeted to a large and diverse population group. Moderator: Allen Feezor, M.A. Vice President for Insurance and Managed Care East Carolina University Medical Center Pitt County Memorial Hospital Greenville, North Carolina   David G. De Vries Executive Administrator State of North Carolina Teachers' and State Employees' Comprehensive Major Medical Plan Raleigh, North Carolina   James W. Morrison, Jr., M.P.A. President Morrison Associates Washington, DC   Guy Peterson Leader, Corporate Benefits Delivery General Electric Schenectady, New York 3:45 p.m. Adjourn for the Day

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--> March 5 8:30 a.m. Panel: Special Needs Populations: Helping Those Most in Need of Help   This session will explore how any information infrastructure put in place may have to be adapted to meet the needs of those with chronic conditions, physical or mental impairments, or low literacy levels. Moderators: Sandra Harmon-Weiss, M.D. Vice President and Head of Government Programs Aetna US Healthcare Blue Bell, Pennsylvania   Risa Lavizzo-Mourey, M.D. Director, Institute on Aging Chief, Division of Geriatric Medicine Associate Executive Vice President for Health Policy Sylvan Eisman Associate Professor of Medicine and Health Care Systems University of Pennsylvania Philadelphia, Pennsylvania   Peter Fox PDF, Inc. Chevy Chase, Maryland   Francesca Gany, M.D. Executive Director New York Task Force on Immigrant Health New York, New York   Katie Maslow Director Initiative on Alzheimer's Disease and Managed Care Alzheimer's Association Washington, DC 10:00 a.m. Getting from Here to There: Implementation and Unresolved Issues   This panel will discuss the issues of scale and administrative feasibility, the role of government and

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-->   regulation, and the role of federal versus state government. Panelists will also address from their professional experience how the information infrastructure should be organized and financed, and how the information infrastructure should be assessed in terms of its success and shortcomings. The panel also will take up issues left unresolved in earlier sessions. Moderator: Leonard D. Schaeffer, A.B. Chairman and CEO Wellpoint Health Networks Woodland Hills, California   Carol Cronin Senior Vice President Health Pages New York, New York   Helen B. Darling Manager, International Compensation and Benefits Xerox Corporation Stamford, Connecticut   Lynn Etheredge, Ph.D. Consultant Chevy Chase, Maryland   Vicky B. Gregg Senior Vice President Blue Cross and Blue Shield of Tennessee Chattanooga, Tennessee 12:00 noon Summary and Concluding Remarks   Harry P. Cain II, Ph.D. Executive Vice President, Business Alliances Blue Cross and Blue Shield Association Chicago, Illinois   Stanley B. Jones Director Health Insurance Reform Project George Washington University

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--> 12:30 p.m. Adjourn

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