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Employment and Health Benefits: A Connection at Risk (1993)

Chapter: D BIOGRAPHIES OF COMMITTEE MEMBERS

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Suggested Citation:"D BIOGRAPHIES OF COMMITTEE MEMBERS." Institute of Medicine. 1993. Employment and Health Benefits: A Connection at Risk. Washington, DC: The National Academies Press. doi: 10.17226/2044.
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D
Biographies of Committee Members

HAROLD T. SHAPIRO, Ph.D., is Princeton University's 18th president. Dr. Shapiro, who received his Ph.D. in economics from Princeton in 1964, holds a faculty appointment as a professor of economics and public affairs. He came to Princeton from the University of Michigan where he served on the faculty for twenty-four years as professor of economics and public policy and as president from 1980 to 1988. He is a member of President Bush's Council of Advisors on Science and Technology. He also serves on the boards of Alfred P. Sloan Foundation, the Universities Research Association, the Consortium on Financing Higher Education, Interlochen Center for the Arts, the Dow Chemical Company, and the National Bureau of Economic Research. He has been elected a member of the Institute of Medicine of the National Academy of Sciences and the American Philosophical Society and is a Fellow of the American Academy of Arts and Sciences. He is a native of Montreal with dual American and Canadian citizenship and received his bachelor's degree from McGill University.

HARRY P. CAIN, II, Ph.D., is Senior Vice President, Federal Programs, Blue Cross and Blue Shield Association. He is responsible for the contracts with the federal government, primarily those related to the Federal Employees Health Benefits Program and to the administration of the Medicare program. From 1978 to 1982, he was Executive Director of the American Health Planning Association and before that held several health-related positions in the Department of Health, Education and Welfare, including: Director, Office of Policy Development and Planning, Office of Assistant Secretary for Health; and Assistant Director, National Institute of Mental Health. His undergraduate degree is from Stanford University and his Ph.D. from Brandeis University.

Suggested Citation:"D BIOGRAPHIES OF COMMITTEE MEMBERS." Institute of Medicine. 1993. Employment and Health Benefits: A Connection at Risk. Washington, DC: The National Academies Press. doi: 10.17226/2044.
×

DAVID E. EDWARDS is the Director, Benefits, of Eastman Kodak Company. Mr. Edwards was formerly manager of Employee Benefits for Eastman Chemicals Division. A native of the State of Washington, Mr. Edwards graduated from East Tennessee State University where he earned a bachelor's degree in business administration. Mr. Edwards serves on the Board of Directors of the ERISA Industry Committee, the Hospital Reimbursement Task Force and the Health Committee of New York State Business Council, the Industrial Management Council Health Care Vision Strategy Committee, and the Technical Advisory Committee of the State of New York Insurance Department.

ALLEN FEEZOR has served as Chief Deputy Commissioner of the North Carolina Department of Insurance since 1985. From 1985 to 1987 he also served as executive administrator for the Teachers' and State Employees' Comprehensive Major Medical Plan, a 430,000 member health benefit plan. Mr. Feezor's health care benefits background includes positions with Blue Cross and Blue Shield including the position of senior Washington representative with the Blue Cross and Blue Shield Association. He is a faculty member of the National Academy for State Health Policy; president and board member of the Utilization Review Accreditation Commission; chairman of the National Association of Insurance Commissioners Small Group Market Reform Task Force; and co-founder, past president, and board member of the Washington Area State Relations Group. Mr. Feezor lectures on politics and health policy at Duke University, University of North Carolina School of Public Health, and the Medical College of Virginia. He has testified before congressional panels, numerous national groups and in many state capitols on a variety of health payment issues. He received his bachelor's and master's degrees from Duke University.

W.H. KROME GEORGE was the Chairman of the Executive Committee of Aluminum Company of America (ALCOA) from 1977 to 1986. He had held various positions with ALCOA beginning in 1942, including chairman of the board and chief executive officer from 1975 to 1983, vice-president for finance from 1965 to 1967, and vice-president for economic analysis and planning from 1964 to 1965. Mr. George holds directorships with the International Primary Aluminum Institute of Norfolk Southern Corporation, with TRW, Inc., and with Todd Shipyards Corporation. He was formerly Metro Chair of the National Alliance of Businessmen and is a member of the World Affairs Council of Pittsburgh, a member of the Council on Foreign Relations, a member of the Management Executive Society, and a member of the Allegheny Health Education and Research Corporation. Mr. George was educated at the Massachusetts Institute of Technology.

Suggested Citation:"D BIOGRAPHIES OF COMMITTEE MEMBERS." Institute of Medicine. 1993. Employment and Health Benefits: A Connection at Risk. Washington, DC: The National Academies Press. doi: 10.17226/2044.
×

WILLIAM S. HOFFMAN, Ph.D., is Director of the International Union, United Automobile, Aerospace and Agricultural Implement Workers of America (UAW) Social Security Department. He is responsible for health care, retirement, disability and layoff income protection issues, both in the public policy and collective bargaining arenas. He serves on the Council on Graduate Medical Education of the U.S. Department of Health and Human Services and the Prospective Payment Assessment Commission of the U.S. Office of Technology Assessment. He recently completed three-year terms with the ERISA Advisory Council of the U.S. Department of Labor and the Certificate-of-Need Commission for the State of Michigan. He served on the Institute of Medicine Committee to Design a Strategy for Quality Review and Assurance in Medicare. He has over seventeen years of negotiating and program administration experience within the automobile, aerospace, and agricultural implement industries and with numerous other companies across the United States and in Canada. He is presently principal investigator of a longitudinal study into the effects of General Motors plant closings on workers and their families. He is a director of two social research foundations, is an Adjunct Professor of Sociology at Wayne State University and represents the UAW on several private and governmental boards and committees.

STANLEY B. JONES, is a consultant to private foundations on competitive private health insurance markets and the roles of public policy in improving these markets. He was a founding partner of the Washington consulting firm, Health Policy Alternatives, Inc., and has served as Vice President for Washington Representation of the Blue Cross and Blue Shield Association, and staff director of the Senate Health Subcommittee. He is a member of the Institute of Medicine and author of many articles and papers on private health insurance, structural reform of the health system, and health care competition. He is currently serving as chairman, Advisory Committee to the Robert Wood Johnson Foundation State Initiatives in Health Care Financing Reform Program; member, Kaiser Family Foundation National Health Care Expenditure Limit Study; member, U.S. Comptroller General's Health Advisory Committee; and member, U.S. Office of Technology Assessment Advisory Panel on ''International Differences in Health Technology, Services, and Economics." He did undergraduate work at Dartmouth College and graduate work at Yale in philosophy and religion.

NICOLE LURIE, M.D., M.S.P.H., is an Associate Professor of Medicine and Public Health at Hennepin County Medical Center and the University of Minnesota. Following her residency training in internal medicine at UCLA, she became a Robert Wood Johnson Clinical Scholar. Following her move to Minnesota she was awarded a Henry J. Kaiser Family Foundation Faculty Scholar Award, which supported her work on physician prescribing and pharmaceutical industry advertising. She is currently the Di-

Suggested Citation:"D BIOGRAPHIES OF COMMITTEE MEMBERS." Institute of Medicine. 1993. Employment and Health Benefits: A Connection at Risk. Washington, DC: The National Academies Press. doi: 10.17226/2044.
×

rector of the Program in Clinical Epidemiology, Effectiveness and Policy at Hennepin County Medical Center. Her research interests are in access to care, quality of care, and health care cost containment.

ALAN R. NELSON, M.D., became the American Society of Internal Medicine's (ASIM) chief executive officer in March 1992. Prior to assuming this fulltime staff position of the 26,000-member organization, he was in the private practice of internal medicine and endocrinology in Salt Lake City for 27 years. From November 1991-1992, Dr. Nelson also served as president of the World Medical Association and he is a past president of the American Medical Association and the Utah Medical Association. In 1989 Dr. Nelson was named "Distinguished Internist of the Year" by ASIM. He is a graduate of Northwestern University School of Medicine, a fellow of the American College of Physicians, and a member of the Endocrine Society and the American Association of Clinical Endocrinologists. Also in 1990, he was appointed by U.S. Department of Health and Human Services Secretary Louis Sullivan to the advisory committee to the Food and Drug Administration. Throughout much of his career he has been involved in peer review and quality assurance and served four years as a commissioner of the Joint Commission on Accreditation of Healthcare Organizations. He is also a member of the board of Intermountain Health Care Inc., and chairman of its professional standards committee.

JOHN K. ROBERTS, JR., F.S.A., is President and Chief Executive Officer, Pan-American Life Insurance Company, New Orleans, Louisiana. His life insurance industry activities include: Vice Chairman, Board of Directors, Life Office Management (LOMA), 1988; Chairman of LOMA Board, 1989; Board of Directors, Health Insurance Association of America, 1990; Board of Directors, American Council of Life Insurance, 1992. He serves on the Board of Directors of the Whitney National Bank of New Orleans and Whitney Holding Corporation. He was also President of the Southeastern Actuaries Club. His community involvement includes: past Chairman, Board of Trustees 1988, United Way of Greater New Orleans Area; General Campaign Chairman 1983, United Way Campaign of Greater New Orleans Area; Board of Trustees, YMCA; Board of Trustees, Children's Hospital of New Orleans; past Chairman, Tulane University Parents' Council; former member, Board of Directors, Children's Bureau of New Orleans; Board of Directors, Metropolitan Area Committee; Campaign Chairman Corporate, 1990; Campaign Chairman for Major Gifts, 1991, New Orleans Symphony.

DALLAS L. SALISBURY is President of the Employee Benefit Research Institute, a Washington-based nonprofit, nonpartisan, public policy institution. Before that he served as Assistant Executive Director of the Pension Benefit Guaranty Corporation, and as Executive Assistant to the Adminis-

Suggested Citation:"D BIOGRAPHIES OF COMMITTEE MEMBERS." Institute of Medicine. 1993. Employment and Health Benefits: A Connection at Risk. Washington, DC: The National Academies Press. doi: 10.17226/2044.
×

trator of Pension and Welfare Benefit Programs, at the U.S. Department of Labor and as Acting Assistant Administrator for Policy, Planning, and Research. In the latter position he played a major role in implementation of the Employee Retirement Income Security Act of 1974 (ERISA). He also served as a consultant to the Speaker of the House, Washington State House of Representatives. He received a Master's Degree in Public Administration from the Maxwell Graduate School of Citizenship and Public Affairs School at Syracuse University in 1973, and an undergraduate degree in finance from the University of Washington in 1970.

K. PETER SCHMIDT is a partner in the Washington, D.C. law firm of Arnold & Porter, serving as the head of its Benefits and Employment Law Group. He joined Arnold & Porter after his graduation, magna cum laude, from the University of Wisconsin Law School. He has written and spoken extensively on employee benefits including papers and seminars for, among others, American Law Institute; American Bar Association; Practicing Law Institute; New York University Institute of Labor; New York Law Journal; Warrent, Gorham & Lamont; and the Employee Benefit Research Institute.

GEORGE F. SHELDON, M.D., is Professor and Chairman of the Department of Surgery at the University of North Carolina at Chapel Hill. He formerly was Professor of Surgery and Chief of the Trauma Service at the University of California, San Francisco, at San Francisco General Hospital. He served as a charter member of the Council on Graduate Medical Education in 1986. He was Chairman of the American Board of Surgery (1989-1990) and has served on the Surgery Test Committee of the National Board of Medical Examiners. He has also served on the Accreditation Council on Graduate Medical Education's Residency Review Committee and remains on the Standing Panel for Accreditation Appeals. Dr. Sheldon is currently a regent of the American College of Surgeons and Secretary of the American Surgical Association. He previously was President of the American Association for the Surgery of Trauma. He served as a member of the Association of American Medical Colleges (AAMC) Graduate and Professional Education of the Physician Committee 1983-1984. He also served on the AAMC Committee on Teaching in the Ambulatory Setting and served as Chairman of the Veterans Administration Merit Review Board for Surgery. He has served on the National Institutes of Health Working Groups, was Vice-Chairman of the Conjoint Council on Surgical Research and currently is on the American Institute of Biological Sciences Study Section. He serves on 10 editorial boards and also serves on the Board of Directors of the Hill-Physick-Keith House of the Historical Trust in Philadelphia, Pennsylvania.

KENNETH E. THORPE, Ph.D., is Associate Professor in the Department of Health Policy and Administration, University of North Carolina (UNC) at

Suggested Citation:"D BIOGRAPHIES OF COMMITTEE MEMBERS." Institute of Medicine. 1993. Employment and Health Benefits: A Connection at Risk. Washington, DC: The National Academies Press. doi: 10.17226/2044.
×

Chapel Hill. Prior to moving to UNC, Dr. Thorpe was Director of the Program on Health Care Financing and Insurance at the Harvard University School of Public Health. Thorpe received his Ph.D. in policy analysis at the Rand Graduate School. During the past five years, Dr. Thorpe has served as an adviser to the Pepper Commission, the Advisory Council on Social Security, the National Leadership Coalition for Health Care Reform, and the New York State Department of Health and was a gubernatorial appointee to Massachusetts' Universal Health Care Commission. He has written dozens of articles on health care financing issues and is co-author of Competition and Compassion, Conflicting Roles for Public Hospitals. Dr. Thorpe is currently completing work on examining the medical malpractice system and is engaged in ongoing efforts with state and national groups in developing national health policy proposals and legislation.

JOAN B. TRAUNER, Ph.D., is an Executive Consultant at Coopers & Lybrand in Actuarial, Benefits and Compensation Consulting Group in San Francisco. Prior to this position, she was a Principal in the San Francisco office, with national responsibility for Governmental Programs and Managed Care. She is also an Assistant Adjunct Professor of Health Policy at the Institute for Health Policy Studies, University of California San Francisco, where she served previously as a full-time health services researcher from 1979-1986. Dr. Trauner currently serves on the Health Benefits Advisory Committee to the California Public Employees' Retirement System and has recently completed services on the Health Insurance Reform Taskforce within the California Department of Insurance. She is also a technical advisor to the state of Hawaii, having been responsible for the design of Hawaii's State Health Insurance Program for the uninsured. Dr. Trauner regularly advises large payers, including HMOs, insurers, and state governments about the design and operations of managed care programs. She is the author of a paper on utilization management that appeared in the 1989 publication by the IOM Committee on Utilization Management by Third Parties.

GAIL L. WARDEN is president and chief executive officer of Henry Ford Health System in Detroit, a vertically integrated regional health care system. The system includes a tertiary care hospital, two community hospitals, 35 ambulatory care centers in four Michigan counties, a 900-member physician medical group, a 410,000-member health maintenance organization, and other programs and services. Before joining Henry Ford Health System, Warden was president and chief executive officer of Group Health Cooperative of Puget Sound in Seattle, executive vice president of the American Hospital Association, and executive vice president and chief operations officer of Rush-Presbyterian-St. Luke's Medical Center.

Suggested Citation:"D BIOGRAPHIES OF COMMITTEE MEMBERS." Institute of Medicine. 1993. Employment and Health Benefits: A Connection at Risk. Washington, DC: The National Academies Press. doi: 10.17226/2044.
×
Page 328
Suggested Citation:"D BIOGRAPHIES OF COMMITTEE MEMBERS." Institute of Medicine. 1993. Employment and Health Benefits: A Connection at Risk. Washington, DC: The National Academies Press. doi: 10.17226/2044.
×
Page 329
Suggested Citation:"D BIOGRAPHIES OF COMMITTEE MEMBERS." Institute of Medicine. 1993. Employment and Health Benefits: A Connection at Risk. Washington, DC: The National Academies Press. doi: 10.17226/2044.
×
Page 330
Suggested Citation:"D BIOGRAPHIES OF COMMITTEE MEMBERS." Institute of Medicine. 1993. Employment and Health Benefits: A Connection at Risk. Washington, DC: The National Academies Press. doi: 10.17226/2044.
×
Page 331
Suggested Citation:"D BIOGRAPHIES OF COMMITTEE MEMBERS." Institute of Medicine. 1993. Employment and Health Benefits: A Connection at Risk. Washington, DC: The National Academies Press. doi: 10.17226/2044.
×
Page 332
Suggested Citation:"D BIOGRAPHIES OF COMMITTEE MEMBERS." Institute of Medicine. 1993. Employment and Health Benefits: A Connection at Risk. Washington, DC: The National Academies Press. doi: 10.17226/2044.
×
Page 333
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The United States is unique among economically advanced nations in its reliance on employers to provide health benefits voluntarily for workers and their families. Although it is well known that this system fails to reach millions of these individuals as well as others who have no connection to the work place, the system has other weaknesses. It also has many advantages.

Because most proposals for health care reform assume some continued role for employers, this book makes an important contribution by describing the strength and limitations of the current system of employment-based health benefits. It provides the data and analysis needed to understand the historical, social, and economic dynamics that have shaped present-day arrangements and outlines what might be done to overcome some of the access, value, and equity problems associated with current employer, insurer, and government policies and practices.

Health insurance terminology is often perplexing, and this volume defines essential concepts clearly and carefully. Using an array of primary sources, it provides a store of information on who is covered for what services at what costs, on how programs vary by employer size and industry, and on what governments do—and do not do—to oversee employment-based health programs.

A case study adapted from real organizations' experiences illustrates some of the practical challenges in designing, managing, and revising benefit programs. The sometimes unintended and unwanted consequences of employer practices for workers and health care providers are explored.

Understanding the concepts of risk, biased risk selection, and risk segmentation is fundamental to sound health care reform. This volume thoroughly examines these key concepts and how they complicate efforts to achieve efficiency and equity in health coverage and health care.

With health care reform at the forefront of public attention, this volume will be important to policymakers and regulators, employee benefit managers and other executives, trade associations, and decisionmakers in the health insurance industry, as well as analysts, researchers, and students of health policy.

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