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182 AMERICA 'S HEALTH CARE SAFETY NET: INTACTBUT ENDANGERED HCFA Health Care Financing Administration HIPAA Health Insurance Portability and Accountability Act HIV human immunodeficiency virus HMO health maintenance organization . HRSA Health Resources and Services Administration TCHD Ingham County Health Department THS Indian Health Service TOM Institute of Medicine LACDHS Los Angeles County Department of Health Services EHD local health department MCHB Maternal and Child Health Bureau MCO managed care organization MeUPAC Medicare Payment Advisory Commission MSA medical savings account MUA medically underserved area NAPH National Association of Public Hospitals and Health Systems NHC Neighborhood Health Center NHP Neighborhood Health Plan OBRA Omnibus Budget Reconciliation Act OCHD Onondaga County Health Department OHP Oregon Health Plan PCCM primary care case management PCDC Primary Care Development Corporation POS point of service plan PRWORA Personal Responsibility and Work Opportunity Reconciliation Act PSO provider sponsored organization RHC rural health clinic RHCG Rural Health Care Group SCH]:P State Children's Health Insurance Program SETPA supplementary low-income patient adjustment SMT serious mental illness SNOPAC Safety Net Organizations and Patient Advisory Commission SSDI: Social Security Disability Insurance SS] Supplemental Security Income STD sexually transmitted disease TANF Temporary Assistance to Needy Families

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APPENDIXI UDS VA WIC . Uniform Data System Veterans Affairs Veterans Health Administration Special Supplemental Nutrition Program for Women, infants, and Children ~3

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Commits Biographies Stuart H. Altman, Ph.D. (Chair), Sol C. Chaikin Professor of National Health Policy at The Florence Helter Graduate School for Social Policy, Brandeis University, is an economist whose research interests are prima- rily in the area of federal health policy. He was appointed in December 1997 by President Clinton to the National Bipartisan Commission on the Future of Medicare. For 12 years he was chairman of the congressionally legislated Prospective Payment Assessment Commission responsible for advising Congress and the Administration on the Medicare Diagnostic Related Group Hospital Payment System and other system reforms. Dr. Altman is a member of the Institute of Medicine of the National Academy of Sciences, a member of the Board of Overseers of Beth Israel Deaconess Medical Center in Boston, Massachusetts, and chairman of the Board of the Institute for Health Policy at Brandeis University. He is chair of the Robert Wood Johnson Foundation sponsored Council on the Eco- nomic Impact of Health System Change, a private, nonpartisan group whose mission is to analyze important economic aspects of the U.S. health care system and evaluate proposed changes in the system. Dr. Altman has M.A. and Ph.D. degrees in economics from the University of California at Los Angeles and has taught at Brown University as well as the Graduate School of Public Policy, the University of California at Berkeley. John G. Bartlett, M.D., is professor of medicine and chief of the Division of Infectious Diseases at Johns Hopkins University School of Medicine. Dr. Bartlett has been the principal investigator for $30 million in research 221

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222 AMERICA'S HEALTH CARE SAFETY NET: INTACT BUT ENDANGERED funds at Hopkins and has written over 600 articles or chapters and 11 books (29 editions). His major interests are antibiotic-associated colitis, pneumonia, anaerobic infections, HIV infection and AIDS, and managed care. He received his M.D. from Upstate Medical Center in Syracuse in 1959 and completed training in internal medicine at Peter Bent Brigham in Boston, Massachusetts, and at the University of Alabama in Birming- ham. His infectious disease fellowship was at the University of California at Los Angeles-Wadsworth Veterans Affairs Center in Los Angeles. Raymond l. Baxter, Ph.D., is executive vice president at The Lewin Group in Falls Church, Virginia. He heads the firm's national public policy prac- tice, and his consulting focuses on the areas of health systems reform, policy development, strategic planning, organizational design, and the management of change. He has worked with government and the private sector at the state, local, and national levels and has particular expertise in the areas of public health, mental health, long-term care, and HIV-related services. Dr. Baxter has over 20 years of experience in public health management, including service as the director of public health for San Francisco and the president of the New York City Health and Hospitals Corporation. Dr. Baxter holds a Ph.D. from the Woodrow Wilson School of Public and International Affairs, Princeton University. lohn Billings, l.D., is currently an associate professor at the Robert F. Wagner Graduate School of Public Service at New York University, and he is the director of the school's Center for Health and Public Service Research. Previously, Mr. Billings was the principal investigator of a study for the Robert Wood Johnson Foundation and the United Hospital Fund of New York that involved analysis of patterns of hospital admission rates and emergency department utilization as tools to evaluate access barriers to outpatient care and to assess the performance of the ambula- tory care delivery system. Mr. Billings is currently the principal investiga- tor on a project funded by the Robert Wood Johnson Foundation to assess models for delivering primary care to low-income populations and is co- principal investigator in an effort with Columbia University and the United Hospital Fund of New York to evaluate the impact of Medicaid managed care in New York City. He has also worked extensively analyz- ing the problems of the medically indigent population and developing solutions for coverage and provision of care for the uninsured popula- tion. Mr. Billings is the former executive director of the John A. Hartford Foundation. Mr. Billings holds a law degree from the University of Cali- fornia at Berkeley.

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COMMITTEE BIOGRAPHIES 223 Patricia A. Gabow, M.D., is chief executive officer and medical director of Denver Health and Hospital Systems. Dr. Gabow is also professor of medicine in the Division of Renal Disease at the University of Colorado School of Medicine. Her major research area is in polycystic kidney disease. She has authored more than 120 articles and book chapters. Dr. Gabow is a member of the executive committee and president-elect of the National Association of Public Hospitals and Health Systems and a member of the Board of the National Public Health and Hospital Institute. She received her M.D. degree from the University of Pennsylvania School of Medicine. Mary L. Hennrich, M.S., is the chief executive officer of CareOregon Health Plan, Inc. Previous positions include director of the Primary Care and Health Systems Division, director of Field Services and Program Management Section, and director of Countywide Services in the Multnomah County Oregon Health Department. Her recent publications include Successful Strategies for Managing Care in a Dynamic Market- Risk and Care Management for Special Populations and Collaboration to Improve Access and Create a Healthy Community Oregon Health Systems in Collabo- ration: Lessons Learned from a Community Care Network Demonstration Site. Ms. Hennrich received her M.S. in nursing at the University of Portland. Sandral Hullett, M.D., M.P.H., is executive director of West Alabama Health Services, a community health center located in rural west Ala- bama. Her experience in research and grants include project director, School and Church Based Outreach Program, funded by the Robert Wood Johnson Foundation, and principal investigator, Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial, funded by the National Heart, Lung, and Blood Institute. Dr. Hullett has coauthored several publications, namely, Alabama CHC Leads and Interdisciplinary Training Program, Interdisciplinary Health Care Training Program (1993~. Her educational background includes a bachelor's degree from Alabama A&M University, a medical degree from the Medical College of Pennsylvania, and a master's in public health from the University of Alabama. Thomas G. Irons, M.D., is professor of pediatrics and associate vice chan- cellor for health sciences, East Carolina University School of Medicine. He also serves as president of HealthEast, a corporation formed by the School of Medicine and the Pitt County Memorial Hospital for the purpose of developing and sustaining a primary care physician network in Eastern North Carolina. He was appointed to the latter position in fuly 1996, after having served as senior associate dean of the School of Medicine for the previous 5 years. He currently serves on a number of national advisory

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224 AMERICA'S HEALTH CARE SAFETY NET: INTACT BUT ENDANGERED committees and boards, including the advisory committee for the Pew Foundation's Health Professions Schools in Service to America program. He lectures widely on the subject of the interface of health services educa- tion and service to rural and underserved populations, institutional change, physician leadership, and pediatric medicine. loyce C. Lashof, M.D., D.M.Sc. (Hon), is currently associate chair of the editorial board of the UC Berkeley Wellness Letter in the School of Public Health at the University of California, Berkeley. She is the former dean and professor emerita of the School of Public Health at the University of California, Berkeley. Previously, Dr. Lashof was assistant director of the congressional Office of Technology Assessment and earlier was director of the Illinois Department of Public Health. Dr. Lashof was president of the American Public Health Association, and she has been a member of several committees including the Medical Advisory Committee, the Cali- fornia Department of Health Services, the Health Care Financing Sub- committee of the Health Care and Public Policy Committee, and the American College of Physicians. Patrick H. Mattingly, M.D., is a consultant in health care organization, strategy, and quality, with clients including the Agency on Health Care Research and Quality and the Picker Institute where he serves as a senior consultant. From 1993-1998, he was the senior vice president of planning and development at Harvard Pilgrim Health Care in Brookline, Massa- chusetts, and previously served as president and medical director of the Harvard Community Health Plan of New England in Providence, Rhode Island. Between 1981 and 1989, Dr. Mattingly served as president and chief executive officer of the Wyman Park Health System, an integrated health care system that merged into the Johns Hopkins Health System. From 1989 to 1990, Dr. Mattingly served as an Institute of Medicine scholar-in-residence with the Council on Health Care Technology and is a member of many professional organizations, including the Group Health Association of America and the American College of Physician Execu- tives. Dr. Mattingly received his M.D. degree from Harvard Medical School. Carolina Reyes, M.D., is associate director of the Division of Women's Health Policy and Research and a Maternal-Fetal Medicine attending phy- sician in the Department of Obstetrics and Gynecology at Cedars-Sinai Medical Center. She is a visiting assistant professor in the Department of Obstetrics and Gynecology, University of California, Los Angeles School of Medicine. Dr. Reyes is a senior scholar with the Agency for Healthcare Research and Quality. Her research focuses on developing maternal

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COMMITTEE BIOGRAPHIES 225 quality indicators to better assess the quality of care provided to women. Dr. Reyes is the senior medical advisor for the National Alliance for His- panic Health the oldest and largest network of providers serving over 10 million Hispanics. She is an appointed member of the Secretary of Health's Advisory Committee on Infant Mortality. She received her Bach- elor of Arts degree from Stanford University and her Medical Doctorate degree from Harvard Medical School. Cheryl l. Roberts, l.D., is the director of managed care for the Virginia Department of Medical Assistance Services. In this capacity, Ms. Roberts is responsible for developing and implementing managed care, special needs, and quality assurance programs for the state's Medicaid managed care consumers. Ms. Roberts is a health insurance professional with 17 years of experience in developing health care initiatives in both the public and the private sectors. She served as assistant vice president of Group Health Inc., in New York, and chief operating officer of Virginia Char- tered Health Plan, a Medicaid health maintenance organization. Ms. Roberts has developed physical and behavioral health programs as well as mater- nal child health programs. She currently serves on the Board of the Rich- mond Young Women's Christian Association. Ms. Roberts received her furls Doctor from Rutgers University Law School in New lersey. Stephen A. Somers, Ph.D., is president and chief executive officer of the Center for Health Care Strategies, Inc. (CHCS), which he founded in 1995. CHCS is a nonprofit policy resource center dedicated to promoting the development and implementation of effective health policy for vulner- able Americans. It is affiliated with Princeton University's Woodrow Wilson School of Public and International Affairs, where Dr. Somers is a visiting lecturer and visiting senior research scholar. For the decade prior to establishing CHCS, Dr. Somers was an associate vice-president and a program officer at the Robert Wood Johnson Foundation. Dr. Somers is also director of the Foundation's Medicaid Managed Care Program and a senior consultant to the Building Health Systems for People with Chronic Illnesses Program. Dr. Somers has an extensive program management and health policy background. He holds a Ph.D. from Stanford University. Ann Zuvekas, D.P.A., is a senior fellow at the Center for Health Services Research and Policy, School of Public Health and Health Services, The George Washington University Medical Center, as well as a private con- sultant. She has served as principal investigator and senior advisor on studies of patients' experiences in community and migrant health centers, the impact of managed care programs on safety net providers who serve vulnerable populations and on the populations themselves, hospital-

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226 AMERICA'S HEALTH CARE SAFETY NET: INTACT BUT ENDANGERED primary care relationships, developing health status measures to evaluate primary health care for poor and minority Americans, evaluating options for the structure of the nation's poison control center system, and examin- ing the causes of the low infant-mortality rate among persons of Mexican descent. Formerly, Dr. Zuvekas was a vice president at The Lewin Group. She received her D.P.A. in Health Services Administration and Public Administration from The George Washington University.