MEDICARE-MEDICAID ADMINISTRATIVE AND REIMBURSEMENT REFORM

HEARINGS

BEFORE THE

SUBCOMMITTEE ON HEALTH

OF THE

COMMITTEE ON FINANCE
UNITED STATES SENATE

NINETY-FOURTH CONGRESS

SECOND SESSION

ON

S. 3205

A BILL TO PROVIDE FOR THE REFORM OF THE ADMINISTRATIVE AND REIMBURSEMENT PROCEDURES EMPLOYED UNDER THE MEDICARE AND MEDICAID PROGRAMS AND FOR OTHER

For sale by the Superintendent of Documents, U.S. Government Printing Office Washington, D.C. 20402 Price $5.00

CONTENTS

ADMINISTRATION WITNESSES

Ahart, Gregory J., Director, Human Resources Division, General Account-
ing Office, accompanied by Robert E. Iffert, Jr., Assistant Director, and
Robert Hughes, Assistant Director___
Mathews, Hon. David, Secretary, Department of Health, Education, and
Welfare, accompanied by Dr. Theodore Cooper, Assistant Secretary for
Health; Dr. Stuart Altman, Deputy Assistant Secretary for Planning
and Evaluation/Health; J. Bruce Cardwell, Commissioner of Social
Security; Thomas Tierney, Director, Bureau of Health Insurance,
Social Security Administration; and Dr. M. Keith Weikel, Commis-
sioner, Medical Services Administration, Social and Rehabilitation
Service

PUBLIC WITNESSES

AFL-CIO, Bert Seidman, director, department of social security, accom-

panied by Robert McLaughtan, legislative representative, AFL-CIO,

and Richard Shoemacher, assistant director, Department of Social

Security, AFL-CIO...

American Association of Homes for the Aging, David C. Crowley, exec-

utive vice president---

American Association of Nurse Anesthetists, Ms. Ruth B. Ecklund,

president-elect, accompanied by Nancy Fevold, acting executive director,

and Kenneth Williamson, consultant___

American College of Radiology, Dr. John Dennis, president, accompanied

by Dr. Frederic D. Lake, chairman, board of chancellors and Otha W.

W. Linton, director, governmental relations---

American Health Care Association, Bruce D. Thevenot, director, govern-
ment services division__.

American Hospital Association, John Alexander McMahon, president,

accompanied by Leo J. Gehrig, M.D., senior vice president_.

American Medical Association, Dr. Edward Beddingfield, chairman, coun-

cil on legislation, accompanied by Harry N. Peterson, director, depart-

ment of legislation__

American Protestant Hospital Association. Charles D. Phillips, president--

American Society for Medical Technology, Beverly Fiorella, president,

accompanied by Nancy Preuss, immediate past president; L'Nora Wells,

president-elect; and Dennis Weissman, director, office of government

relations

American Society of Anesthesiologists, Dr. John W. Ditzler, president,

accompanied by Michael Scott, legal counsel____

Association of American Medical Colleges, Charles B. Womer, president,

Yale-New Haven Hospital, accompanied by Richard M. Knapp, Ph. D.,

director, department of teaching hospitals, and John A. D. Cooper,

M.D., president.........

237

102

Ballard, Brenda, director, employee benefits, National Association of

Manufacturers

413

Beddingfield, Dr. Edward, chairman, council on legislation, American
Medical Association, accompanied by Harry N. Peterson, director,
American Medical Association, department of legislation__--

Bentsen, Hon. Lloyd, a U.S. Senator from the State of Texas-----

Blue Cross Association, Bernard Tresnowski, vice president.

190

213

329

(III)