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 County, Ga., and member, Health and Education Policy Steering Committee, accompanied by Mike Gennell, legislative representative_‒‒‒‒ National Association of Private Psychiatric Hospitals, Dave M. Davis, M.D., immediate past president, Georgia Psychiatric Association, director of psychiatric services, Peachtree-Parkwood Mental Center and Hospitals, Atlanta, Ga_-_ National Conference of State Legislatures, Hon. David Hollister___. National Council of Community Hospitals, John F. Horty, president, accompanied by John Huff, counsel--- National Council of Health Care Services, Harry Asmus, president, ac companied by Jack MacDonald, executive vice president__. 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- Service Employees International Union, Richard E. Murphy, legislative can Health Care Association__. 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 American Institute of Certified Public Accountants: Roscoe L. Egger, Jr., chairman, Federal Government Executive Com- William Freitag, chairman, health care matters. dent American Osteopathic College of Radiology, Martin S. Landis, president__ executive director professional relations_ American Society for Medical TechnologyAmerican Society of Clinical Pathologists_ American Society of Internal Medicine, William P. Daines, M.D_ Blue Shield Association--- California Medical Association_. Catholic Hospital Association__ Caylor-Nickel Hospital, Inc., Charles H. Caylor, M.D., president_. Chamber of Commerce of the United States, Jan Peter Ozga__ Crowley, David, executive vice president of the Association of Homes for the Aging Daines, William P., M.D., American Society of Internal Medicine American Institute of Certified Public Accountants____ Fox, Allan R., president, American Osteopathic College of Pathologists___ Gaspar, Haro'd E., M.D., P.A___ Goldbeck, Willis B., director, Washington Business Group on Health___ Hale, Randolph M., vice president and manager, Industrial Relations Department, National Association of Manufacturers-- Hawaii Medical Service Association, Albert H. Yuen, executive vice presi dent Health System Agency of Southwestern Pennsylvania, Matthew Marshall, Homemakers Home and Health Care Services, Ronald E. Rosenberg, vice Hospital Financial Management Association_ Landis, Martin S., president, American Osteopathic College of Radiology-- Agency of Southwestern Pennsylvania___ Massachusetts Eye and Ear Infirmary, Charles T. Wood, director_ Robert H. Sweeney, executive director-- National Association of Manufacturers, Industrial Relations Department, Randolph M. Hale, vice president and manager. Nightletter for American Medicine, Robert L. Weinmann, M.D., editor and publisher Ozga, Jan Peter, Chamber of Commerce of the United States--- sel, Medical Personnel Pool Division___ Public Citizen's Health Research Group Roberts, William F., acting managing director, American Lung Association_ makers Home and Health Care Services__. Schwartz, Ronald D--- Scott, Michael, of Cox, Langford & Brown, counsel to ASA.. Page 470 473 473 476 478 484 485 494 496 499 501 503 504 508 510 512 519 528 533 452 496 478 470 452 473 470 535 583 572 546 547 552 555 562 476 547 563 570 572 574 528 567 575 473 552 578 373 Servicemaster Industries, Inc., Kenneth T. Wessner, president and chief Page executive officer 580 Smith, John B., legal and legislative counsel, Medical Personnel Pool 567 Sweeney, Robert H., executive director, National Association of Children's 570 Teckemeyer, Robert A., associate executive director, professional relations, American Physical Therapy Association__ Washington Business Group on Health, Willis B. Goldbeck, director--- Wessner, Kenneth T., president and chief executive officer, Servicemaster Wood, Charles T., director, Massachusetts Eye and Ear Infirmary_. APPENDIXES Appendix A-Communications received by the committee expressing an in- Appendix B-Health Care Expenditures and Their Control, the Health ADDITIONAL INFORMATION Committee press release announcing these hearings. 484 583 574 580 563 546 449 588 13 MEDICARE AND MEDICAID ADMINISTRATION AND REIMBURSEMENT REFORM ACT TUESDAY, JUNE 7, 1977 U.S. SENATE, Washington, D.C. The subcommittee met, pursuant to notice, at 8:35 a.m., in room 2221, Dirksen Senate Office Building, Hon. Herman E. Talmadge (chairman of the subcommittee) presiding. Present: Senators Talmadge, Dole, and Danforth. Senator TALMADGE. The subcommittee will come to order. Today, we begin 4 days of hearings on S. 1470, the Medicare and Medicaid Administrative and Reimbursement Reform Act. S. 1470, which I introduced joined by Senators Long, Ribicoff, Dole, and 16 other colleagues, is the successor proposal to S. 3205 of the last Congress. S. 3205 was the subject of 5 days of hearings last July. [The committee press release announcing these hearings and the bill S. 1470 follows:] [Press release, Committee on Finance, Subcommittee on Health] FINANCE COMMITTEE ANNOUNCES HEARING ON MEDICARE AND MEDICAID ADMINISTRATIVE AND REIMBURSEMENT REFORM Senator Herman E. Talmadge (D., Ga.), Chairman of the Subcommittee on Health of the Senate Finance Committee, announced today that the Subcommittee will hold a hearing in early June on the various Medicare and Medicaid administrative and reimbursement reform provisions of S. 1470, introduced by Senator Talmadge on May 5, is cosponsored by a total of 19 Senators. The hearing will be held beginning at 8:30 a.m. each day beginning June 7 through June 10 in Room 2221, Dirksen Senate Office Building. Senator Talmadge stated: "S. 1470 is an improved version of S. 3205, a similar proposal introduced in the last Congress. The present bill incorporates constructive testimony received last year during five days of hearings on S. 3205. S. 1470 is designed to deal with, among other things, the problem of the continued explosion in the costs of the Medicare-Medicaid programs. Last year, I pointed out that those programs would cost Federal and State taxpayers more than $38 billion in fiscal 1977. Bad as that was, just one year later these programs are estimated to cost Federal and State governments more than $47 billion in fiscal 1978." Senator Talmadge said, with respect to soaring health costs: "The Congress and the Administration share a common concern; however, I believe we can best control costs by providing hospitals with equitable incentives and with the right kind of penalties." Requests to testify.-Senator Talmadge advised that witnesses desiring to testify during this hearing make their request to testify to Michael Stern, Staff Director, Committee on Finance, 2227 Dirksen Senate Office Building, Washington, D.C. 20510, not later than Friday, May 27, 1977. Witnesses will be notified as soon as possible after this date as to when they are scheduled to appear. |