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Stuart Altman, Ph.D. Sol C. Chaikin Professor of National Health Policy Helter Graduate School of Social Policy Brandeis University Waltham, MA John Bartlett, M.D. Chief, Division of Infectious Diseases Johns Hopkins University School of Medicine Baltimore, MD Raymond Baxter, Ph.D. Senior Vice President The Lewin Group Fairfax, VA *Resigned from committee August 5, 1998. Workshop Participants COMMITTEE MEMBERS John Billings, Ph.D. Associate Professor and Director of Health Research Programs Robert F. Wagner School of Public Service New York University New York, NY Donna Checkett~ Chief Executive Officer Missouri Care Health Plan Columbia, MO Patricia A. Gabow, M.D. CEO and Medical Director Denver Health Denver, CO Mary L. Hennrich, R.N., M.S. Chief Executive Officer CareOregon Portland, OR 234

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WORKSHOP PARTICIPANTS Sandral Hullett, M.D. Executive Director West Alabama Health Services, Inc. Eutaw, AL Tom Irons, M.D. Associate Vice Chancellor for Health Services President, Health East Greenville, NC Joyce C. Lashof, M.D. Professor Emerita School of Public Health University of California at Berkeley Berkeley, CA Patrick Mattingly, M.D. Senior Vice President Planning and Development Harvard Pilgrim Health Care Brookline, MA Carolina Reyes, M.D. Assistant Professor Obstetrics and Gynecology The George Washington University Medical Center Washington, DC Cheryl J. Roberts, J.D. Director of Managed Care Virginia Department of Medical Assistance Services Richmond, VA Stephen Somers, Ph.D. President Center for Health Care Strategies, Inc. Princeton, Nr 235 Ann Zuvekas, D.P.A. Senior Research Staff Scientist Center for Health Policy Research The George Washington University Washington, DC PARTICIPANTS Rhoda Abrams Associate Bureau Director Office of Program and Policy Development Health Resources and Services Administration (HRSA) Bethesda, MD Tamara Allen Program Analyst HRSA/Center for Managed Care Rockville, MD Ann Calvaresi Barr Senior Policy Analyst U.S. General Accounting Office Washington, DC Diane M. Becker, Sc.D., M.P.H. Associate Professor of Medicine Director, Center for Health Promotion The Johns Hopkins University School of Medicine Baltimore, MD Clyde J. Behney Deputy Executive Officer Institute of Medicine Washington, DC Amy Bernstein, Ph.D. Senior Research Manager The Alpha Center Washington, DC

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236 AMERICA'S HEALTH CARE SAFETY NET: INTACT BUT ENDANGERED Cheryl Beversdorf, R.N., M.H.S., C.A.E. Executive Vice President Association of State and Territorial Health Officials Washington, DC Gregory Branch, M.D. Chief Executive Officer Gerard Family Associates Washington, DC Fish Brown Director of Public Policy Catholic Health Association of the U.S. Washington, DC Christine Burch Executive Director The National Association of Public Hospitals and Health Systems Washington, DC Joel Cantor, Sc.D. Director of Research United Hospital Fund New York, NY K. Lynn Cates, M.D. Robert Wood Johnson Health Policy Fellow Office of Senator lames Affords Senate Labor and Human Resources Committee Washington, DC Carolyn Clancy, M.D. Director, Center for Primary Care Research Agency for Health Care Policy and Research U.S. Dept. of Health and Human Services (DHHS) Rockville, MD Melissa H. Clarke, M.P.A. Health Care Policy and Program Analyst HRSA Rockville, MD Gary Claxton Deputy Assistant Secretary for Planning and Evaluation/ Health Policy DHHS Washington, DC Charlotte Collins Of Counsel National Association of Public Hospitals and Health Systems Washington, DC Barbara Cooper Director Office of Strategic Planning Health Care Financing Administration Washington, DC Peter Cunningham, Ph.D. Senior Health Researcher Center for Studying Health System Change Washington, DC

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WORKSHOP PARTICIPANTS Charles DeBrunner Executive Director National Association of Urban Critical Access Hospitals Washington, DC ruliann DeStefano Policy Analyst Maternal and Child Health Bureau HRSA Rockville, MD Anne Dievler, Ph.D. Senior Policy Analyst U.S. General Accounting Office Washington, DC Alden Joe) Doolittle Consultant Center for Managed Care HRSA Rockville, MD Jennifer Dunbar Policy Analyst Project Hope Center for Health Affairs Bethesda, MD Catherine Dunham, Ed.D. Program Director Robert Wood Johnson Community Health Leadership Program Boston, MA Jeffrey D. Dunlap Senior Analyst HRSA/Office of Field Coordination Rockville, MD 237 Brent Ewig Associate Director for Access Policy Association of State and Territorial Health Officials Washington, DC Adolph P. Falcon, M.P.P. Vice President of Policy and Research National Coalition of Hispanic Health and Human Services Washington, DC Suzanne Felt-Lisk, MPA Senior Researcher Mathematica Policy Research, Inc. Washington, DC Christine Ferguson Director Rhode Island Dept. of Human Services Cranston, RI Jennifer Fiedelholtz Public Health Analyst Office of Policy and Program Coordination Substance Abuse and Mental Health Services Administration Rockville, MD Mark Finucane Director of Health Services Los Angeles County Department of Health Los Angeles, CA

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238 AMERICA'S HEALTH CARE SAFETY NET: INTACT BUT ENDANGERED Darrell Gaskin, Ph.D. Research Assistant Professor Institute for Health Care Research and Policy Georgetown University Medical Center Washington, DC Marilyn H. Gaston, M.D. Director, Bureau of Primary Health Care HRSA Bethesda, MD Maria I. Gold Section Chief-HIV/AIDS Medicine Allegheny University Hospitals- Hahnemann Department of Medicine Division of Infectious Diseases Philadelphia, PA Nanette Goodman Policy Analyst The National Association of Public Hospitals and Health Systems Washington, DC Katie-Louise Gottfried Director, Primary Health and Managed Care Team Office of Disease Prevention and Health Promotion DHHS Washington, DC George Greenberg Senior Advisor Office of Health Policy Assistant Secretary for Planning and Evaluation DHHS Washington, DC Alison Hall Program Officer The Commonwealth Fund New York, NY Catherine Halverson Vice President of Medicaid Programs United Healthcare Edina, MN Dana Harchick Fellowship Assistant Association for Health Services Research Washington, DC Jeff Harris Senior Policy Analyst Health Policy Studies Division National Governors' Association Washington, DC Dan Hawkins Vice President for Federal and State Affairs National Association of Community Health Centers Washington, DC Timothy Henderson, M.S.P.H. Director, Primary Care Resource Center National Conference of State Legislatures Washington, DC Tiffany Ho Fellow House Ways and Means Committee Washington, DC

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WORKSHOP PARTICIPANTS John Holahan, Ph.D. Director, Health Policy Center The Urban Institute Washington, DC Katie Horton Professional Health Staff Minority Senate Finance Committee Washington, DC Dara Howe Tennessee State Coordinator Family Voices Tennessee Disability Coalition Nashville, TN Robert Hurley, Ph.D. Associate Professor Department of Health Administration Medical College of Virginia/ Virginia Commonwealth University Richmond, VA Ellen Hutchins, Sc.D. Acting Chief, Perinatal and Women's Health Branch Maternal and Child Health Bureau Rockville, MD David Introcaso Vice President of Planning DC General Hospital Washington, DC Sue Kaplan, r.D. Associate Professor New York University New York, NY 239 Michele D. Kipke, Ph.D. Director, Forum on Adolescence Institute of Medicine Washington, DC Janet Kline Specialist in Health Policy Congressional Research Service Washington, DC Ellen Kugler Associate Director National Association of Urban Critical Access Hospitals Washington, DC Deborah Lamm, M.P.A. Program Director Community Health In Focus Chevy Chase, MD Bonnie Lefkowitz Associate Bureau Director Bureau of Primary Health Care Bethesda, MD Peter Levin, Ph.D. Health Policy Counsel Office of Senator Connie Mack Washington, DC Celia I. Maxwell, M.D., F.A.C.P. Robert Wood Johnson Health Policy Fellow Office of Senator Tom Harkin Washington, DC Jane McCaleb, M.D. Medical Director Rural Health Group, Inc. Jackson, NC

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240 AMERICA'S HEALTH CARE SAFETY NET: INTACT BUT ENDANGERED James McClyde Assistant Director, Health Services Quality and Public Health U.S. General Accounting Office Washington, DC Bob McKay Director, Housing and Homelessness Child Welfare League of America Washington, DC Robert Mechanic Senior Manager The Lewin Group Fairfax, VA Mike L. Millman Senior Staff Fellow Office of Planning and Evaluation/HRSA Rockville, MD Judith D. Moore Deputy Director, Center for Medicaid and State Operations Health Care Financing Administration Baltimore, MD Athol Morgan, M.D. Cardiovascular Specialists of Maryland Urban Medical Institute Liberty Medical Center Baltimore, MD rack Needleman, Ph.D. Assistant Professor of Economics and Health Policy School of Public Health Harvard University Cambridge, MA Karen Nelson Senior Health Specialist Office of Congressman Henry A. Waxman Washington, DC Danielle Noll Congressional Fellow Congressman Pete Stark Washington, DC Allan S. Noonan, M.D., M.P.H. Director DC Department of Health Washington, DC Stephen Norton Research Associate The Urban Institute Washington, DC Tracey Orloff Senior Policy Analyst Health Policy Division National Governors' Association Washington, DC Mary Jo O'Brien Vice President The Lewin Group Fairfax, VA Magda Peck, ScD CEO and Executive Director CityMatCH and Associate Chairperson for Community Health University of Nebraska Medical Center Department of Pediatrics Omaha, NB

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WORKSHOP PARTICIPANTS Gretchen Morley Rinne Research Assistant Health Research Program New York, NY Sara Rosenbaum, r.D. Hirsh Professor of Health Care Law and Policy Center for Health Policy Research The George Washington University Washington, DC Alexander Ross, Sc.D. Health Policy Analyst Center for Managed Care/HRSA Rockville, MD Diane Rowland, Sc.D. Senior Vice President Commission on the Future of Medicaid Henry J. Kaiser Family Foundation Washington, DC Cornell Scott, M.P.H. Executive Director Hill Health Center New Haven, CT Robert Seifert Senior Policy Analyst Robert Wood Johnson Community Health Leadership Program Access Project Boston, MA Sandra Sherman Assistant Director, Health Policy American Medical Association Washington, DC 241 Alexandra E. Shields, M.A. Fellow Institute for Health Policy Florence Helter Graduate School for Advanced Studies in Social Welfare Brandeis University Waltham, MA Janet L. Shikles, M.S.W. Director of Public Policy and Government Relations Powers, Pyles, Sutter, and Verville International Square Washington, DC Harvey Sloane, M.D. Senior Policy Advisor U.S. Domestic Programs Walsh Center for Rural Health Analysis Bethesda, MD Vernon K. Smith, Ph.D. Principal Health Management Associates Lansing, MI Helen L. Smits, M.D. President and Medical Director HealthRight, Inc. Meriden, CT Lynn Squire Legislative Officer Maternal and Child Health Bureau Office of Program Development Rockville, MD Stephanie Talmadge Public Health Analyst HIV/AIDS Bureau/HRSA Rockville, MD

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242 AMERICA'S HEALTH CARE SAFETY NET: INTACT BUT ENDANGERED Caroline Taplin Senior Policy Analyst Office of Health Policy DHHS Washington, DC Kristin Testa Legislative Health Staff Senate Finance Committee, Minority Side Washington, DC Leigh Thurmond Health Analyst Bureau of Primary Health Care Bethesda, MD Jennifer Tolbert Senior Financial/Policy Analyst National Association of Public Hospitals and Health Systems Washington, DC Jessica Townsend Senior Fellow Staff HRSA Rockville, MD Margaret Trinity Deputy Director Public Programs The American Association of Health Plans Washington, DC forge Velazquez Special Assistant to the Assistant Secretary DHHS Administration for Children and Families Washington, DC Patricia Vinh-Thomas Legislative Assistant Senate Labor Committee, Minority Washington, DC Kathie Westpheling Director of Organizational Relations Association of Clinicians for the Underinsured Vienna, VA Tom Wildsmith Policy Research Actuary Health Insurance Association of America Washington, DC INSTITUTE OF MEDICINE STAFF Marion Ein Lewin, M.A. Senior Staff Officer and Director Office of Health Policy Programs and Fellowships Washington, DC Justine Lang Research Assistant Office of Health Policy Programs and Fellowships Washington, DC Kari A. McFarlan Administrative Assistant Office of Health Policy Programs and Fellowships Washington, DC Cassandra T. Walker Office of Health Policy Programs and Fellowships Washington, DC