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228 AMERICA'S HEALTH CARE SAFETY NET: INTACT BUT ENDANGERED the leading policy research organizations directed at assessing the changing environment and its impact on safety net providers. Moderator: Raymond Baxter, Ph.D. Senior Vice President The Lewin Group Peter Cunningham, Ph.D. Senior Health Researcher Center for Studying Health System Change John Holahan, Ph.D. Director, Health Policy Center The Urban Institute 10:45-12:15 p.m. Robert Hurley, Ph.D. Associate Professor Department of Health Administration Virginia Commonwealth University Sara Rosenbaum, r.D. Hirsh Professor of Health Care Law and Policy Center for Health Policy Research The George Washington University Panel 1 continued: Research Findings Moderator: John Billings, r.D. Associate Professor and Director of Health Research Programs Robert F. Wagner School of Public Service New York University Joel Cantor, Sc.D. Director of Research United Hospital Fund Suzanne Felt-Lisk, M.P.A. Senior Researcher Mathematica Policy Research, Inc.

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WORKSHOP AGENDA 229 Magda Peck, Sc.D. Chief Executive Officer and Executive Director CityMatCH University of Nebraska Medical Center, Department of Pediatrics Diane Rowland, Sc.D. Senior Vice President Commission on Medicaid and the Uninsured Henry I. Kaiser Family Foundation 12:30-1:30 p.m. Lunch: Federal and State Perspectives on the Role of Safety Net Providers in the New Health Care Environment (Atrium Ballroom) Christine Ferguson, I.D. Director Rhode Island Department of Human Services Cranston, Rhode Island 1:45-3:15 p.m. Panel 2: Provider Perspective This session will assess the impact that the changing health care market and the shift to Medicaid managed care is having on safety net providers. How are these changes affecting their funding streams, patient popu- lation, scope of services, and organizational structure? How are they affecting their ability to serve the unin- sured and special needs populations? What are some of the lessons being learned regarding keys to survival and major obstacles? Moderator: Thomas Irons, M.D. Associate Vice Chancellor for Health ~ - ~clences East Carolina University School of Medicine President, Health East Terry Conway, M.D. Chief Medical Officer Cooke County Bureau of Health Services

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230 AMERICA'S HEALTH CARE SAFETY NET: INTACT BUT ENDANGERED Marilyn Gaston, M.D. Director, Bureau of Primary Care Health Resources and Services Administration Maria Gold, M.D. Section Chief, HIV/AIDS Medicine Allegheny University Hospitals-Hahnemann Jane McCaleb, M.D. Medical Director Rural Health Group, Inc. Cornell Scott, M.P.H. Executive Director Hill Health Corporation 3:15-3:30 p.m. Break 3:30-5:00 p.m. Panel 3: Medicaid Managed Care and New Roles and Responsibilities for Safety Net Providers: Perspective of States, Local Agencies, Medicaid Agencies, and MCOs This session will look at the impact of Medicaid man- aged care and other changes on safety net providers. Moderator: Patrick Mattingly, M.D. Senior Vice President Planning and Development Harvard Pilgrim Health Care Mark Finucane Director of Health Services Los Angeles County Department of Health Catherine Halverson Vice President of Medicaid Programs United Healthcare Michael G. Lucas Assistant Health Commissioner Philadelphia Department of Public Health

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WORKSHOP AGENDA 231 Vernon K. Smith, Ph.D. Principal Health Management Associates 5:00 p.m. Adjourn for the day FRIDAY, MAY 8,1998 8:00 a.m. Continental Breakfast and Registration 8:30-10:00 a.m. Panel 4: Constituent/Advocate Perspective This will be an opportunity to hear from patients, pro- viders, special populations, and advocate groups who have directly seen how the shift to managed care has affected vulnerable populations traditionally served by safety net providers. Moderator: Stuart Altman, Ph.D. Sol C. Chaikin Professor of National Health Policy Helter Graduate School of Social Policy Brandeis University Jeff Crowley, M.P.H. Associate Executive Director National Association of People Living with HIV/AIDS Adolph P. Falcon, M.P.P. Vice President of Policy and Research National Coalition of Hispanic Health and Human Services Dara Howe Tennessee Coordinator Family Voices 10:00-10:15 a.m. Break

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232 AMERICA'S HEALTH CARE SAFETY NET: INTACT BUT ENDANGERED 10:15 a.m.- Public Hearing 12:30 p.m. This will also be an opportunity for pre-registered par- ticipants to present a public testimony for the record. Their comments will be limited to 5 to 10 minutes and will be followed by questions from the committee members. Moderator: Stuart Altman, Ph.D. Sol C. Chaikin Professor of National Health Policy Helter Graduate School of Social Policy Brandeis University Allan S. Noonan, M.D., M.P.H. Director D.C. Department of Health Association of State and Territorial Health Officials Charles De Brunner Executive Director National Association of Urban Critical Access Hospitals Charlotte Collins Of Counsel National Association of Public Hospitals and Health Systems Daniel R. Hawkins, Jr. Vice President for Federal and State Affairs National Association of Community Health Centers Catherine A. Hess, M.S.W. Executive Director Association of Maternal and Child Health Programs Athol W. Morgan, M.D. Cardiovascular Specialists of Maryland Urban Medical Institute Liberty Medical Center

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WORKSHOP AGENDA 233 Gregory Branch, M.D., CEO Gerard Family Associates Diane M. Becker, Sc.D., M.P.H. Associate Professor of Medicine Director, Center for Health Promotion The Johns Hopkins University School of Medicine Workshop Adjourns 12:30-3:30 p.m. Committee Meets in Executive Session (closed to the public)