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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.
Representative terms from entire chapter:
johnson foundation