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

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A. Michael Collins, Deputy Executive Director, Center for Health Program
Development and Management, University of Maryland at Baltimore County,
Baltimore, MD).......................................................... 138
John Ware, Jr., Senior Scientist and Director, The Health Institute at New
England Medical Center, Boston, MA .......................................................... 145
Differences in 4-Year Health Outcomes for Elderly and Poor, Chronically-
Ill Patients Treated in HMO and Fee-for-Service Systems ............ ........... 157
Trish MacTaggart, Director, Quality and Performance Management, Center
for <strong>Medicaid</strong> and State Operations, Health <strong>Care</strong> Financing Administration,
Baltimore, MD .......................................................... 166
THE STATE OF THE STATES, JULY 22, 1997
Opening statement of Susan Christensen, <strong>Senate</strong> <strong>Special</strong> <strong>Committee</strong> on
Aging.....................................................................................................................
LIST OF WITNESSES
William J. Scanlon, Director, Health Financing and Systems Issue Area,
U.S. General Accounting Office, Washington, DC ............................................. 170
Barbara Shipnuck, Deputy Secretary for Health <strong>Care</strong> Policy, Finance and
Regulation, State of Maryland Department of Health and Mental Hygiene,
Baltimore, MD .......................................................... 174
Health Choice Fact Sheet ................... ....................................... 184
Health Choice and People with <strong>Special</strong> Health <strong>Care</strong> Needs ............ ............. 187
Peggy L. Bartels, Director, Division of Health, Bureau of Health <strong>Care</strong> Financing,
Wisconsin <strong>Medicaid</strong> Program, Madison, WI ............................................... 201
Jane Horvath, Director <strong>Special</strong> Initiatives, National Academy for State
Health Policy, Silver Spring, MD ................................. ......................... 238
Stephen A. Somers, President, Center for Health <strong>Care</strong> Strategies, Inc., Princeton,
NJ ......................................... ................. 250
APPENDIX
ADDITIONAL STATEMENTS AND MISCELLANEOUS MATERIAL SUBMITTED FOR HEARING
RECORD
Physician Payment Review Commission, 1997 Report to Congress, Chapter
20-<strong>Medicaid</strong>: Spending Trends and the Move to <strong>Managed</strong> <strong>Care</strong> ................... 263
<strong>Medicaid</strong> <strong>Managed</strong> <strong>Care</strong>: Perspective of the National Association of Insurance
Commissioners .......................................................... 300
GAO-<strong>Medicaid</strong> <strong>Managed</strong> <strong>Care</strong>: Serving the Disabled Challenges State Programs
.......................................................... 317
GAO-<strong>Medicaid</strong> <strong>Managed</strong> <strong>Care</strong>: Challenge of Holding Plans Accountable Requires
Greater State Effort ....... ...................... 382
GAO-<strong>Medicaid</strong>: Waiver Program for the Developmentally Disabled is Promising
But Poses Some Risks .......................................................... 418
GAO-<strong>Medicaid</strong> <strong>Managed</strong> <strong>Care</strong>: Delays and Difficulties in Implementing California's
New Mandatory Program ................................. ......................... 466
National Academy for State Health Policy-<strong>Medicaid</strong> <strong>Managed</strong> <strong>Care</strong>: A Guide
For States, Volume IV Challenges and Solutions: <strong>Medicaid</strong> <strong>Managed</strong> <strong>Care</strong>
Programs Serving the Elderly and Persons with Disabilities .......................... 497
Office of the Inspector General, U.S. Department of Health and Human
Services-Retooling State <strong>Medicaid</strong> Agencies for <strong>Managed</strong> <strong>Care</strong> .................... 605
Division of Services for Children with <strong>Special</strong> Needs, Maternal and Child
Health Bureau, U.S. Department of Health and Human Services-Children
with <strong>Special</strong> Health <strong>Care</strong> Needs in <strong>Managed</strong> <strong>Care</strong> Organizations: Summaries
of Expert Work Group Meetings .......................................................... 646
NAPWA-Makm. <strong>Medicaid</strong> <strong>Managed</strong> <strong>Care</strong> Work: An Action Plan for People
Living with HV .......................................................... 688
Re )rt on the Family Voices <strong>Managed</strong> <strong>Care</strong> Survey in Atlanta, Denver, Des
Moines, and Seattle .. 720
The Urban Institute-Younger People with Disabilities and State Health
Policy, by Joshua Weiner ........................... ............................... 744
Bazelon Center for Mental Health Law-Defining "Medically Necessary"
Services to Protect Plan Members .......................................................... 755
Alliance for Health Reform-Children with <strong>Special</strong> Health <strong>Care</strong> Needs ............ 777
169