TO PROVIDE FOR THE REFORM OF THE ADMINISTRATIVE
AND REIMBURSEMENT PROCEDURES CURRENTLY EM-
PLOYED UNDER THE MEDICARE AND MEDICAID PRO-
GRAMS, AND FOR OTHER PURPOSES

JUNE 7, 8, 9, AND 10, 1977

92-202 0

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
and Welfare__.

78

PUBLIC WITNESSES

AFL-CIO, Bert Seidman, director, social security department, accompanied
by Robert McGlotten, legislative department, and Richard Shoemaker,
social security department----

213

Ament, Richard, M.D., president, American Society of Anesthesiologists__
American Association for Comprehensive Health Planning, Anthony Mott,
chairman, legislative committee__

372

American Association of Neurological Surgeons, Donald H. Stewart, Jr.,
M.D

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-
islative counsel___.

American College of Nuclear Physicians, Richard C. Reba, M.D., presi-

dent, accompanied by John Dring and Kenneth L. Nicolas, executive

staff

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,

governmental affairs__.

132

293

358

432

401

332

American Health Care Association, Bruce D. Thevenot, administrator, gov-

ernment services division___

200

American Hospital Association, John Alexander McMahon, president, ac-

companied by Alan Manzano, vice president and Leo J. Gehrig, M.D.,

senior vice president..

139

American Medical Association, Raymond T. Holden, M.D., chairman, board

of trustees, accompanied by Edgar T. Beddingfield, Jr., M.D., chairman,

council on legislation___.

American Protestant Hospital Association, Charles D. Phillips, Ed. D.,

president

American Psychiatric Association, Dave M. Davis, M.D., immediate past
president, Georgia Psychiatric Association, director of psychiatric serv-
ices, Peachtree-Parkwood Mental Health Center and Hospitals, Atlanta,
Ga

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-
dent, accompanied by David D. Thompson, M.D., director, New York Hos-
pital, and chairman, Council of Teaching Hospitals, and James D. Bent-
ley, Ph. D., assistant director, Department of Teaching Hospitals----.

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.

Whalen

228

197

409

372

205

156

403

126

(III)