Medicaid Managed Care - U.S. Senate Special Committee on Aging

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Our first panelist is Bill Scanlon, who is Director of the Health
Financing and Systems Issue Area at the U.S. General Accounting
Office, or GAO. He has been engaged in health services research
since 1975. Before joining GAO in 1993, Dr. Scanlon was co-Director
of the Center for Health Policy Studies and an associate professor
in the Department of Family Medicine at Georgetown University.
His research has focused in particular on the Medicare and
<strong>Medicaid</strong> programs, especially provider payment policies, and the
provision and financing of long-term care services.
Jane Horvath is Director of <strong>Special</strong> Projects for the National
Academy for State Health Policy, where she oversees the Academy
<strong>Medicaid</strong> <strong>Managed</strong> <strong>Care</strong> Resource Center activities and staff. She
recently developed the 1997 edition of "<strong>Medicaid</strong> <strong>Managed</strong> <strong>Care</strong>:
The State of the Art," a guide for States which examines <strong>Medicaid</strong>
managed care quality issues as they affect low-income mothers and
children and children in foster care. Ms. Horvath also recently completed
a 50-State survey and study of State regulation and oversight
of prepaid managed care entities entitled, "Emerging Challenges
in State Regulation of <strong>Managed</strong> <strong>Care</strong>."
Barbara Shipnuck is Deputy Secretary for Health <strong>Care</strong> Policy,
Finance and Regulation in Maryland and was appointed in January
1996. She oversees the Maryland <strong>Medicaid</strong> System.
Stephen Somers established the Center for Health <strong>Care</strong> Strategies,
Inc., a nonprofit organization affiliated with Princeton University's
Woodrow Wilson School of Public and International Affairs.
Dr. Somers is also Director of the Robert Wood Johnson Foundation's
<strong>Medicaid</strong> <strong>Managed</strong> <strong>Care</strong> Program, an initiative designed to
make managed care work, especially for <strong>Medicaid</strong> beneficiaries
with chronic health and social problems. Previously, he was Associate
Vice President at the Robert Wood Johnson Foundation.
Peggy Bartels is Director of the Wisconsin <strong>Medicaid</strong> Program's
Bureau of Health <strong>Care</strong> Financing, Division of Health. In this capacity,
she is responsible for all aspects of administration of the <strong>Medicaid</strong>
Program in the State of Wisconsin. Ms. Bartels also manages
the Wisconsin <strong>Medicaid</strong> HMO program which has been regarded as
one of the top programs in the country and will serve 230,000
AFDC eligibles by early 1997. Previously, Ms. Bartels was an associate
at Broyderick and Associates and Deputy Director of the Wisconsin
<strong>Medicaid</strong> Program.
Thank you all for coming today. We appreciate that you have
taken the time and effort to be with us.
I'm going to turn this over to Bill, and I think we'll go right down
the table. Thank you.
STATEMENT OF WILLIAM J. SCANLON, DIRECTOR, HEALTH FI-
NANCING AND SYSTEMS ISSUE AREA, U.S. GENERAL AC-
COUNTING OFFICE, WASHINGTON, DC
Mr. SCANLON. Thank you very much, Susan. It has been a pleasure
and privilege for us to be participants in this series, and we
want to commend the Aging <strong>Committee</strong>'s majority and minority
staffs for putting together this series on a very important topic, and
doingit in such a thorough and comprehensive way.
ink that, having been at all four forums, I have the ability
to provide a little continuity in this series, and I would like to talk