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Statement of-Continued

Ford, Loretta C., R.N., Ed. D., dean, School of Nursing, and director
of nursing, University of Rochester Medical Center.
Gaus, Clifton R., Ph. D., director, Division of Health Insurance
Studies, Office of Research and Statistics, Social Security Admin-
istration, Department of Health, Education, and Welfare...
Gehrig, Leo J., M.D., senior vice president, American Hospital
Association....

Page

467

372

870, 890

Gibson, Robert W., M.D., medical director, Sheppard & Enoch Pratt
Hospital, and president-elect, American Psychiatric Association__ 585
Glasser, Melvin A., director, Social Security Department, United
Auto Workers___

204, 241

467, 518

Goodman, Alvin I., M. D., director, Renal Center, Westchester County
(New York) Medical Center..
Goran, Michael J., M.D., Director, Bureau of Quality Assurance,
Health Services Administration, Department of Health, Educa-
tion, and Welfare...
Greenberg, Bernard, assistant director, Insurance, Pension and
Unemployment Benefits Department, United Steelworkers of
America..

Haislip, Gene R., Deputy Assistant Secretary for Legislation (Health),
Department of Health, Education, and Welfare...-

275, 829

543, 556

Hess, Arthur E., Washington, D.C., former Deputy Administrator,
Social Security Administration - -

275

309

204, 214

Huff, William H., III, National Association of Insurance Commissioners.

Ingram, James C., Ingram, Weitzman, Mertens & Co., Inc.- 1010, 1015 Jackson, Hobart, founder and immediate past chairman, National Caucus on the Black Aged, Inc....

776, 802

870, 882

Kelly, Robert T., M.D., member, Council on Medical Service, American Medical Association...

Kittredge, John K., F.S.A., senior vice president, Prudential Insurance Co. of America..

1323, 1361

68

3, 37

Lauer, Robert E., D.D.S., Columbus, Ohio..

585, 686

Knowles, John, M.D., president, Rockefeller Foundation.
Kurzman, Stephen, Assistant Secretary for Legislation, Department
of Health, Education, and Welfare....

Lave, Judith R., Ph. D., associate professor of economics and urban affairs, Department of Economics, Carnegie-Mellon University 1081, 1090 Lave, Lester B., Carnegie-Mellon University.

1081

467, 477

Law, Sylvia, associate professor, New York University Law School. 309, 332
Lee, Philip R., M.D., professor of social medicine, and director, health
policy program, School of Medicine, University of California,
San Francisco..
LeRoy, Lauren, M.C.P., senior research associate, health policy
program,
School of Medicine, University of California,
Francisco..
Lewin, Lawrence S., president, Lewin and Associates, Inc. -
Lucey, Hon. Patrick J., Governor, State of Wisconsin..
McNerney, Walter J., president, Blue Cross Association_
Mason, Dudley M., Lancaster, Pa..

San

Mathews, Hon. David, Ph. D., Secretary, Department of Health,
Education, and Welfare....

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Miller, C. Arden, M.D., professor of maternal and child health, School of Public Health, University of North Carolina...

Miller, Morton D., vice president, Equitable Life Assurance Society of the United States..

937, 963

Mitchell, Bridger M., senior economist, the Rand Corp...

Newhouse, Joseph P., the Rand Corp.

Myers, Beverlee A., deputy commissioner for medical assistance,
New York State Department of Social Services..

204, 207 1176, 1187

142

Pepper, Hon. Claude, a Representative in Congress from the State of
Florida..

1081, 1100

768

Perkins, Woodbury, M.D., American Hospital Association...
Peterson, Harry N., director, Department of Legislation, American
Medical Association....

870

870

Pettengill, Daniel W., vice president, group division, Aetna Life & Casualty..

543

Statement of-Continued

Platt, Kenneth A., M.D., medical director, Colorado Foundation for Page Medical Care.

Reichard, Rev. Richard, executive director, National Lutheran Home,
Washington, D.C._

870, 874

802, 806

Reinhardt, Uwe E., Ph. D., associate professor of economics and public
affairs, Woodrow Wilson School of Public and International Affairs,
Department of Economics, Princeton University-

1010, 1023 1176

Rivlin, Alice M., Ph. D., Director, Congressional Budget Office-
Rosenthal, Gerald, Ph. D., Director, National Center for Health
Services Research, Health Resources Administration, Department
of Health, Education, and Welfare..

372, 425

Ryan, William E., president designate, National Association of Blue
Shield Plans.

Schorr, Lisbeth Bamberger, consultant, Children's Defense Fund of the
Washington Research Project.

Sibery, D. Eugene, executive vice president, Blue Cross Association___
Terenzio, Joseph V., president, United Hospital Fund of New York..
Tierney, Thomas M., Director, Bureau of Health Insurance, Social
Security Administration, Department of Health, Education, and
Welfare..

Tresnowski, Bernard R., senior vice president, Blue Cross Asso-
ciation..

1323

937

204

1010

275

309, 322

Van Hoek, Robert, M.D., Acting Administrator, Health Services Ad-
ministration, Department of Health, Education, and Welfare...
Weber, Gerald I., Ph. D., lecturer, School of Medicine, Health Policy
Program, University of California, San Francisco.

Weikel, M. Keith, Ph. D., Commissioner, Medical Services Adminis-
tration, Social and Rehabilitation Service, Department of Health,
Education, and Welfare...

829

467

3, 37, 115

Weiner, Jonathan, New York State Moreland Act Commission of
Nursing Homes and Residential Facilities.

Weissman, Arthur, senior vice president and member, Board of Direc-
tors, Kaiser Foundation Health Plan, Inc....

802

543, 549

White, William C., Jr., vice president, Prudential Insurance Company of America...

Additional material submitted for the record by

309, 328

Aetna Life & Casualty, letter dated March 24, 1976, from Daniel W.
Pettengill, vice president, Group Division to Dr. Hyde, Professional
Staff Member, Interstate and Foreign Commerce Committee re
questions posed by Chairman Rogers and Mr. Pettengill's responses-
American Association of Nurse Anesthetists, Bernice O. Baum,
C.R.N.A., executive director, letter dated February 25, 1976, to
Chairman Rogers, with statement publication attached.
American College of Radiology, John M. Dennis, M.D., chairman,
Board of Chancellors, letter dated March 10, 1976, to Chairman
Rogers-

American Hospital Association:

579

1548

1572

Letter dated February 20, 1976, from Dr. Perkins to Chairman
Rogers re protection of the public by information about
aberrent performance-

934

929

Questions posed by Chairman Rogers and AHA's responseAmerican Medical Association, summary of H.R. 5515, H.R. 5528 (referred to House Committee on Ways and Means and Committee on Interstate and Foreign Commerce) and S. 1472 (referred to Senate Committee on Finance)-PSRO amendments.. American Mutual Insurance Alliance, statement, with attachmentsAmerican Optometric Association, statement...

American Physical Therapy Association, Royce P. Noland, executive director, statement..

888

1518

1499

1503

American Podiatry Association, John R. Graham, president, statement..

1497

American Society for Medical Technology, statement

1478

Armstrong Cork Co. (See Mason, Dudley M.)

Bawden, James W., D.D.S., professor, Department of Pedodontics,
University of North Carolina, School of Dentistry:
Coverage of benefits under national health insurance.

752

Questions posed by Chairman Rogers and Dr. Bawden's re

sponses..

755

Additional material submitted for the record by-Continued

Beigel, Allan, M.D., director, Southern Arizona Mental Health
Center:

Benefit package-National health insurance.

Questions posed by Chairman Rogers and Dr. Beigel's responses-Beall, Hon. J. Glenn, Jr., a U.S. Senator from the State of Maryland, section-by-section analysis of the "Long-Term Care Amendments of 1975"

Blue Cross Association:

Attachments to Mr. McNerney's prepared statement:
Appendix A-Cost containment activities-Blue Cross
System.

Appendix B-Access

Appendix C-A model for national health insurance-the
Federal employees health benefit program.

Composition of Blue Cross governing boards..

Letter dated April 5, 1976, from Mr. Sibery to Dr. Hyde, pro-
fessional staff member, Interstate and Foreign Commerce
Committee re questions posed by Chairman Rogers and Mr.
Sibery's responses-

Letter from Mr. McNerney to Chairman Rogers re evaluation
of health care systems in various other countries; personnel
necessary for possible national health insurance program,
public or private; and estimate of loss of jobs in the industry
if system goes either public or private...

The increment approach to national health insurance..
Children's Defense Fund of the Washington Research Project:
Attachments to Ms. Schorr's prepared statement:

Attachment I-American children are not as healthy as
they could be.

Page

750

756

794

1354

1357

1360

349

260

1435

361

961

Attachment II-A list of health support services.
Letter dated May 3, 1976, from Ms. Schorr to Chairman Rogers
re questions posed by Chairman Rogers and Ms. Schorr's
responses..

962

1005

Clovis, William L., M.D., Philadelphia, Pa., letter dated March 24, 1976, to Chairman Rogers-

1578

Colorado Foundation for Medical Care, Colorado PSRO, activity profile-1972–75__

900

Conable, Hon. Barber B., a Representative in Congress from the
State of New York, brief description of H. R. 2268, Medicare Long-
Term Care Act of 1974..

784

Congressional Budget Office:

Attachments to Ms. Rivlin's prepared statement:

Table 1-Average annual increases in overall and health care
prices for selected years, 1955-75 and for economic stabil-
ization period (ESP)__

1186

Table 2-Federal outlays for health services, 1977 and 1981--
Table 3-Total national spending (private and public) for
personal health services, 1977 and 1981..

1187

1187

1313

1505

Use of excess profits tax to influence health care costs...
Council of Community Hospitals, John F. Horty, president, statement.
Equitable Life Assurance Society of the United States, appendixes to
Mr. Miller's prepared statement:

Appendix A-Description of various types of policies or plans
to provide catastrophic coverage..

Letter dated March 31, 1976, from Mr. Miller to Dr. Hyde,
Professional Staff Member, Interstate and Foreign Commerce
Committee re questions posed by Chairman Rogers and Mr.
Miller's responses---

213

256

Table 1.-Number of people with private health insurance by
type of coverage and source of insurance, Dec. 31, 1974.
Table II.-Private health insurance coverage, benefits and
premiums, all ages, 1950-74.

213

213

Table III.-Private health insurance, benefits and premiums,
adjusted for medical care price changes, all ages, 1950-74-----

214

Additional material submitted for the record-Continued

Ford, Loretta C., R.N., Ed.D., dean, School of Nursing, and director of nursing, University of Rochester Medical Center, attachments to prepared statement:

Bibiography.

Map-Number and location of pediatric and medical nurse
practitioners in collaborative practice settings in New York
State..

Questions posed by Chairman Rogers and Ms. Ford's responses.
Gibson, Robert W., M.D., medical director, Sheppard & Enoch Pratt
Hospital, and president-elect, American Psychiatric Association,
attachments to Dr. Gibson's prepared statement:

Excerpts from a working draft of a source book on cost, utilization,
and quality care. Stephen S. Sharfstein, M.D., Chief, Eval-
uation Branch Office of Program Development and Analysis,
NIMH....

Summary of "Coverage and Utilization of Care for Mental
Conditions Under Health Insurance-Various Studies, 1973-74."
Evelyn S. Myers, American Psychiatric Association.
Data Demonstrating Economic Feasibility of Covering Mental
Illness, American Psychiatric Association..
Goodman, Alvin I., M.D., director, Renal Center, Westchester County
(New York) Medical Center:

Page

474

475

476

589

660

663

Letter dated February 26, 1976, to Chairman Rogers re advis-
ability of passing a national health insurance bill this year...
Letter dated February 26, 1976, to Congressman Maguire, re
savings in health expenditures if recommendations of panel
were implemented...

538

540

Health, Education, and Welfare Department:

23 most frequently occurring primary discharge diagnoses-fiscal
year 1973.

Amount and percentage distribution of personal health care
expenditures, by source of funds, selected fiscal years, 1929–75.
An alternative to use of the insurance concept in health care
financing-

Comments re physician fees resulting from the use of paramedical
personnel...

Contractor average unit claims processing costs.

Correspondence between Chairman Rogers and HEW re John
D. Hutchinson's concern about certain data in Dr. Robert
Van Hoek's testimony of February 18, 1976----
Direct reimbursement unit claims processing costs.
Disclosure of PSRO data and information.
Estimated cost increases attributable to the new catastrophic
protection and cost savings attributable to reforms in cost
sharing and limits in reimbursements...

Estimated health expenditures under selected national health
insurance bills, a report to the Congress, Secretary Weinberger,
July 1974...

Estimates on the number of additional physicians needed under
a national health insurance scheme..

How the tax system might be changed to help control inflation
of health care prices-

Letter dated April 26, 1976, from Louis M. Hellman, M.D.,
Administrator, Health Services Administration, to Chairman
Rogers re answers and comments in response to questions posed
by Chairman Rogers to Dr. Van Hoek..

299

54

306

453

289

867

289

855

15

1226

451

1313

858

Medicare part A benefit payments by kind of facility-
Methodology: NHI-related physician manpower estimates.
Responses to Congressman Scheuer's verbal questions.

296

451

457

"Research in Health Care Financing-October 1975," publication
of the Social Security Administration...

379

Results of studies of incentives for institutional providers. - -
Summaries of the National Center for Health Services Research
projects...

What ORS does and does not produce with respect to the cost
estimates of various national health insurance proposals. -----

464

432

450

Additional material submitted for the record-Continued

Heinz, Hon. H. John, III, a Representative in Congress from the
State of Pennsylvania, statement...

Ingram, Weitzman, Mertens & Co., Inc., questions posed by Con-
gressman Maguire with Joseph V. Terenzio's and James C. Ingram's

responses..

Joint Council of Socio-Economics of Allergy, Robert J. Becker, M.D., president, letter dated February 20, 1976, to Chairman Rogers with position statement attached..

Lauer, Robert E., D.D.S., Columbus, Ohio:

Attachments to prepared statement, dental care data..
Letter dated April 14, 1976, to Chairman Rogers re questions
posed by Chairman Rogers and Dr. Lauer's responses..

Lave, Judith R., Ph. D., associate professor of economics and urban
affairs, Department of Economics, Carnegie-Mellon University,
tables from Dr. Lave's prepared statement:

Table I-Changes in average cost-1964-73..
Table II-Relative availability of specific service..

Lee, Philip R., M.D., professor of social medicine and director, health
policy program, School of Medicine, University of California, San
Francisco, attachments to prepared statement:

Page

764

1077

1546

690

760

1093

1094

Table 1-Supply of active physicians (M.D.), by specialty:
actual 1970; projected 1980 and 1990.-

492

Table 2-Estimates of U.S. population 1975 and 1990.
Table 3-Annual rate of office visits by patient age, for primary
care physicians; United States, May 1973-April 1974..
Table 4-Estimated "desired" utilization of office-based ambu-
latory care under three assumptions with regard to national
health insurance, 1975 and 1990...

493

493

493

Table 5-Physician increments required by increases in desired
utilization induced by national health insurance_
Table 6-Estimated distribution of office-based physicians
(M.D.), in primary care specialties, 1973 and 1990-
Table 7-Mean number of office visits per week and weeks worked
per year for four specialists..

493

494

494

Table 8-Estimated office-based ambulatory care visits potential,
given anticipated physician supply in 1990.

494

Table 9-Number and ratio per population of active non-Federal
physicians by geographic area and medical specialty (pre-
dominately primary care), California, July 1969___
Figure 1-Urban-rural differences in physician supply..
References cited in prepared statement...

Lucey, Hon. Patrick J., Governor, State of Wisconsin, questions
posed by Chairman Rogers and Governor Lucey's responses-
Mason, Dudley M., Lancaster, Pa., letter dated May 13, 1976, to
Chairman Rogers with attached questions posed by Chairman
Rogers and Mr. Mason's responses-

Miller, C. Arden, M.D., professor of maternal and child health,
School of Public Health, University of North Carolina, attachment
to Dr. Miller's prepared statement, addendum-Detail on benefits..
National Academy of Sciences, projections of prospective costs and
areas in which we should and should not be paying "current"
expenditures through NHI...

494

495

495

35

265

975

1407

National Association for Mental Health, Inc., Hilda Robbins, chairwoman, public affairs committee, statement__

1510

National Association of Temporary Services, Inc., William F. Neal, executive vice president, statement..

1514

National Caucus on the Black Aged, Inc., recommendations from the 1971 White House Conference on Aging..

780

National Council of Senior Citizens:

Health security program..

360

Letter dated February 27, 1976, from Mr. Cruikshank to Chairman Rogers re "Health Care Cost: A Distorted Issue," from the AFL-CIO American Federationist-June 1975---National Health Law Program, article from the Los Angeles Times entitled, "Ailing poor trapped in bind on Medi-Cal-inadequate payments, red tape cited by doctors unwilling to accept patients"-

365

180

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