CIS/Index
Copyright © 1999, Congressional Information
Service, Inc.
99 CIS H 78160
TITLE:
Medicare+Choice Program
CIS-NO: 99-H781-60
SOURCE: Committee
on Ways and Means. House
DOC-TYPE: Hearing Retrieve
the full text of testimony
DATE: Mar. 18, 1999
LENGTH:
iii+92 p.
CONG-SESS: 106-1
ITEM-NO: 1028-A; 1028-B
SUDOC: Y4.W36:106-7
CIS DOCUMENT ON DEMAND: 1-800-227-2477 (Full
Text Reproductions)
INCLUDED IN LEGISLATIVE HISTORY OF: P.L.
106-113
SUMMARY:
Committee Serial No. 106-7.
Hearing before the Subcom on Health to review Health Care Financing
Administration (HCFA) efforts to implement the Medicare+Choice program, enacted
under the Balanced Budget Act of 1997, allowing medicare recipients to
participate in a variety of private managed health care plans (press release, p.
2-3).
Supplementary material (p. 88-92) includes correspondence
and a submitted statement.
CONTENT-NOTATION: Medicare
managed care program, implementation review
DESCRIPTORS:
SUBCOM ON
HEALTH, WAYS AND MEANS. HOUSE; MEDICARE; MANAGED HEALTH CARE; MEDICAL
REGULATION; HEALTH CARE FINANCING ADMINISTRATION; BALANCED BUDGET ACT
99-H781-60 TESTIMONY NO: 1 Mar. 18, 1999 p. 13-52
WITNESSES (and witness notations):
BERENSON, ROBERT A. (Dr.) (Director, Center for Health
Plans and Providers, HCFA); accompanied by
KANG, JEFFREY
L. (Dr.) (Director, Office of Clinical Standards and Quality)
STATEMENT AND DISCUSSION:
Review of progress in
Medicare+Choice program implementation; elaboration on issues related to
Medicare+Choice program.
CONTENT NOTATION:
Medicare managed care program, implementation review
99-H781-60 TESTIMONY NO: 2 Mar. 18,
1999 p. 52-88
WITNESSES (and witness notations):
FRANCIS, WALTON (consultant)
BLUHM,
WILLIAM F. (Principal, Milliman & Robertson; representing American Academy
of Actuaries)
NEWPORT, JANET G. (Vice President,
Regulatory Affairs, PacifiCare Health Systems; representing American Association
of Health Plans)
HARMON-WEISS, SANDRA (Dr.) (Vice
President, Aetna U.S. Healthcare; representing Health Insurance Association)
STATEMENTS AND DISCUSSION:
Concerns
regarding HCFA failure to provide adequate health insurance information to
consumers; findings of actuarial review of HCFA proposed health status
risk adjustment methodology to pay Medicare+Choice health
plans; criticism of HCFA implementation of Medicare+Choice program;
recommendations regarding Medicare+Choice program implementation.
CONTENT NOTATION:
Medicare managed care program,
implementation review
TESTIMONY DESCRIPTORS:
AMERICAN ACADEMY OF ACTUARIES; GOVERNMENT INFORMATION AND
INFORMATION SERVICES; RISK ANALYSIS; CONSUMERS