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C Biographical Sketches COMMITTEE ON THE CONSEQUENCES OF UNINSURANCE SUBCOMMITTEE ON STRATEGIES AND MODELS FOR PROVIDING HEALTH INSURANCE Mary Sue Coleman, Ph.D., Co-chair, is president of the University of Michi- gan. She is professor of biological chemistry in the University of Michigan Medi- cal School and professor of chemistry in the College of Literature, Science and the Arts. She previously was president of the University of Iowa and president of the University of Iowa Health Systems (1995â2002). Dr. Coleman served as provost and vice president for academic affairs at the University of New Mexico (1993â 1995) and dean of research and vice chancellor at the University of North Caro- lina at Chapel Hill (1990â1992). For 19 years, she was both faculty member and Cancer Center administrator at the University of Kentucky in Lexington, where her research focused on the immune system and malignancies. Dr. Coleman is a member of the Institute of Medicine (IOM) and a fellow of the American Associa- tion for the Advancement of Science and of the American Academy of Arts and Sciences. She serves on the Life Sciences Corridor Steering Committee for the State of Michigan, the Executive Committee of the American Association of Universities, and other voluntary advisory bodies and corporate boards. Arthur L. Kellermann, M.D., M.P.H., Co-chair, is professor and director, Center for Injury Control, Rollins School of Public Health, Emory University, and professor and chairman, Department of Emergency Medicine, School of 179
180 INSURING AMERICAâS HEALTH Medicine, Emory University. Dr. Kellermann has served as principal investigator or co-investigator on several research grants, including federally funded studies of handgun-related violence and injury, emergency cardiac care, and the use of emergency room services. Among many awards and distinctions, he is a fellow of the American College of Emergency Physicians (1992), is the recipient of a meritorious service award from the Tennessee State Legislature (1993) and the Hal Jayne Academic Excellence Award from the Society for Academic Emergency Medicine (1997), and was elected to membership in the Institute of Medicine (1999). In addition, Dr. Kellermann is a member of the editorial board of the journal Annals of Emergency Medicine, and has served as a reviewer for the New England Journal of Medicine, the Journal of the American Medical Association, and the American Journal of Public Health. Ronald M. Andersen, Ph.D., is the Fred W. and Pamela K. Wasserman Professor of Health Services and professor of sociology at the University of Cali- fornia at Los Angeles School of Public Health. He teaches courses in health services organization, research methods, evaluation, and leadership. Dr. Andersen received his Ph.D. in sociology at Purdue University. He has studied access to medical care for his entire professional career of 30 years. Dr. Andersen developed the Behavioral Model of Health Services Use that has been used extensively nationally and internationally as a framework for utilization and cost studies of general populations as well as special studies of minorities, low-income popula- tions, children, women, the elderly, the homeless, the HIV-positive population, and oral health. He has directed three national surveys of access to care and has led numerous evaluations of local and regional populations and programs designed to promote access to medical care. Dr. Andersenâs other research interests include international comparisons of health services systems, graduate medical education curricula, physician health services organization integration, and evaluations of geriatric and primary care delivery. He is a member of the Institute of Medicine and was on the founding board of the Association for Health Services Research. He has been chair of the Medical Sociology Section of the American Sociological Association. In 1994 he received the associationâs Leo G. Reeder Award for Distinguished Service to Medical Sociology; in 1996 he received the Distin- guished Investigator Award from the Association for Health Services Research; and in 1999 he received the Baxter Allegiance Health Services Research Prize. John Z. Ayanian, M.D., M.P.P., is associate professor of medicine and health care policy at Harvard Medical School and Brigham and Womenâs Hospital, where he practices general internal medicine. His research focuses on quality of care and access to care for major medical conditions, including colorectal cancer and myocardial infarction. He has extensive experience in the use of cancer registries to assess outcomes and evaluate the quality of cancer care. In addition, he has studied the effects of race and gender on access to kidney transplants and on quality of care for other medical conditions. Dr. Ayanian is deputy editor of the
APPENDIX C 181 journal Medical Care, director of the general internal medicine fellowship at Brigham and Womenâs Hospital, and a fellow of the American College of Physi- cians. Patricia Butler, J.D., Dr.P.H.,* is a self-employed policy analyst who works on issues of health care financing, delivery, and regulation on behalf of state legislative and executive branch officials. She has been a member of the National Academy for State Health Policy since its inception in 1987 and serves on the editorial advisory board of the Bureau of National Affairsâ Pension & Benefits Reporter. Dr. Butler received her B.A. from the University of California (UC) in 1966, her law degree from UC Berkeleyâs Boalt Hall School of Law in 1969, and her doctorate in health policy from the University of Michiganâs School of Public Health in 1996. She has published in-depth analyses of ERISA and other legal issues in health policy. Sheila P. Davis, B.S.N., M.S.N., Ph.D., is professor in the School of Nursing at the University of Mississippi Medical Center. She is also vice president of Davis, Davis & Associates, a health maintenance consultant company. Her research fo- cuses on minority health issues, especially cardiovascular risk among ethnic popu- lations. Dr. Davis is the founder and chair of the Cardiovascular Risk Reduction in Children Committee at the University of Mississippi. This is a multidisciplinary committee committed to reducing cardiovascular risks in children. Dr. Davis is a member of the American Nurses Association and has written numerous publica- tions on the profession and the experiences of ethnic minorities in the health professions. She is author of a faith-based program, Healthy Kidâs Seminar, which is used to promote adoption of healthy lifestyle choices by children. Dr. Davis serves on the editorial review board of the Journal of Cultural Diversity and the Association of Black Nursing Faculty Journal. She is also founder and editor in chief of the Online Journal of Health Ethics. George C. Eads, Ph.D.,* is vice president of Charles River Associates (CRA), Washington, D.C., office and is an internationally known expert in the economics of the automotive and airlines industries. Prior to joining CRA, Dr. Eads was vice president and chief economist at General Motors Corporation. He frequently represented the corporation before congressional committees and federal regula- tory agencies. He has served as a member of the Presidentâs Council of Economic Advisers and as a special assistant to the assistant attorney general in the Antitrust Division of the U.S. Department of Justice. Dr. Eads has published numerous books and articles on the impact of government on business and has taught at several major universities, including Harvard and Princeton. * Member, Subcommittee on Strategies and Models for Providing Health Insurance.
182 INSURING AMERICAâS HEALTH Jack Ebeler, M.P.A.,* is president and chief executive officer of Alliance of Community Health Plans. Previously, he was the senior vice president and direc- tor of the Health Care Group of The Robert Wood Johnson Foundation, focus- ing on the goals of improving access to care and improving care for people with chronic conditions. He served as deputy assistant secretary for health policy and as acting assistant secretary for planning and evaluation for the U.S. Department of Health and Human Services (DHHS), where he led department-wide policy efforts on priority health initiatives. Before serving at DHHS, Jack was the vice president of Minnesota-based Group Health, Inc., now HealthPartners. He is on the Board of Directors of Families USA and the Health Care Services Board of the Institute of Medicine. Jackâs undergraduate degree is from Dickinson College. He has a masterâs degree in public administration from Harvard Universityâs John F. Kennedy School of Government. Sandra R. HernÃ¡ndez, M.D., is chief executive officer of the San Francisco Foundation, a community foundation serving Californiaâs five Bay Area counties. It is one of the largest community foundations in the country. Dr. HernÃ¡ndez is a primary care internist who previously held a number of positions within the San Francisco Department of Public Health, including director of the AIDS Office, director of community public health, county health officer, and director of health for the City and County of San Francisco. She was appointed to and served on President Clintonâs Advisory Commission on Consumer Protection and Quality in the Healthcare Industry. Among the many honors and awards bestowed on her, Dr. HernÃ¡ndez was named by Modern Healthcare magazine as one of the top ten health care leaders for the next century. Dr. HernÃ¡ndez is a graduate of Yale University, Tufts School of Medicine, and the John F. Kennedy School of Gov- ernment at Harvard University. She is on the faculty of the University of Califor- nia at San Francisco School of Medicine and maintains an active clinical practice at San Francisco General Hospital in the AIDS Clinic. Willard G. Manning, Ph.D., is professor in the Department of Health Studies, Pritzker School of Medicine, and in the Harris School of Public Policy at The University of Chicago. His primary research focus has been the effects of health insurance and alternative delivery systems on the use of health services and health status. He is an expert in statistical issues in cost-effectiveness analysis and small area variations. His recent work has included examination of mental health ser- vices use and outcomes in a Medicaid population, and cost-effectiveness analysis of screening and treating depression in primary care. Dr. Manning is a member of the Institute of Medicine. Barbara Matula, M.P.A.,* has spent the past 20 years administering Medicaid, beginning with a position at the State Budget Office in North Carolina. In 1979 she was appointed the stateâs Medicaid director and held this position for 15 years. Presently, Ms. Matula is the Director of Health Care Programs at North Carolina
APPENDIX C 183 Medical Society Foundation. She works for the philanthropic arm of the society, which is dedicated to improving access to care for the poor, uninsured, and underserved in North Carolina and improving the ability of physicians to serve them. Ms. Matula helped to establish the National Academy for State Health Policy and has served as its chair since its founding in 1987. As a member of the National Infant Mortality Commission, she helped to author legislation that broke the welfare link to Medicaid eligibility. Ms. Matula received a National Public Service Award in 1995. James J. Mongan, M.D., is president and chief executive officer of Partners HealthCare, Inc., and was previously president of Massachusetts General Hospital. Dr. Mongan served as assistant surgeon general in the U.S. Department of Health and Human Services; as former associate director for health and human resources, domestic policy staff, the White House; and as former deputy assistant secretary for health policy, U.S. Department of Health, Education and Welfare. Dr. Mongan is chair of the Task Force on the Future of Health Insurance for Working Ameri- cans, a nonpartisan effort of the Commonwealth Fund to address the implications of the changing U.S. workforce and economy for the availability and affordability of health insurance. He is also a member of the Kaiser Family Foundation Board and the Kaiser Commission on Medicaid and the Uninsured. Len Nichols, Ph.D.,* is vice president of the Center for Studying Health System Change. He is a health policy expert who has published extensively on a variety of topics, including insurance market regulation, the effect of tax policy on health insurance purchase decisions, and private insurance options for Medicare. He previously served as principal research associate at the Urban Institute, senior advisor for health policy at the U.S. Office of Management and Budget, and chair of the economics department at Wellesley College. Christopher Queram, M.A.,* has been chief executive officer of the Employer Health Care Alliance Cooperative (The Alliance) of Madison, Wisconsin, since 1993. The Alliance is a purchasing cooperative owned by more than 160 member companies that contracts with providers; manages and reports cost and utilization data; performs consumer education and advocacy; and designs employer and provider quality initiatives and reports. Prior to his current position, Mr. Queram served as vice president for programs at Meriter Hospital, a 475-bed hospital in Madison. Mr. Queram is a member of the board of The Leapfrog Group and serves as treasurer. He is also a member and past chair of the board of the National Business Coalition on Health. Mr. Queram was a member of the Presidentâs Advisory Commission on Consumer Protection and Quality in the Health Care Industry, served as a member of the Planning Committee for the National Quality Forum, and continues as chair of the Purchaser Council and board member of the Forum. He is a member of the Wisconsin Board on Health Information and the Board of the Wisconsin Private Employer Health Care Coverage program. He
184 INSURING AMERICAâS HEALTH holds a masterâs degree in health services administration from the University of Wisconsin at Madison and is a fellow in the American College of Healthcare Executives. Shoshanna Sofaer, Dr.P.H.*â is the Robert P. Luciano Professor of Health Care Policy at the School of Public Affairs, Baruch College, in New York City. She completed her masterâs and doctoral degrees in public health at the University of California, Berkeley; taught for 6 years at the University of California, Los Angeles, School of Public Health; served on the faculty of George Washington University Medical Center, where she was professor, associate dean for research of the School of Public Health and Health Services, and director of the Center for Health Outcomes Improvement Research. Dr. Sofaerâs research interests include providing information to individual consumers on the performance of the health care system; assessing the impact of information on both consumers and the system; developing consumer-relevant performance measures; and improving the responsiveness of the Medicare program to the needs of current and future cohorts of older persons and persons with disabilities. In addition, Dr. Sofaer studies the role of community coalitions in pursuing public health and health care system reform objectives and has extensive experience in the evaluation of community health improvement interventions. She has studied the determinants of health insurance status among the near-elderly, including early retirees. Dr. Sofaer served as co-chair of the Working Group on Coverage for Low Income and Non- Working Families for the White House Task Force on Health Care Reform in 1993 and co-chair of the Task Force on Medicare of the Century Foundation in New York City. She is a member of the Health Systems Study Section of the Agency for Healthcare Research and Quality. Stephen J. Trejo, Ph.D., is associate professor in the Department of Economics at the University of Texas at Austin. His primary research focus has been in the field of labor economics. He has examined the response of labor market partici- pants to the incentives created by market opportunities, government policies, and the institutional environment. Specific research topics include the economic ef- fects of overtime pay regulation; immigrant labor market outcomes and welfare recipiency; the impact of labor unions on compensation, employment, and work schedules; the importance of sector-specific skills; and the relative economic status of Mexican Americans. Reed V. Tuckson, M.D.,* is senior vice president of consumer health and medical care advancement at UnitedHealth Group. Formerly, he was senior vice president, professional standards, at the American Medical Association. Dr. â Chair, Subcommittee on Strategies and Models for Providing Health Insurance.
APPENDIX C 185 Tuckson was president of Charles R. Drew University School of Medicine and Science from 1991 to 1997. From 1986 to 1990, he was commissioner of public health for the District of Columbia. Dr. Tuckson serves on a number of health care, academic, and federal boards and committees and is a nationally known lecturer on topics concerning community-based medicine, the moral responsibili- ties of health professionals, and physician leadership. He currently serves on the IOM Roundtable on Research and Development of Drugs, Biologics, and Medi- cal Devices and is a member of the Institute of Medicine. Edward H. Wagner, M.D., M.P.H., F.A.C.P.,* is a general internistâ epidemiologist and director of the W.A. (Sandy) MacColl Institute for Healthcare Innovation at the Center for Health Studies, Group Health Cooperative. He is also professor of health services at the University of Washington School of Public Health and Community Medicine. Current research interests include the devel- opment and testing of population-based care models for diabetes, frail elderly, and other chronic illnesses; the evaluation of the health and cost impacts of chronic disease and cancer interventions; and interventions to prevent disability and re- duce depressive symptoms in older adults. Dr. Wagner has written 2 books and more than 200 journal articles. He serves on the editorial boards of Health Services Research and the Journal of Clinical Epidemiology and acts as a consultant to multiple federal agencies and private foundations. He recently served as senior advisor on managed care initiatives in the Directorâs Office of the National Institutes of Health. Dr. Wagner directs Improving Chronic Illness Care (ICIC), a national program of The Robert Wood Johnson Foundation. The overall goal of ICIC is to assist health systems in improving their care of chronic illness through quality improvement and evaluation, research, and dissemination. Dr. Wagner is also principal investigator of the Cancer Research Network, a National Cancer Insti- tute-funded consortium of 10 health maintenance organizations conducting col- laborative cancer effectiveness research. Lawrence Wallack, Dr.P.H., is professor of public health and director, School of Community Health, at Portland State University. He is also professor of public health, University of California, Berkeley. Dr. Wallackâs primary interest is in the role of mass communications, particularly the news media, in shaping public health issues. His current research is on how public health issues are framed in print and broadcast news. He is principal author of Media Advocacy and Public Health: Power for Prevention and News for a Change: An Advocateâs Guide to Working with the Media. He is also co-editor of Mass Communications and Public Health: Complexities and Conflicts. Dr. Wallack has published extensively on topics related to prevention, health promotion, and community interventions. Specific content areas of his research and intervention work have included alcohol, tobacco, vio- lence, handguns, sexually transmitted diseases, cervical and breast cancer, affirma- tive action, suicide, and childhood lead poisoning. Dr. Wallack was a member of
186 INSURING AMERICAâS HEALTH the IOM Committee on Communication for Behavior Change in the 21st Cen- tury: Improving the Health of Diverse Populations. Alan Weil, J.D., M.P.P.,* directs the Assessing the New Federalism project at the Urban Institute. This project, the largest in the Instituteâs 34-year history, monitors, describes, and assesses the effects of changes in federal and state health, welfare, and social services programs. Mr. Weil was formerly executive director of the Colorado Department of Health Care Policy and Financingâthe cabinet position responsible for Coloradoâs Medicaid and Medically Indigent programs, health data collection and analysis functions, health policy development, and health care reform. He was also health policy adviser to Colorado Governor Roy Romer, program director of the Colorado Childrenâs Campaign, and legal coun- sel to the Massachusetts Department of Medical Security. He holds a bachelorâs degree in economics and political science from the University of California at Berkeley, a master of public policy degree from the John F. Kennedy School of Government at Harvard, and a J.D. from Harvard Law School. Institute of Medicine Staff Wilhelmine Miller, M.S., Ph.D., is a senior program officer in the Division of Health Care Services. She served as staff to the Committee on Immunization Finance Policy and Practices, conducting and directing case studies of health care financing and public health services. Prior to joining the Institute of Medicine, Dr. Miller was an adjunct faculty member in the Departments of Philosophy at Georgetown University and Trinity College, teaching political philosophy, ethics, and public policy. She received her doctorate from Georgetown, with studies and research in bioethics and issues of social justice. In 1994â1995, Dr. Miller was a consultant to the Presidentâs Advisory Committee on Human Radiation Experi- ments. Dr. Miller was a program analyst in the U.S. Department of Health and Human Services for 14 years, responsible for policy development and regulatory review in areas including hospital and health maintenance organization payment, prescription drug benefits, and child health. Her M.S. from Harvard University is in health policy and management. Dianne Miller Wolman, M.G.A., joined the Health Care Services Division of the Institute of Medicine in 1999 as a senior program officer. She directed the study that resulted in the IOM report Medicare Laboratory Payment Policy: Now and in the Future, released in 2000. Her previous work experience in the health field has been varied and extensive, focused on finance and reimbursement in insurance programs. She came to the IOM from the U.S. General Accounting Office, where she was a senior evaluator on studies of the Health Care Financing Administration, its management capacity, and its oversight of Medicare contractors. Prior to that, she was a reimbursement policy specialist at a national association representing nonprofit providers of long-term care services. Her earlier positions included
APPENDIX C 187 policy analysis and management in the Office of the Secretary of the U.S. Depart- ment of Health and Human Services and work with a peer review organization, a governorâs task force on access to health care, and a third-party administrator for very large health plans. In addition, she was policy director for a state Medicaid rate-setting commission. She has a bachelorâs degree in sociology from Brandeis University and a masterâs degree in government administration from Wharton Graduate School, University of Pennsylvania. Lynne Page Snyder, Ph.D., M.P.H., is a program officer in the IOM Division of Health Care Services. She came to the IOM from the U.S. Department of Health and Human Services, where she worked as a public historian, document- ing and writing about past federal activities in medicine, health care, and public health. In addition, she has worked for the Social Science Research Councilâs Committee on the Urban Underclass and served as a graduate fellow at the Smithsonian Institutionâs National Museum of American History. She has pub- lished on 20th-century health policy, occupational and environmental health, and minority health. Current research interests include health literacy and access to care by low-income seniors. She earned her doctorate in the history and sociology of science from the University of Pennsylvania (1994), working under Rosemary Stevens, and received her M.P.H. from the Johns Hopkins School of Hygiene and Public Health (2000). Tracy McKay, B.A.,â is a research associate in the IOM Division of Health Care Services. She has worked on several projects, including the National Roundtable on Health Care Quality; Children, Health Insurance, and Access to Care; Quality of Health Care in America; and a study on non-heart-beating organ donors. She has assisted in the research for the National Quality Report on Health Care Delivery, Immunization Finance Policies and Practices, and Extending Medi- care Coverage for Preventive and Other Services, and helped develop this project on the consequences of uninsurance from its inception. Ms. McKay received her B.A. in sociology from Vassar College in 1996. Ryan L. Palugod, B.S., is a senior program assistant in the IOM Division of Health Care Services. He has worked on several projects, including the Immuni- zation Finance Dissemination, and Evaluation of Vaccine Purchase Financing in the United States. Prior to joining the project staff in 2001, he worked as an administrative assistant with the American Association of Homes, Services for the Aging. He graduated with honors from Towson University in 1999 with a degree in health care management. â Served until August, 2003.