Stanford University Libraries

3 6105 020 994 385

JOHN GLENN, Ohio

SPECIAL COMMITTEE ON AGING

DAVID PRYOR, Arkansas, Chairman

BILL BRADLEY, New Jersey
QUENTIN N. BURDICK, North Dakota
J. BENNETT JOHNSTON, Louisiana
JOHN B. BREAUX, Louisiana
RICHARD SHELBY, Alabama
HARRY REID, Nevada

BOB GRAHAM, Florida

HERB KOHL, Wisconsin

TERRY SANFORD, North Carolina

WILLIAM S. COHEN, Maine
LARRY PRESSLER, South Dakota
CHARLES E. GRASSLEY, Iowa
ALAN K. SIMPSON, Wyoming
JAMES M. JEFFORDS, Vermont
JOHN MCCAIN, Arizona

DAVE DURENBERGER, Minnesota
LARRY CRAIG, Idaho

CONRAD BURNS, Montana

ARLEN SPECTER, Pennsylvania

PORTIA PORTER MITTELMAN, Staff Director

CHRISTOPHER C. JENNINGS, Deputy Staff Director

MARY BERRY GERWIN, Minority Staff Director/Chief Counsel

(II)

CONTENTS OF FORT SMITH HEARING, FEBRUARY 10, 1992

Mr. David Banks, chairman and chief executive officer, Beverly Enter-

prises, Fort Smith, AR.....

11

Sister Donald Mary Lynch, administrator, Mercy Hospital of Scott

County, Pinewood Nursing Home, Waldron, AR..

14

Ms. Linda Short, president, Arkansas Association of Residential Care

Facilities, Fort Smith, AR...

Panel III: Providers-Non-Institutional Setting:

Mr. Ron Coker, R.Ph. pharmacist, Coker Drugs, Van Buren, AR..

Ms. Becky Johnson, Independent Case Management, Little Rock, AR..

Panel IV: Advocates:

15

24

27

Mr. Harry Mason, Jr., Long Term Care Campaign, DeValls Bluff, AR.....

Mrs. Janet Stevens, Parents for Children Who Are Deaf, Blind and Multi-

Handicapped, Little Rock, AR.

34

36

PARTICIPATION FROM THE AUDIENCE

Jim Medley, Western Arkansas Area Agency on Aging.

Scott Holiday, Arkansas Seniors Organized for Progress

Dr. Paul Wills, president, Sebastian County Medical Society.

Kathleen Rusk, National Association of Retired Federal Employees and Gov-

ernor's Advisory Council on Aging.

Warren Gardenheimer...

Woody Armor, Hot Springs, AR..

Bill Engles, Fort Smith, AR.

Jimmy Johnson, Uniontown, AR.

Imogene Coleman.

Karen Kidd...

Robert Deets, Hartford, AR

Debbie Rank, Western Chapter, Alzheimer's Association

A.L. Corbin, Medical Equipment Suppliers Association of Arkansas.

Lauren Lippencow, Fort Smith, AR.

Mack McClendon, Arkansas Federation, National Association of Retired Fed-
eral Employees

Doris Whitacre, Fort Smith, AR

CONTENTS OF JONESBORO HEARING, FEBRUARY 11, 1992

Opening Statement of Senator David Pryor, presiding......

(III)

59

CHRONOLOGICAL LIST OF WITNESSES

Panel I: Individuals and Businesses Victimized by Cost:

Mr. Mike Ellis (testimony via videotape) Hot Springs, AR.

Mr. Charles E. Wilcox, Jr., Mountain Home, AR..

Ms. Peggy Caldwell, Travel Service of Jonesboro. Jonesboro, AR.

Mr. William H. Kimbrough, director, Group Insurance Programs, Tyson

Foods, Inc., Springdale, AR.

Panel II: State Government Perspectives:

Mr. Lee Douglass, commissioner, Arkansas Insurance Department, Little

Rock, AR

Mr. Kenny Whitlock, director, division of economic and medical services,

Arkansas Department of Human Services, Little Rock, AR...

Panel III: Costs-A Hospital Perspective and A Family Physician Perspective:

Mr. Roger Busfield, Ph.D., president, Arkansas Hospital Association,

Little Rock, AR.

Dr. Mike Moody, president, Arkansas Academy of Family Physicians,

Salem, AR

117

Laurie Ray, Jonesboro, AR

Maxine Wallace, VFW Ladies Auxiliary.

Ben Cooper, Jonesboro, AR.

Jack Heath, National Association of Retired Federal Employees..

Paul Cooper, Jonesboro, AR...

Maria Gillis...

Katherine Adams, Jonesboro, AR.

128

128

131

132

132

133

133

CONTENTS OF EL DORADO HEARING, FEBRUARY 12, 1992

Opening Statement of Senator David Pryor, presiding.

141

CHRONOLOGICAL LIST OF WITNESSES

Panel I: Small Business Perspective and Suggestions:

Mr. Robert Herzfeld, health insurance agent, Benton, AR, representing

the Arkansas Chamber of Commerce Small Business Council..

Mr. Alan White, Sr., Arkansas national liaison for the National Federa-

tion of Independent Businesses, Stamps, AR

145

150

Panel II: The Role of Managed Care in Cutting Costs:

Mr. Orlo L. Dietrich, Jr., president and chief executive officer, Burgett &

Dietrich, Little Rock, AR.

159

Panel III: Costs-Comprehensive Reform Proposals:

Dr. George Mitchell, chief executive officer, accompanied by Mr. Robert

L. Shoptaw, Jr., executive vice president and chief operating officer

representing Arkansas Blue Cross and Blue Shield.

166

Mr. Herb Bingaman, president, Arkansas Seniors Organized for Progress,

Little Rock, AR.....

169

Panel IV: Innovative Answers to Today's Access Problems:

Ms. Phyllis Kordsmeier, executive director, CABUN Rural Health Serv-

ices, Inc., Hampton, AR...

184

Peter J. Carroll, M.D., Director, AHEC South Arkansas, El Dorado, AR.....