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Appendix A Conference on STRATEGI ES FOR REFORM OF PHYSICIAN PAYMENTS. October 27 - 28, 1983 Participants *PAUL B. BEESON, M.D., Conference Chairman Redmond, Washington *LAWRENCE K . ALTMAN, M . D . Medical Correspondent and The Doctor's World. Columnist Science News Department The New York Times New York, New York *WILLIAM G. ANLYAN, M.D. Vice President for Health Affairs Duke University Medical Center Durham, North Carolina *MYRTLE K. AYDELOTTE, Ph.D., R.N. Adjunct Profesor, College of Nursing University of Iowa and Nursing Consultant Iowa City, Iowa *ROBERT M. BALL, M.A. Senior Consultant to Study Group on Social Security Center for the Study of Welfare Policy Washington, D.C. *LEONA BAUMGARTNER, Ph.D., M.D. Professor of Social Medicine Harvard Medical School (ret.) Chilmark, Massachusetts JAMES BENTLEY, Ph.D. Associate Director Department of Teaching Hospitals Association of American Medical Colleges Washington, D.C. * TOM Membe r 1 0 2 *ROBERT L. BLACK, M.D. Private Practice Pediatrics Monterey, California *R. DON BLIM, M.D. Private Practice Pediatrics President, Pediatric Associates Kansas City, Missouri *MARK S. BLUMBERG, M.D. Corporate Planning Advisor Kaiser Foundation Health Plan, Inc. Oakland, California *LESTER BRESLOW, M.D., M.P.~. Professor of Public Health School of Public Health University of California Los Angeles, California LAWRENCE BROWN Department of Medica1 Care Organi zaion School of Public Health University of Michigan Ann Arbor, Michigan *E. LANGDON BURWELL, M.D. (Physician in Private Practice) Falmouth Medical Associates Falmouth, Massachusetts

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JAMES R . CANTWELL Acting Chief Non-Inst itut iona 1 Studies Branch Of f ice of Resea rch Health Care Financing Administration Baltimore, Maryland RONALD CARLSON Associate Administrator Health Research & Services Administration Rockvi lie, Maryland *OL IVER COPE, M . D . Professor of Surgery, Emeritus Har va rd Med ice 1 Schoo 1 Lincoln, Massachusetts *RALPH CRAWSHAW, M. D. Private Practice of Psychiatry Portland, Oregon GLENNA M. CROOKS, Ph. D. Deputy Ass i stant Sec retary f or Health Planning and Evaluation Department of Health and Human Services Washington, D.C. JOHN D. CROSIER Executive Director Massachusetts Business Roundtable Waltham, Massachusetts THOMAS DELBANCO, M.D. Medical Director of Ambulatory Care Associate Professor of Medicine Harvard Medical School Beth Israel Hospital Boston, Massachusetts *ROBERT DERZON, M.B.A. Vice President Lewin and Associates, Inc. Washington, D.C. *JAMES F. DICKSON, III, M.D. Assistant Surgeon General Office of the Assistant Secretary for Health Department of Health and Human Services Washington, D.C. *ION Member 1 0 3 HENRY DESMARI AS, M . I) . Deputy Di rector Off ice of Legislation & Policy Health Care Financing Administration Washington, D . C. ALLEN DOBSON, Ph. D . Director, Off ice of Research Health Care Financing Administrat ion Balt~more, Maryland PATRIC I A DRURY Assi stant Di rector The Hartf ord Foundation New York, New York *NE I L J. ELGEE, M. D . Summit Madison Medical Group Seattle, Washington *JACK ELINSON, Ph. D. Professor, Sociomedical Sc fences School of Public Hea 1th Columbia University New Yo r k, New Yo r k *JOSEPH T. ENGLISH, M. D . Di rector, Department of Psychiatry St. Vincent's Hospital and Medical Center of New York New York, New York *RICHARD G. FARMER, M.D. Chairman, Division of Medicine The Cleveland Clinic Foundation Cleveland, Ohio *WILLIAM R. FELTS, M.D. Professor of Medicine Division of Rheumatology The George Washington Uni vers ity Medical Center Washington, D.C.

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*A. ALAN FISCHER, M.D. Professor and Chat rman Department of Fami ly Medicine Indiana University School of Medicine Indianapolis, Indiana *SCHOTT FLEMING, J.D. Senior Vice President Kaiser-Permanente Medical Care Program Kaiser Foundation Health Plan, Inc Oakland, California *VICTOR R. FUCHS, Ph.D. Professor of Economics Stanford University National Bureau of Economic Research, Inc. Stanford, California JON GABEL Economist, Cost and Financing Cluster Divaion of Extramural Research National Center for Health Services Research Rockville, Maryland *FRED I. GILBERT, Jr., M.D. Medical Director Pacific Health Research Institute Honolulu, Hawaii PAUL B. GINSBERG Deputy Assistant D irector Income Security and Health Congressional Budget Office Washington, D.C. WILLIAM A. GLASER, Ph. D. Professor Department of Health Services Administration and Gerentological Services Administration Graduate School of Management and Urban Professions New School for Social Research New York, New York *MELVIN A . GLASSER, LL . D. Director, Health Security Action Council Washington, D.C. *ION Member -104- *JOHN C. GREENE, D.M.D., M.P.H. Professor and Dean, School of Dentistry University of California San Francisco, California *TIBOR J. GREENWALT, M.D. Director Hoxworth Blood Center University of Cincinnati Medical Center Cincinnati, Ohio ERIC GRIGSBY Student Representative of Association of American Medical Colleges Year IV Student Boston University Medical Center Boston, Massachusetts JACK HADLEY, Ph. D. Senior Research Associate The Urban Institute Washington, D.C. *SAMUEL B. GUZE, M.D. Spencer T. Olin Professor & Head Department of Psychiatry President of the Medical Center Vice Chancellor for Medical Affairs Washington University School of Medicine St. Louis, Missouri *JOSEPH HAMBURG, M.D. Dean, College of Allied Health Professions Albert B. Chandler Medical Center University of Kentucky Lexington, Kentucky *CURTIS G. HAMES, M..D. Private Practice and Clinical Professor of Medicine Medical College of Georgia Claxton, Georgia

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*BARBARA C . HANSEN, Ph. D. Professor of Physiology and Psycho logy and Associate Vice President for Academic Af f al rs and Research Dean of the Graduate School Southern Illinois University Carbondale, Illinois *DONALD C. HARRINGTON, M.D. Medical Director Computer Science Corporation Sacramento, California *JEAN L. HARRIS, M.D. Vice President State Marketing Programs Control Data Corporation Minneapolis, Minnesota *ARTHUR E. HESS, J.D. Consultant Charlottesville, Virginia *JOHN R. HOGNESS, M.D. President Association for Academic Health Centers Washington, D.C. *JOHN L.S. HOLLOMAN, Jr., M.D. HHS/PHS/FDA/Region II RMO; also Practitioner of Internal Medicine Brooklyn, New York WILLIAM C. HSIAO, Ph.D. Associate Professor of Economics Harvard School of Public Health Boston, Massachusetts *CARAMULT B. JACKSON, Jr., M.D. Executive Vice President and Administrator Metropolitan General Hospital San Antonio, Texas *ROBERT W. JAMPLIS, M.D. President and Chief Executive Officer Palo Alto Medical Foundation Palo Alto, California *ION Member LYNN E. JENSEN, Ph.D. Director Center for Health Policy Research American Medical Association Chicago, Illinois JUD ITH MI LLER JONES Di rector National Health Policy Forum Washington, D.C. D IANA C . JOST Staf f Assistant Committee on Ways and Means Washington, D.C. JOHN KIMBERLY, Ph.D. Associate Professor of Management The Wharton School University of Pennsylvania Philadelphia, Pennsylvania *ELEANOR C. LAMBERTSEN, Ed.D. Senior Associate Director The New York Hospital New York, New York *ALEXANDER D. LANGMUIR, M.D. Visiting Professor of Epidemiology Harvard Medical School (retired) Chilmark, Massachusetts *BEN R. LAWTON, M.D. Practicing Surgeon Marshfield Clinic Department of Thoracic and Cardiovascular Surgery Marshfield, Wisconsin ROBERT F. LEE, Ph.D. Department of Economics University of North Carolina Chapel Hill, North Carolina 1 05

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MARY NELL LENHARD Vice President Blue Cross-Blue Shield Association Washington, D. C. *C.S. LEWIS, Jr., M.D. Private Practice Tulsa, Oklahoma *IRVING J. LEWIS, M.A. Professor of Public Policy and Community Health Albert Einstein College of Medicine Yeshiva University Department of Community Health Bronx, New York MANFRED LICHTMANN, M.D. Director of Graduate Anesthesiology Education Department of Anesthesiology George Washington University Hospital Washington, D.C. *RUTH WATSON LUBIC, Ed.D. General Director Mate rni ty Center Association New York, New York BRYAN R. LUCK, Ph. D. D i rector Office of Research and Demonstrations Health Care Financing Administration Washington, D. C. *CHARLES A. McCALLUM, D.M.D., M.D. Senior Vice President for Health Affairs Director of the Medical Center The University of Alabama in Brimingham Birmingham, Alabama JOELYN McDONALD Staf f Assistant Off ice of Representative Richard A. Gephardt Washington, D. C. *ION Member *J. ALEXANDER McMAHON, J.D. President American Hospital Association Chicago, Illinois PETER MCMENAMIN, Ph.D. Senior Research Economist Mathematica Policy Research, Inc. Washington, D. C. RICHARD MERRITT Director Intergovernmental Health Policy Project Washington, D.C. MICHAEL MILLMAN, Ph.D. Public Health Service Fellow National Cente r f or Hea 1th Services Research Rockville, Maryland FRANCIS D. MOORE, M.D. Har va rd Med ice 1 Schoo 1 l~epartment of Surgery Boston, Massachusetts LAWRENCE C . MORRIS Senior Vice President Blue Cross & Blue Shield Associat ion Chicago, Illinois *GILBERT S. OMENN, M.D., Ph.D. Dean, School of Public Elealth and Community Medic ine Professor and Chairman Environmental Health Professor of Med~cine University of Washington Seattle, Washington -106-

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*JACK ORLOFF, M.D. Director of Intramural Research Nat tonal Heart, Lung and B food Inst itute Nat iona 1 Inst itutes of Health Bethesda, Maryland *SEYMOUR PERRY, M.D. Senior Fellow and Deputy Director The Institute for Hea 1th Po 1 i cy Ana lys i s Georgetown Medical Center Washington, D. C. MI CHAEL POLLARD D i rector Of f ice of Pol icy Analysis Pharmaceut ical Manuf acturers As sac i at ion Washington, D. C. *CURT I S PROUT, M . D . Associate Clinical Professor of Med ic i ne Harvard Medical School, also Private Practitioner of Internal Medicine Boston, Massachusetts *OWE E. REINHARDT, Ph.D. Professor of Economics and Public Af f al rs Wood row Wi Ison School of Public and International Affairs Princeton University Princeton, New Jersey PAUL RETTIG Professional Assistant Committee on Ways and Means Washington, D.C. MARSHA ROSENTHAL Senior Health Policy Consultant Prudential Insurance Company of America Newark, New Jersey *ION Member *WILLIAM R. ROY, M.D. Private Practice Obstetrics and Gynecology Womens Clinic Topeka, Kansas *ERNEST SAWARD, M.D. Professor of Social Medicine Buswell Distinguished Service Fellow University of Rochester School of Medicine and Dentistry Rochester, New York *LISBETH BAMBERGER SCHORR Ad junct Prof esso r School of Public Health University of North Carolina Washington, D.C. *STEVEN A. SCHROEDER, M. D . Profesor of Medicine and Chief Division of General Internal Medicine University of Call fornia San Francisco, California MARVIN SHAPIRO, M.D. Private Practice Los Angeles, California *CECIL G. SHEPS, M.D., M.P.H. Taylor Grandy Distinguished Professor of Social Medicine University of North Carolina School of Medicine; also, Professor of Epidemiology School of Public Health University of North Carolina Chapel Hill, North Carolina GEORGE SCHIEBER, Ph.D. Director, Of f ice of Policy Analysis Health Care Financing Administration Washington, D.C. -107-

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H. MICHAEL SCHIFFER Director of Government and Industry Relations CIGNA Corporation Hartford, Connecticut CATHY SCHOEN Assistant to the President Service Employees International Union Washington, D. C. CARL J. SCHRAMM, Ph.D., J.D. Johns Hopkins University and Di rector of Center for Health Finance and Management Johns Hopkins Medical Institutions Baltimore, Maryland *JOHN F. SHERMAN, Ph. D. Vice President Association of American Medical Colleges Washington, D.C. *JEANNE C. SINKFORD, D.D.S., Ph.D. Dean and Professor of Prosthodontics Howard University College of Dentistry Washington, D.C. *CHARLES C. SPRAGUE, M.D. President Uni ve rsity of Texas Heal th Sc fence Center at Dallas Dallas, Texas *EUGENE A. STEAD, Jr., M.D. Florence McAlister Professor of Medici ne, Emer itus Duke University Durham, North Carolina DONALD STEINWACHS, Ph.D. Director Hea 1th Services and Research Development Center Baltimore, Maryland * IOM Membe r BRUCE ST EINWALD, Ph . D D i rector, Economic Analysis Of f ice of the Assistant Secretary for Planning and Education/Health Washington, D.C. *ROBERT STRAUSS, Ph.D. Professor and Chairman Department of Behavioral Science College of Medicine University of Kentucky Lexington, Kentucky *LOUSI W. SULLIVAN, M.D. President and Dean The Morehouse School of Medicine Atlanta, Georgia *ROBERT B. TALLEY, M. D . Practitioner of Internal Medic ine Stockton, California PATRICI A TAYLOR Prof ess iona 1 Staf f Senate Aging Committee Washington, D. C. *ALVIN J. THOMPSON, M.D. Practitioner of Medicine; also Clinical Professor Department of Medicine University of Wasington School of Medicine Seatt le. Washington JOHN TILLOTSON Leg islet ive Ass i stant to Senator Dave Durenberger Washington, D. C. *ROBERT E. TRANQUADA, M.D. Dean of the Medical School and Chancellor University of Massachusetts Medical Center Worcester, Massachusetts -108-

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*JOSEPH F. VOLKER, D.D.S., Ph.D. Distinguished Professor University of Alabama in Birmingham Birmingham, Alabama *RALPH O. WALLERSTEIN, M.D. Private Practitioner of Internal Medicine; also, Clinical Professor of Medicine and Laboratory Medicine University of California San Francisco, California *IRWIN M. WEINSTEIN, M.D. Private Practitioner of Hematology and Medical Oncology; also, Clinical Professor of Medicine University of California, Los Angeles Center for the Health Sciences Los Angeles, California *RICHARD S. WILBUR, M.D. Executive Vice President Council of Medical Specialty Societies Lake Forest, Illinois *J . JEROME WI LDGEN, M . D . Practitioner of Medicine Family Medical Associ ates Kalispell, Montana Frederick C. Robbins Charles Miller Queda Bond Fredric Solomon Karl O. Yordy Sunny G. Yoder Marian Osterweis *TOM Member *MARJORIE PRICE WILSON, M.D. Senior Associate Dean University of Maryland School of Medicine Baltimore, Maryland *ASA G. YANCEY, M.D. Associate Dean Emory University School of Medicine Medical Director Grady Memorial Hospital Atlanta, Georgia *ALONZO S. YERBY, M.D., M.P.H. Professor and Director Division of Health Services Administration Department of Preventive Medicine/Biometrics Uniformed Services University of the Health Sciences School of Medicine Bethesda, Maryland *MICHAEL ZUBKOFF, Ph.D. Professor and Chairman Department of Community and Family Medicine Dartmouth Medical School; also, Professor of Health Economics Amos Tuck School of Business Administration Hanover, New Hampshire Institute of Medicine Staff 1 09 Jane Takeuchi Eileen Connor Paul Nutting Barbara Brown Jess ice Townsend Bradford Gray Dorothy Sheffield