A
Workshop Agenda
CHOICE AND MANAGED CARE:
Developing the Information Infrastructure for Medicare Beneficiaries
Workshop
March 4–5, 1998
March 4
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8:30 a.m. |
Welcome and Introductions |
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Harry P. Cain II, Ph.D. (Co-Chair) Executive Vice President, Business Alliances Blue Cross and Blue Shield Association Chicago, Illinois |
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Stanley B. Jones (Co-Chair) Director Health Insurance Reform Project George Washington University Washington, D.C. |
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8:45 a.m. |
Setting the Stage: Critical Issues and Questions |
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Lynn Etheredge, Ph.D. Consultant (commissioned paper author) Chevy Chase, Maryland |
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9:10 a.m. |
A Status Report from HCFA |
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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 |
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9:45 a.m. |
Panel: Issues in Marketing to Medicare Beneficiaries |
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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? |
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Moderator: |
Harry P. Cain II, Ph.D. Executive Vice President, Business Alliances Blue Cross and Blue Shield Association Chicago, Illinois |
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Frederick S. Adler President and CEO The Senior Network, Inc. Stamford, Connecticut |
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Tom L. Anderson Vice President, Medicare United HealthCare Edina, Minnesota |
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Bruce Clark, Dr.P.H. Senior Vice President/Co-founder Age Wave Health Services Emeryville, California |
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Martin Rosen Senior Vice President NYLCare New York, New York |
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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 |
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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. |
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Moderator: |
Shoshanna Sofaer, Dr.P.H. Schering Plough Professor of Health Policy Baruch College New York, New York |
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Aileen Harper Director, Direct Service Programs Center for Health Care Rights Los Angeles, California |
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Judith Hibbard, Dr.P.H. Professor of Health Policy Department of Planning, Public Policy & Management University of Oregon Eugene, Oregon |
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Gail Povar, M.D. Private Practice Physician Cameron Medical Group, LLP Silver Spring, Maryland |
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Robyn Stone, Dr.P.H Executive Director International Longevity Center New York Academy of Medicine New York, New York |
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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 |
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2:15 p.m. |
Panel: Best Practices and Potential Models for an Open Season Health Plan Enrollment Process |
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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. |
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Moderator: |
Allen Feezor, M.A. Vice President for Insurance and Managed Care East Carolina University Medical Center Pitt County Memorial Hospital Greenville, North Carolina |
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David G. De Vries Executive Administrator State of North Carolina Teachers' and State Employees' Comprehensive Major Medical Plan Raleigh, North Carolina |
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James W. Morrison, Jr., M.P.A. President Morrison Associates Washington, DC |
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Guy Peterson Leader, Corporate Benefits Delivery General Electric Schenectady, New York |
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3:45 p.m. |
Adjourn for the Day |
March 5
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8:30 a.m. |
Panel: Special Needs Populations: Helping Those Most in Need of Help |
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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. |
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Moderators: |
Sandra Harmon-Weiss, M.D. Vice President and Head of Government Programs Aetna US Healthcare Blue Bell, Pennsylvania |
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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 |
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Peter Fox PDF, Inc. Chevy Chase, Maryland |
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Francesca Gany, M.D. Executive Director New York Task Force on Immigrant Health New York, New York |
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Katie Maslow Director Initiative on Alzheimer's Disease and Managed Care Alzheimer's Association Washington, DC |
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10:00 a.m. |
Getting from Here to There: Implementation and Unresolved Issues |
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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. |
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Moderator: |
Leonard D. Schaeffer, A.B. Chairman and CEO Wellpoint Health Networks Woodland Hills, California |
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Carol Cronin Senior Vice President Health Pages New York, New York |
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Helen B. Darling Manager, International Compensation and Benefits Xerox Corporation Stamford, Connecticut |
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Lynn Etheredge, Ph.D. Consultant Chevy Chase, Maryland |
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Vicky B. Gregg Senior Vice President Blue Cross and Blue Shield of Tennessee Chattanooga, Tennessee |
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12:00 noon |
Summary and Concluding Remarks |
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Harry P. Cain II, Ph.D. Executive Vice President, Business Alliances Blue Cross and Blue Shield Association Chicago, Illinois |
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Stanley B. Jones Director Health Insurance Reform Project George Washington University |
