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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.

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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.

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

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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:

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589

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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

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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...

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453

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867

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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...

of the Social Security Administration..

296

451

457

"Research in Health Care Financing-October 1975," publication

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

379

464

432

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

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:

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

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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...

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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...

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

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

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

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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"-

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Additional material submitted for the record-Continued

National Lutheran Home, Washington, D.C., attachment to Rev-
erend Reichard's prepared statement, "Old Age Plus Long-Term
Illness Equals Poverty," article by Reverend Reichard..
New Jersey Department of Public Advocate, Michael Perlin, Esq.,
director, Department of Mental Health Advocacy, statement...
New York State Moreland Act Commission of Nursing Homes and
Residential Facilities, comparing methods of evaluating patients
for proper level of chronic care-Rochester, N. Y., study-
Pepper, Hon. Claude, a Representative in Congress from the State
of Florida, attachments to prepared statement:
Specific cutbacks in State medicaid programs: 1975---
Summary of findings, recommendations, and areas for further
study.

Prudential Insurance Co. of America:

Letter dated April 30, 1976, from Mr. Kittredge, senior vice presi-
dent, to Chairman Rogers re evaluation of health care systems in
various other countries; personnel necessary for possible na-
tional health insurance program, public or private; and estimate
of loss of jobs in the industry if system goes either public or
private...

Letter dated May 21, 1976, from William C. White, Jr., vice
president, to Chairman Rogers re comments on Congress'
enactment of an overall national health insurance program and
implementation in incremental steps---

Rand Corp.:

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Attachments to Mr. Newhouse's prepared statement:
Table 1-Extent of coverage for hospital services..
Table 2-Extent of coverage for surgeon's services..
Table 3-Fraction of medical care expenditures paid directly
by user..

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Table 4-Estimated increases in demand for various medical
services.

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Table 5-Families with doctor office coverage by income,
1970__

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Table A-1-Hospital utilization by age and income before
and after the introduction of medicare/medicaid..
Table A-2-Percentage of persons seeing a physician and
physician visits per person per year, by age and income,
before and after the introduction of medicare/medicaid...
Charts and tables contained in Mr. Mitchell's prepared statement:
Figure 1-Prepayment cost per family...
Table 1-Distribution of prepayment costs.

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Table 3-Payments and net benefits under a plan financed
by 67 percent premiums, 33 percent income tax and
variable cost sharing--

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Table 4-Distribution of employer-paid health insurance
premiums and indirect tax subsidies, 1975

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Reinhardt, Uwe E., Ph. D., associate professor of economics and public affairs, Woodrow Wilson School of Public & International Affairs, and Department of Economics, Princeton University: Letter dated March 24, 1976, to Chairman Rogers re reimbursement and regulation of inpatient facilities and reimbursement of physicians...

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Tables contained in Dr. Reinhardt's statement:

Table 1-National expenditures on physicians' services by
source of funds, fiscal year 1975---

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Table 2-Regional differences in health care statistics,
United States 1969-70-.

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Table 3-Physician-population ratios, patient loads, and
medical fees by size of county, United States, 1970-
Table 4-Selected averages of variables for general and
family practice physicians by location and region___.
Table 5-Secular movements of health care statistics,
Province of Quebec, Canada, 1971-74..

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Additional material submitted for the record-Continued

Rockefeller Foundation:

Health in the United States: 1776-1976..

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The responsibility of the individual... – Roemer, Milton I., M.D., professor, Health Services Administration, School of Public Health, University of California, Los Angeles, letter dated May 17, 1976, to Chairman Rogers, with paper attached. 1579 Southern Perinatal Association, George Cassady, M.D., president, letter dated February 3, 1976, to Chairman Rogers with position paper attached....... United Auto Workers, Melvin A. Glasser, director, Social Security Department, letter dated March 29, 1976, to Chairman Rogers re questions posed by Chairman Rogers and Mr. Glasser's responses.. United Hospital Fund of New York, questions posed by Congressman Maguire with Joseph V. Terenzio's and James C. Ingram's responses. 1077 United Societies of Physiotherapists, Inc., Alan Leventhal, Ph. T., chairman, Committee on National Legislative Matters, letter dated March 10, 1976, to Chairman Rogers with statement attached. Washington Business Group on Health, Willis B. Goldbeck, staff director, letter dated February 12, 1976, to Chairman Rogers with dental insurance: survey of WBGH members attached...

ORGANIZATIONS REPRESENTED AT HEARINGS

Aetna Life & Casualty, Daniel W. Pettengill, vice president, Group Division. American Hospital Association:

Gehrig, Leo J. M.D., senior vice president.

Perkins, Woodbury, M.D.

American Medical Association:

Kelly Robert T., M.D., member, Council on Medical Service.
Peterson Harry N., director, Department of Legislation.

Blue Cross Association:

McNerney, Walter J., president.

Sibery, D. Eugene, executive vice president.
Trensowski, Bernard R., senior vice president.

Brookings Institution, Karen Davis, Ph. D., senior fellow.

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

Colorado Foundation for Medical Care, Kenneth A. Platt, M.D., medical director. Committee for National Health Insurance, Isidore S. Falk, chairman. Congressional Budget Office, Alice M. Rivlin Ph. D., Director.

Cumberland Regional Health Plan, Dominic DeCencio, Ph. D., executive director. Equitable Life Assurance Society of the United States, Morton D. Miller, vice president.

Health, Education, and Welfare Department:

Altman, Stuart H., Ph. D., Deputy Assistant Secretary for Health Planning.
Cooper, Theodore, M.D., Secretary for Health.

Gaus, Clifton R., Ph. D., Director, Division of Health Insurance Studies,
Office of Research and Statistics, Social Security Administration.

Goran, Michael J., M.D., Director, Bureau of Quality Assurance, Health
Services Administration.

Haislip, Gene R., Deputy Assistant Secretary for Legislation (Health).
Kurzman Stephen, Assistant Secretary for Legislation.

Mathews, Hon. David, Ph. D., Secretary.

Rosenthal, Gerald Ph. D., Director, National Center for Health Services
Research, Health Resources Administration.

Tierney, Thomas M., Director, Bureau of Health Insurance, Social Security
Administration.

Van Hoek, Robert, M.D., Acting Administrator, Health Services Administra-
tion.

Weikel, M. Keith, Ph. D. Commissioner, Medical Services Administration,
Social and Rehabilitation Services.

Health Security Action Council, Isidire S. Falk, member.
Ingram, Weitzman, Mertens & Co., Inc., James C. Ingram.
Interstudy, Paul M. Ellwood, Jr., M.D., president.

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