MEDICARE-MEDICAID ADMINISTRATIVE AND REIMBURSEMENT REFORM ACT HEARINGS BEFORE THE SUBCOMMITTEE ON HEALTH OF THE COMMITTEE ON FINANCE NINETY-FIFTH CONGRESS FIRST SESSION ON S. 1470 TO PROVIDE FOR THE REFORM OF THE ADMINISTRATIVE AND REIMBURSEMENT PROCEDURES CURRENTLY EMPLOYED UNDER THE MEDICARE AND MEDICAID PROGRAMS, AND FOR OTHER PURPOSES 92-202 O JUNE 7, 8, 9, AND 10, 1977 Printed for the use of the Committee on Finance U.S. GOVERNMENT PRINTING OFFICE WASHINGTON: 1977 For sale by the Superintendent of Documents, U.S. Government Printing Office Washington, D.C. 20402 CONTENTS ADMINISTRATION WITNESS Califano, Hon. Joseph A., Jr., Secretary, Department of Health, Education, Page 78 PUBLIC WITNESSES AFL-CIO, Bert Seidman, director, social security department, accompanied by Robert McGlotten, legislative department, and Richard Shoemaker, Ament, Richard, M.D., president, American Society of Anesthesiologists__ American Association for Comprehensive Health Planning, Anthony Mott, American Association of Neurological Surgeons, Donald H. Stewart, Jr., American Association of Nurse Anesthetists, Ruth E. Ecklund, president, accompanied by Ronald F. Caulk, president-elect; J. Martin Stone, execu- tive director; and Kenneth Williamson, Washington consultant__. American Association of Retired Persons, James M. Hacking, assistant leg- American College of Nuclear Physicians, Richard C. Reba, M.D., presi- dent, accompanied by John Dring and Kenneth L. Nicolas, executive American College of Radiology, Harold N. Schwinger, M.D., chairman, board of chancellors, accompanied by Frederic D. Lake, M.D., president; J. T. Rutherford, legislative counsel; and Otha W. Linton, director, American Health Care Association, Bruce D. Thevenot, administrator, gov- 293 432 American Hospital Association, John Alexander McMahon, president, ac- companied by Alan Manzano, vice president and Leo J. Gehrig, M.D., American Medical Association, Raymond T. Holden, M.D., chairman, board American Protestant Hospital Association, Charles D. Phillips, Ed. D., American Psychiatric Association, Dave M. Davis, M.D., immediate past American Society of Anesthesiologists, Richard Ament, M.D., president__ Asmus, Harry, president, National Council of Health Care Services, accom- panied by Jack MacDonald, executive vice president_. Association of American Medical Colleges, John A. D. Cooper, M.D., presi- Association of American Physicians and Surgeons, Thomas G. Dorrity, M.D., director, accompanied by Maurice A. Kramer, assistant executive director, Washington office---- Association of State and Territorial Health Officials, Dr. Robert P. 228 409 156 126 Blue Cross Association, Neil Hollander, vice president for health care serv- Congress of Neurological Surgeons, Donald H. Stewart, Jr., M.D___ Dorrity, Thomas G., M.D., director, Association of American Physicians and Ecklund, Ruth E., president, American Association of Nurse Anesthetists, Finger Lakes Health Systems Agency, Anthony Mott, executive director__ Health Insurance Association of America, Morton D. Miller, vice chairman, Health Systems Agency, Kansas City, Jacqueline Hansen, board chair man Holden, Raymond T., M.D., chairman, Board of Trustees, American Medical Association, accompanied by Edgar T. Beddingfield, Jr., M.D., chairman, council on legislation____. Page 252 170 341 293 156 264 409 403 358 170 398 132 289 432 132 280 132 228 252 Hollander, Neil, vice president for Health Care Services, the Blue Cross Hollister, Hon. David, on behalf of the National Conference of State 115 Horty, John F., president, National Council of Community Hospitals, accompanied by John Huff, counsel__. 186 Hospital Financing Study Group, Tom E. Greene III, vice president, Paine, 289 Hutchens, Tyra, M.D., president-elect, College of American Pathologists 341 Insurance Association of Connecticut, John H. Filer, chairman and chief Levetan, Liane, commissioner, De Kalb County, Ga., and member, Health Miller, Morton D., vice chairman, Equitable Life Assurance Society of the Moran, M. Gail, staff director, Committee on Human Resources, National Mott, Anthony, executive director, Finger Lakes Health Systems Agency, Murphy, Richard E., legislative director, Service Employees International National Association of Counties, Liane Levetan, commissioner, De Kalb National Conference of State Legislatures, Hon. David Hollister___. National Council of Community Hospitals, John F. Horty, president, accompanied by John Huff, counsel. Page 398 264 307 139 280 317 132 272 307 409 115 186 National Council of Health Care Services, Harry Asmus, president, ac- 205 317 National Retired Teachers Association, James M. Hacking, assistant legislative counsel 432 Phillips, Charles D., Ed.D., president, American Protestant Hospital Association Reba, Richard C., M.D., president, American College of Nuclear Physi- Schwinger, Harold N., M.D., chairman, Board of Chancellors, American Seidman, Bert, director, Social Security Department, AFL-CIO, accom- 197 401 332 213 272 293 200 Whalen, Dr. Robert P., on behalf of the Association of State and Territorial 126 COMMUNICATIONS American Association of Homes for the Aging, David C. Crowley, executive vice president 452 American College of Emergency Physicians-- 463 465 |