COMMITTEE ON WAYS AND MEANS ONE HUNDRED SEVENTH CONGRESS SECOND SESSION APRIL 16, 2002 Serial No. 107-80 Printed for the use of the Committee on Ways and Means 82-324 U.S. GOVERNMENT PRINTING OFFICE DEPOSITORY NOV 2 0 2002 For sale by the Superintendent of Documents, U.S. Government Printing Office Fax: (202) 512-2250 Mail: Stop SSOP, Washington, DC FORD UNIVERSITY JONSSON LIBRARY COMMITTEE ON WAYS AND MEANS PHILIP M. CRANE, Illinois E. CLAY SHAW, JR., Florida SAM JOHNSON, Texas JENNIFER DUNN, Washington KENNY C. HULSHOF, Missouri SCOTT MCINNIS, Colorado RON LEWIS, Kentucky MARK FOLEY, Florida KEVIN BRADY, Texas PAUL RYAN, Wisconsin CHARLES B. RANGEL, New York RICHARD E. NEAL, Massachusetts EARL POMEROY, North Dakota Allison Giles, Chief of Staff SUBCOMMITTEE ON HEALTH JIM MCCRERY, Louisiana FORTNEY PETE STARK, California Pursuant to clause 2(e)(4) of Rule XI of the Rules of the House, public hearing records of the Committee on Ways and Means are also published in electronic form. The printed hearing record remains the official version. Because electronic submissions are used to prepare both printed and electronic versions of the hearing record, the process of converting between various electronic formats may introduce unintentional errors or omissions. Such occurrences are inherent in the current publication process and should diminish as the process is further refined. ii CONTENTS Anderson, Gerard, Johns Hopkins University Henschke, Claudia I., M.D., Weill Medical College of Cornell University Humana Inc., and Disease Management Association of America, Jonathan Marshfield Clinic, Michael Hillman, M.D Wennberg, John E., M.D., Dartmouth College Page 2, 4 28 3M Health Information Systems, Wallingford, CT, Richard Burford, statement Disease Management Association of America, Christobel Selecky, statement McKesson Corporation, San Francisco, CA, Sandeep Wadhwa, M.D., state- iii |