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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