MEDICARE-MEDICAID ADMINISTRATIVE AND REIMBURSEMENT REFORM ACT HEARINGS BEFORE THE SUBCOMMITTEE ON HEALTH 92-202 O 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 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, chairman, legislative committee____ 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- ernment services division____. 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 of trustees, accompanied by Edgar T. Beddingfield, Jr., M.D., chairman, 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 Association of State and Territorial Health Officials, Dr. Robert P. 293 432 156 126 Blue Cross Association, Neil Hollander, vice president for health care serv- Bromberg, Michael D., director, national offices, Federation of American Congress of Neurological Surgeons, Donald H. Stewart, Jr., M.D_. Davis, Dave M., M.D., immediate past president, Georgia Psychiatric Asso- 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__ on behalf of Hospital Financing Study Group-- Hacking, James M., assistant legislative counsel, National Retired Teach- 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 Medi- Hollander, Neil, vice president for Health Care Services, the Blue Cross Hollister, Hon. David, on behalf of the National Conference of State Horty, John F., president, National Council of Community Hospitals, ac- Hospital Financing Study Group, Tom E. Greene III, vice president, Paine, Hutchens, Tyra, M.D., president-elect, College of American Pathologists Insurance Association of Connecticut, John H. Filer, chairman and chief executive officer, Aetna Life and Casualty, accompanied by Burton E. Burton, senior vice president, group division, Aetna....... Kansas Hospital Association, A. B. Davis, Jr., executive vice president and chairman, board of directors, accompanied by Frank L. Gentry, executive director__. 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_-_. companied by John Huff, counsel--- National Council of Health Care Services, Harry Asmus, president, ac companied by Jack MacDonald, executive vice president---National Governors Conference, M. Gail Moran, staff director, committee on human resources_ National Retired Teachers Association, James M. Hacking, assistant legis- Reba, Richard C., M.D., president, American College of Nuclear Physicians, accompanied by John Dring; and Kenneth L. Nicolas, executive staff Schwinger, Harold N., M.D., chairman, Board of Chancellors, American Seidman, Bert, director, Social Security Department, AFL-CIO, accom- Whalen, Dr. Robert P., on behalf of the Association of State and Territorial COMMUNICATIONS American Association of Homes for the Aging, David C. Crowley, executive vice president American College of Emergency Physicians- Page 398 264 307 139 280 317 132 272 307 409 115 186 205 317 432 197 401 332 213 272 293 200 126 452 463 465 |
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