| GAIL R. WILENSKY, Ph.D. |
P r o j e c t H O P E
7500 Old Georgetown Road
Suite 600
Bethesda, Maryland 20814
301.656.7401 |
EMPLOYMENT
PROJECT HOPE
Senior Fellow (January 1993 – Present)
(John M. Olin Senior Fellow, June 1995 – August 2003)
Develops and analyzes policies relating to health care and the economy; serves as a formal and informal advisor to government and the private sector, and writes and speaks about policies and politics of health care reform.
DEFENSE HEALTH BOARD
President and chair, Health Care Subcommittee (Sept. 2008-August 2009)
Federal advisory board that advises the Secretary of Defense on matters relating to the operations, policies and recommendations relating to the health of DoD beneficiaries.
DEPARTMENT
OF DEFENSE TASK FORCE ON THE FUTURE OF MILITARY HEALTH CARE
Co-chair
(December 2006 – March 2008)
Congressionally
mandated task force to assess and recommend changes to help sustain the
military health services provided to members of the Armed Forces, retirees and
their families. Focus was on strategies to improve the business, management and
clinical practices associated with the delivery of care and also on ways to
realign fee structures.
PRESIDENT'S TASK
FORCE TO IMPROVE HEALTH CARE DELIVERY FOR OUR NATION'S VETERANS
Co-Chair (June 2001 – May 2003)
Two-year task force created by President Bush
to identify ways to improve benefits and services for veterans and military
retirees through better coordination of services between the VA and DOD, and to
improve business practices and identify opportunities for improved resource use
between the VA and DOD.
THE MEDICARE
PAYMENT ADVISORY COMMISSION
Chair (October 1997 – 2001)
Congressionally created commission that
advises Congress on issues of payment and expenditure growth for all parts of
Medicare and on non-payment issues such as risk selection, access to care,
quality/performance measures, graduate medical education and the relationship
of Medicare with the rest of the health care sector.
THE PHYSICIAN
PAYMENT REVIEW COMMISSION
Chair (May 1995 – September 1997)
Congressionally created commission that
advised Congress on physician payments and expenditure growth, capitation
payments, quality and performance measures for Medicare and on access issues
for both Medicare and Medicaid.
THE WHITE HOUSE
Deputy Assistant to the President for
Policy Development (1992 – 1993)
Advised and briefed the President, the Vice
President, and other senior administration officials on issues related to
health care and welfare reform. Led working group of senior officials in
developing legislation to implement President Bush's Comprehensive Health
Reform Program.
U. S. DEPARTMENT OF HEALTH AND HUMAN
SERVICES
Administrator, Health Care Financing Administration (1990 – 1992)
Directed the Medicare and Medicaid programs,
with an annual budget of $200 billion and a staff of 4,200. Advised the
Secretary and the Administration on issues related to health policy and health
care financing.
PROJECT HOPE
Vice President, Health Affairs (1983
– 1989)
Developed the Center for Health Affairs and
served as the administrative head for the domestic policy division of Project
HOPE.
NATIONAL CENTER FOR HEALTH SERVICES RESEARCH, DHHS
Health Service Fellow and Senior
Research Manager (1975 – 1983)
Co-director of the National Medical Care Expenditure
Survey and head of the analytic team of NMCES, a longitudinal survey of 40,000
individuals focusing on their health care use, expenditures and health
insurance status with follow-on surveys of their employers, insurance
companies, physicians and hospitals.
UNIVERSITY OF MICHIGAN
Visiting Assistant Professor and
Associate Research Scientist (1973 – 1975)
Joint research and teaching appointment in
the Department of Economics and the Institute of Public Policy Studies .
Research Appointment at the Survey Research Center . Teaching responsibilities
included public finance and public sector decision-making.
URBAN INSTITUTE
Senior Research Associate (1971 –
1973)
Research focus on micro-simulation modeling
of health care expenditures and the relationship between income and education.
MARYLAND COUNCIL OF ECONOMIC ADVISERS
Executive Director (1969 – 1971)
Responsible for advising the Governor on
revenue and expenditure estimates for various programs; co-directed a Maryland tax study.
PRESIDENT'S COMMISSION
ON INCOME MAINTENANCE PROGRAMS
Staff Economist (1968 – 1969)
Responsible for setting up the
micro-simulation model used to estimate the effects of various welfare reform
proposals and writing portions of the Commission report.
EDUCATION
UNIVERSITY OF MICHIGAN
B.A., 1964 Psychology (with honors
and distinction)
M.A., 1965 Economics
Ph.D., 1968 Economics
PERSONAL
Born: June 14, 1943 Detroit , Michigan
Married: Robert J. Wilensky, M.D., Ph.D. August 4, 1963
Children: Peter B. Wilensky May 19, 1969 (DOB)
Sara E. Wilensky May 5, 1971 (DOB)
Grandchildren: Jadyn A. Wilensky Sept. 23, 1998 (DOB)
Jara A. Wilensky June 19, 2002 (DOB)
Jaia A. Wilensky Sept. 14, 2004 (DOB)
(Born to Peter B. and Shawn Davis Wilensky)
HONORS
Honorary Degree, The University of
the Sciences in Philadelphia (2002)
Honorary Degree, Rush University (June 1997)
Honorary Degree, Hahnemann University (June 1993)
Marshall J. Seidman Lecturer, Harvard Medical School (April 2003)
John D. Thompson Distinguished Visiting Fellow, Yale Health Management Program
(February 2003)
TeKolste Scholar , Indiana Hospital and Health Association (1997)
Member, Institute of Medicine , National Academy of Sciences (1989 – Present)
Who's Who in America (1989 – Present)
Who's Who of American Women (1989 – Present)
Flinn Foundation Distinguished Scholar in Health Policy and Management (1986)
Named as one of the most 100 powerful people in healthcare -- 2003, 2004; and
as one of 25 top women in healthcare -- 2005, Modern Healthcare
Regent Lecturer, University of CA, Berkley, November, 2011
AWARDS
Senator
John Warner Champion for Military Health Award, Military Health System Conf. (2008)
Darrel J. Mase Distinguished Leadership Award, University of Florida (2000)
The Latiolais Honor Medal, The American Managed Care Pharmacy Association
(1996)
Dean Conley Award, American College of Healthcare Executives (1989)
Alumna in Residence Award, University of Michigan (1989)
COMMITTEE AND
ORGANIZATION PARTICIPATION
President, Defense Health Board (2008-2009)
Co-chair,
DoD Task Force on the Future of Military Health Care (2006-2008)
Commissioner,
President’s Commission on Care for America’s Returning Wounded Warriors, (2007)
Commissioner,
WHO Commission on Social Determinants of Health (2005-2008)
Vice Chair,
Maryland Health Care Commission (2004-2008)
Chair,
Medicare Payment Advisory Commission (1997-2001)
Chair,
Physician Payment Review Commission (1995-1997)
Member,
Advisory Committee on Health, General Accounting Office, U.S. Congress (1989, 1993-95)
Selected
Committees of the Institute of Medicine of the National Academies, National Academy of Sciences and the National Research Council
Member,
Health Care Services Board, Institute of Medicine of the National Academies
DIRECTOR
AND TRUSTEESHIPS
Director,
Cephalon, Inc. (2002-2011)
Director,
Quest Diagnostics, Inc. (1997- )
Director,
SRA International (2006-2011)
Director,
United HealthGroup, (1993- )
Member,
Visiting Committee, Harvard Medical and Dental School, (2007- )
Trustee,
University of the Sciences in Philadelphia (2004- )
Board
Member, National Campaign to Prevent Teen Pregnancy (2004- )
Trustee,
United Mineworkers of America, Combined Benefits Fund, (1993- )
Trustee, National Opinion Research Center, University of Chicago, (2005- )
Regent, Uniformed Services University for the Health Sciences (2008- )
Previously was a director on the boards of several other public companies including Manor Care, Gentiva Health Services, Shared Medical Services, St. Jude Medical and Marion Merrell Dow.
PUBLICATIONS
"Healthcare Reform, Version 1.0" in hfm (Healthcare Financial Management), Special Section on Healthcare Reform, May 2010
"Health Care Reform—Where do We Go From Here" in The New England Journal of Medicine, March 3, 2010 published on-line. 10.1056/NEJM p1002211. Available at: http://healthcarereform.nejm.org/?p=3110&query=TOC#
"The Policies and Politics of Creating a Comparative Clinical Effectiveness Research Center" published online in Health Affairs June 25, 2009; 10.1377/hlthaff.28.4.w719.
"Department of Veterans Affairs: Seriously Caring for Our Wounded Warriors" in Change for America, Mark Green and Michele Jolin (ed) New York: Basic Books, Spring 2009
“Reforming Medicare’s Physician Payment System” in The New England Journal of Medicine, 360:7, February 12, 2009
“Don’t Forget About the Social Determinants of Health” with David Satcher in Health Affairs 28, no. 2 (2009): w194-w198 (published online 16 January 2009; 10.1377/hlthaff.28.2.w194).
“Health Care Reform: Lessons from the Past, Lessons for the Future,” Journal of Law, Medicare & Ethics, Winter, 2008, pp 725-727.
“Changes in Healthcare Financing a Retrospective of the Past Decade,” in hfm (Healthcare Financial Management), Eye on Washington, December 2008.
“Campaign 2008 - Healthcare Reform Revisited” in hfm (Healthcare Financial Management), Eye on Washington, October 2008.
“The Obama Plan: More Regulation, Higher Costs” with Joseph Antos and Hanns Kuttner, Health Affairs, 27, no. 6 (2008): w462-w471, (Published online 16 September 2008)
doi: 10.1377/hlthaff.27.6.w462
“Cost-Effectiveness Information: Yes, It's Important, but Keep It Separate, Please!,” Ann Intern Med, Jun 2008; 148: 967 - 968.
“On Fiscal Wake-up Tours and Toothless Tigers,” in hfm (Healthcare Financial Management), Eye on Washington, June 2008.
“Medicare Continues to Struggle with Physician Payment,” in hfm (Healthcare Financial Management), Eye on Washington, April 2008.
“The future of military health care,” in hfm (Healthcare Financial Management), Eye on Washington, February 2008.
“The SCHIP Debate Raises Fundamental Questions,” in hfm (Healthcare Financial Management), Eye on Washington, October 2007.
“The Growing Interest in a Comparative Clinical Effectiveness Center,” in hfm (Healthcare Financial Management), Eye on Washington, August 2007.
“Changing the Tax Code for Health Insurance,” in hfm (Healthcare Financial Management), Eye on Washington, April 2007.
“Strategies to Improve Medication Compliance by Medicare Beneficiaries,” Circulation, 2008; 117:1252-1254.
“The Challenge of Medicare” in Restoring
Fiscal Sanity 2007: The Health Spending Challenge, Alice Rivlin et al (ed). Washington, DC, Brookings Institution Press, March 2007.
“Pay for Performance and Physicians—an Open
Question” in hfm (Healthcare Financial Management), Eye on Washington, February
2007.
“Gain Sharing: A Good Concept Getting A Bad
Name?” with N. Wolter and M. Fischer in Health Affairs, 26, no. 1 (2007)
w58-w67.
“Developing a Center for Comparative
Effectiveness Information” in Health Affairs, 25, no. 6 (2006): w572-w585.
“The Challenge of Medicare Physician Spending”
in hfm (Healthcare Financial Management), Eye on Washington, December 2006.
“Clearing the Way for Transparency in Health
Care” in hfm (Healthcare Financial Management), Eye on Washington, October
2006.
“Implementing the Medicare Drug Benefit-the
First 90 Days” in hfm (Healthcare Financial Management), Eye on Washington, June 2006.
“The State of the Union Speech and Health
Care” in hfm (Healthcare Financial Management), Eye on Washington, April 2006 .
“On the Road to a National Performance
Measurement System” in hfm (Healthcare Financial Management), Eye on Washington, February 2006.
“Meeting the Pay-for-Performance Imperative”
in hfm (Healthcare Financial Management), Eye on Washington, December 2005.
“Consumer-Directed Health Plans” in hfm
(Healthcare Financial Management), Eye on Washington, Page 34, October 2005.
“The Challenges of Medicaid” in hfm
(Healthcare Financial Management), Eye on Washington, Page 34, June 2005.
"The Growing Challenge of Medicare"
in hfm (Healthcare Financial Management), Eye on Washington , Page 34, April
2005.
"Alternative Strategies for Medicare
Payment of Outpatient Prescription Drugs -- Part B and Beyond" Danzon,
Wilensky, and Means, The American Journal of Managed Care , Volume 11, Number
3, March 2005.
"Next Steps for Health Care" in hfm
(Healthcare Financial Management), Eye on Washington , Page 34, February 2005.
“Moderating Spending on Prescription Drugs”
in hfm (Healthcare Financial Management), Eye on Washington , Page 32, October
2004.
“Framing the Public Policy Questions:
Financial Incentives for Efficiency and Effectiveness:” in Medical Care
Research and Review , Supplement to Volume 61, No 3, September 2004.
“Bush versus Kerry: the healthcare philosophy
debate” in hfm (Healthcare Financial Management), Eye on Washington , Page 30,
August 2004.
"Implementing the MMA ” in hfm
(Healthcare Financial Management), Eye on Washington , Page 30, June 2004.
“Reforming Payment for Primary Care: Making I
Happen” in Annals of Internal Medicine , Volume 140, Number 8, April 20, 2004 .
“How to Curb Spending on Drugs” op-ed in The
Washington Post , Page B07,
February 15, 2004 .
"Medicare Bill Sets Precedent for Future
Funding," in hfm (Healthcare Financial Management), Eye on Washington , Page 30, February 2004.
“Thinking Outside The Box: A Conversation
with John Breaux” in Health Affairs , Web Exclusive, W3-124 to W3-125, March 5,
2003 .
“The Implications of Regional Variations in
Medicare – What Does It Mean for Medicare?” in the Annals of Internal Medicine
, Volume 138, Number 4, February 18, 2003 .
“Medicare Reform – Now Is The Time” in The New England Journal of Medicine , Volume 345, Number 6, August 9, 2001 .
“Paying for Graduate Medical Education: The
Debate Goes On” in Health Affairs , Volume 20, Number 2, March/April 2001.
“What's Behind the Public's Backlash?” in the
Journal of Health Politics, Policy and Law , Duke University Press, October
1999 issue, Volume 24.
“Medicare: What's Right? What's Wrong? What's
Next?” in Health Affairs , Volume 18, Number 1, January/February 1999.
“Incremental Reform: The Health Insurance
Portability and Accountability Act of 1996” in The Future U. S. Health Care
System: Who Will Care for the Poor and Uninsured , Stuart Altman et al (ed.),
Chicago, Il: Health Administration Press, 1998.
“Who Will Pay for Graduate Medical
Education,” New England of Medicine , July 2, 1998 .
“Medicare Managed Care: Why is it Coming” in
Gastroenterology Clinics of North America , Vol. 26, No. 4, December 1997.
“Reducing Provider Payments vs. Restructuring
Medicare” Stuart Altman et al (ed.), Princeton , NJ : Robert Wood Johnson
Foundation, July 1997.
“Promoting Quality: A Public Policy View” in
Health Affairs , Volume 16, Number 3, May/June 1997.
“Remaining Competitive in an Era of Managed
Care,” Imaging Economics , Vol. 10, No. 2, March-April 1997.
“Alleviating the Physician Glut: What's the
Government's Role?” in Journal of the American Medical Association , Vol. 272,
No. 1, January 1, 1997 .
“Medicare Managed Care: The Next Big Wave” in
The Internist , Volume XXXVII, No. 7, July-August 1996.
“Bite-Sized Chunks of Health Care Reform,” in
The Problem That Won't Go Away , Henry Aaron (ed.), Brookings Institution, Washington , D. C., 1996.
“Offer Seniors Greater Choice of Health
Plans” in The Miami Herald , July 1996.
“The Score on Medicare Reform – Minus the
Hype and Hyperbole” in The New England Journal of Medicine , Volume 333, No.
26, December 28, 1995 .
“Systems of Accountability: The American
Approach” in the Journal of the Royal Society of Medicine , Vol. 288, No. 26,
1995.
“Some Thoughts on Choice & Satisfaction”
in Health Affairs , Vol. 14, No. 2, Summer 1995.
“Choosing Medicare's Future” in The Internist
, Volume XXXVI, No. 7, July-August 1995.
“Incremental Health System Reform: Where
Medicare Fits In” in Health Affairs , Vol. 14, No. 1, Spring 1995.
“Health Care Reform: Is 1994 the Year?” in
Journal of Urban and Contemporary Law , Volume 43:13, Summer 1994.
“Health Reform: What Will It Take To Pass?”
in Health Affairs , Vol. 13, No. 1, Spring 1994.
“Clinton's Tooth Fairy Financing” in the
Journal of American Health Policy , Vol. 3, No. 6, Nov-Dec 1993.
“Health Care: Grab Half the Loaf” in USA Today , August 31, 1993 .
“President Bush's Vision for a Healthy America: a Record and a Plan” in Journal of American Health Policy , 1992, Vol. 2, No. 5.
“Building on our Strengths Through
Market-Based Reform” in The Internist , 1992, Vol. 33, No. 8.
“Federal and State Initiatives in Health Care
Reform: the Administration's View” in Decisions in Imaging Economics , 1992,
Vol. 5, No. 4.
“The Health Care Quality Improvement
Initiative: A New Approach to Quality Assurance in Medicare” (with S. F.
Jencks) in the Journal of the American Medical Association , 1992, Vol. 268,
No. 7.
“Financing Care for Patients with AIDS” in
Journal of the American Medical Association , 1991, Vol. 266, No. 24.
“Coordinated Care and Public Programs” (with
L. Rossiter) in Health Affairs , Winter 1991, Vol. 19, No. 4.
“Medicare's PROs Change Their Focus, Broaden
Their Mission ” in Journal of the American Medical Association , 1991, Vol.
266, No. 20.
“Physician Payment Reform” in Journal of the
American Medical Association , 1991, Vol. 266, No. 19.
“Treat the Causes, Not the Symptoms, of the
Health Care Cost Problem” in Journal of American Health Policy ,
September/October 1991.
“Medicare Moves Toward Bundled Payments” in
Academic Medicine , 1991, Vol. 66, No. 8.
“Medicare Experiments with ‘Bundled' Fees for
Coronary Artery Bypass Surgery” in Journal of the American Medical Association
, 1991, Vol. 266, No. 2.
“A Capital Plan” in Health Systems Review ,
May/June 1991.
“Looking at the Future of the Medicaid
Program: A Federal/State Overview”, 1991 Richard and Hinda Rosenthal Lecture, Institute of Medicine . Published by the National Academy of Science Press, 1992.
“Recent Medicaid Expansions” in Journal of
the American Medical Association , 1991, Vol. 265, No. 19.
“Medicare's Proposal to Pay Hospitals for
Capital Costs Under the Prospective Payment System” in Journal of the American
Medical Association , 1991, Vol. 265, No. 15.
“ PPS Plan for Capital is Built on Fairness,
Not Cost-Cutting” in Modern Healthcare , March 4, 1991 .
“Nursing Home Reform” in Journal of the
American Medical Association , 1991, Vol. 265, No. 4.
“Achieving Prescription Drug Savings” in
Health Affairs , Vol. 9, No. 4, Winter 1990.
“Medicare at 25: Better Value and Better
Care” in Journal of the American Medical Association , 1990, Vol. 264, No. 15.
“Physician Payment Reform – an Evolving
Process” in Journal of the American Medical Association , 1990, Vol. 264, No.
13.
“The Influence of Source of Insurance
Coverage on the Health Care Utilization Patterns of the Elderly,” (with B.
Dunlop and J. Wells), Journal of Health and Human Resources Administration ,
1989, Vol. II, No. 3.
“Balancing Patient Interests with Economic
Consequences,” Seminar in Hematology , 1989, Vol. 26, No. 3., Suppl. 3.
“Underinsured and Uninsured Patients,”
Consultant , 1989, Vol. 29, No. 2.
“The ‘Pay-or-Play' Insurance Gamble,” House
Wednesday Group , September 1988.
“Pharmaceuticals and Decision-Making in the United States ”, Cost Consciousness and the Changing Locus of Control” (with L. Blumberg and P.
Neumann) in Socioeconomic Evaluation of Drug Therapy , W. van Eimerna and B.
Horisberger (eds.), Berlin : Springer-Verlag, 1988.
“Filling the Gaps in Health Insurance” in
Health Affairs , Vol. 7, No. 2, Summer 1988.
“Pharmaceutical Management in Developing
Countries: Allocating Resources to Ensure Better Health Care,” (with L.
Blumberg) in Health Affairs , Fall 1988.
“Health Insurance Coverage of the Working
Poor” (with M. Berk) in Social Science and Medicine , Vol. 25, No. 11, 1987.
“The Problem of the Uninsured: Response and
Responsibility,” in Frontiers of Health Services Management , Winter 1987, Vol.
4., No. 2.
“Viable Strategies for Dealing with the
Uninsured,” in Health Affairs , Spring 1987.
“Future Directions in Health Economics
Research: USA ” in Health Economics: Prospects for the Future , George Teeling
Smith (ed.), London : Croom Helm, 1987.
“Cost Containment and Incentives for
Technology” (with L. P. Garrison) in Health Affairs , Vol. 5, No. 2, Summer
1986.
“Patient Self-Selection in HMOs” (with L. F.
Rossiter) in Health Affairs , Vol. 5, No. 1, Spring 1986.
“Alternative Units of Payment for Physician
Services: an Overview of the Issues,” (with L. F. Rossiter) in a Special Issues
of the Medical Care Review entitled “Medicare Physician Payment Alternatives:
Assessing the Options,” Gail R. Wilensky, and Steven H. Chapman (eds.), Spring
1986, Vol. 43, No. 1.
“Underwriting the Uninsured: Targeting
Providers and Individuals,” in Uncompensated Hospital Care , Sloan, Blumstein,
and Perrin (eds.) Johns Hopkins University Press, 1986.
“Demographic Indicator Systems of Health Care
Needs,” (with S. H. Chapman) in Indicators and Trends of Health and Health Care
, Schwefel, D. (ed.), Springer Press.
“SIPP and Health Care Issues,” in Journal of
Economic and Social Measurement , 1985, Vol. 13, No. 3 and 4.
“The Plight of the Uninsured,” in Health
Matrix , Fall 1985, Vol. 3, No. 3.
“Making Decisions on Rationing” in Business
and Health , Vol. 3, No. 1, November 1985.
“The Poor, Sick, Uninsured, and the Role of
Medicaid,” (with Marc L. Berk) in Hospitals and the Uninsured Poor , Bruce C.
Vladeck (ed.), United Hospital Fund, New York , 1985.
“Social Policy and Health Care,” in Pharmacy
in the 21 st Century , Clem Bezold, et. al. , (eds.), 1985.
“The Role of Private Wealth and Health
Insurance as Protection Against Medical Risks” in Horizontal Equity,
Uncertainty, and Economic Well-being , National Bureau of Economic Research, Chicago : University of Chicago Press, 1985.
“Health Care of the Poor Elderly:
Supplementing Medicare,” (with Marc Berk) in Gerontologist , Vol. 25, No. 3,
June 1985.
“Solving Uncompensated Hospital Care,” in
Health Affairs , Winter 1984.
“Variations in Health Insurance Coverage:
Benefits versus Premiums,” (with P. Farley and A. Taylor) in Milbank Memorial
Fund Quarterly , Vol. 62, No. 1, Winter 1984.
“Federal Programs Facing Stresses,” in U. S. Medicine , August 1, 1984 .
“Methodological Issues in Health Surveys: an
Evaluation of Procedures Used in the National Medical Care Expenditures Survey,
(with M. Berk and S. Cohen) in Evaluation Review , June 1984.
“Health Insurance for the Unemployed: Is
Federal Legislation Needed?” (with A. Monheit, M. Hagan, and M. Berk) in Health
Affairs , Spring 1984.
“Identification of Physician-induced Demand,”
(with L. F. Rossiter) in Journal of Human Resources , Spring 1984.
“Aging Veterans: Will They Overburden the VA
Medical Care System,” in Health Affairs , Fall 1983.
“A Reexamination of Differences in the use of
Physician Services: the Role of Physician-Initiated Demand,” (with L. F.
Rossiter) in Inquiry , (Summer 1983), Vol. XX, No. 2.
“Poor, Sick and Uninsured,” (with Marc Berk)
in Health Affairs , Summer 1983.
“Private health insurance: What benefits do
employees and their families have?” (with Pamela Farley) in Health Affairs ,
Spring 1983.
“The Relative Importance of Physician-Induced
Demand in the Demand for Medical Care” (with L. F. Rossiter) in Milbank
Memorial Fund Quarterly , Vol. 61, No. 2, Spring 1983.
“Women and the Use of Health Services” (with
G. Cafferata) in American Economic Review , Vol. 73, No. 2, May 1983.
“The Economic Advantages of Board
Certification” (with L. F. Rossiter) in Journal of Health Economics , 2 (1983).
“The Effect of Tax Policies on Expenditures
for Private Health Insurance,” (with A. Taylor) in Market Reforms in Health
Care: Current Issues, New Directions, and Strategic Decisions , Jack Meyer
(ed.) American Enterprise Institute, 1983.
“Options, Incentives and the Coverage
Obtained through Employment Related Health Insurance Plans,” (with P. Farley)
in Advanced in Health Economics and Health Services Research , Vol. IV, JAI
Press, 1983.
“Health Care and the Poor: the Role of
Medicaid,” (with Marc Berk) in Health Affairs , Fall, 1982.
“Tax Expenditures and Health Insurance:
Limiting Employer Paid Premiums,” (with Amy Taylor) in Public Health Reports ,
September/October 1982.
“Ethics, Health Care and the Enthoven
proposal,” (with L. Stern and L. Rossiter) in Health Affairs , Summer 1982.
“A Methodological Overview of the National
Medical Care Expenditure Survey,” (with M. Berk, S. Cohen, and J. Kasper) in
American Statistical Association: Papers and Proceedings , 1982.
“Government and the Financing of Health” in
American Economic Review , Vol. 72, No. 2, May 1982.
“National Medical Care Expenditure Survey,”
(with Daniel Walden) in Science and Public Policy II, Annals New York Acad.
Science , Vol. 387, 1982.
“The Uninsured and Their Use of Health
Services,” (with Daniel Walden) Social Statistics Section, American Statistical
Association, Papers and Proceedings , 1981.
“The Magnitude and Determinants of Physician
Induced Demand,” (with L. Rossiter) in Health, Economics, and Health Economics
, Jacques van der Gaag and Mark Perlman (eds.) Amsterdam : North Holland
Publishing, 1981.
“Multiple Health Insurance Coverage: the
Overlap of Dread Disease and Extra Cash Policies with other Types of Coverage,”
(with Daniel Walden and Judith Kasper), American Statistical Association:
Papers and Proceedings , 1980.
“The Changing Medicaid Population,” (with
Daniel Walden and Judith Kasper) in American Statistical Association: Papers
and Proceedings , 1980.
“Modelling the Effects of National Health
Insurance,” (with Louis Rossiter) in Proceedings of the Illinois Economic
Association , 1979.
“Methodological Issues from the National
Medical Care Expenditure Survey,” in Health Survey Research Methods , Seymour Sudman (ed.) DHHS Pub. No. (PHS) 81-3268.
“Retention of Medical School Graduates: a
Case Study of Michigan ,” in Research in Health Economics: A Compilation , JAI Press,
1979.
“Personal Income Tax,” (with Emil Sunley) in
District of Columbia Tax Revision Commission, Final Report , Vol. II, District
of Columbia Committee of the U. S. House of Representatives, 1978.
“Perceived Health Insurance Coverage,” (with
Daniel C. Walden), Proceedings of the Social Statistics Section: The American
Statistical Association , 1978.
“OLS and Logit Estimation in a Physician
Location Study,” (with L. F. Rossiter) in Proceedings of the Social Statistics
Section: The American Statistical Association , 1978.
“Information from Special Studies,” in
Proceedings of the Public Health Conference on Records and Statistics , 1978.
“Modeling the Fiscal Impact of Revenue
Sharing,” in Economic and Political Impact of General Revenue Sharing , F.
Thomas Juster (ed.) Institute for Social Research, University of Michigan . Ann Arbor , 1977.
“Policy Options for Attracting Physicians to
Rural Locations,” Capitol Research Services , 1976.
Comment on “Physician Fee Inflation: Evidence
from the Late 1960s,” in The Role of Health Insurance in the Health Services
Sector , Richard Rossett (ed.). New York : Neal Watson Academic Publications,
1976.
Comment on “The Social Security Payroll Tax:
Some Alternatives for Reform,” in The Journal of Finance , Vol. XXX, No. 2.,
May 1975.
A Micro-Simulation Model for Estimating the
Financial and Distributional Effects of National Health Insurance Proposals,”
(with J. Holahan) in Proceedings of the 4 th Annual Simulation Conference, University of Pittsburgh , 1974.
“National Health Insurance: Costs and
Distributional Effects,” (with J. Holahan), The Urban Institute Report 957-1 ,
1972.
“Reforming Title I: a Study in Grant Design,”
in National Tax Journal , June 1971.
Appendices I, II, IV, V, IX in Maryland Tax Study . Annapolis , Maryland , January 1971.
“An Income Transfer Computational Model,” in
Technical Studies , President's Commission on Income Maintenance Programs:
Government Printing Office, 1970.
“Determinants of Local Government
Expenditures,” in Financing the Metropolis , J. P. Crecine (ed.). Sage
Publications, Beverly Hills , California , 1970.
State Aid and Educational Opportunities .
Sage Publications: Beverly Hills , California , 1970.
CONGRESSIONAL
TESTIMONIES
Note: I am unable to locate
titles and dates of any Congressional Testimonies for the years 1993-1994. I
was a Presidential Appointee during the years 1990-1992 and was testifying in
an official capacity during that period.
“Financing Health Care Reform,” Round Table, Committee on Finance, United States Senate, May 12, 2009.
“Reforming Medicare’s Physician Payment System”, Committee on Ways and Means, The United States House of Representatives, September 11, 2008.
“Comparative Clinical Effectiveness: Leveraging Innovation to Improve Health Care Quality for All Americans, Committee on Finance, United States Senate, July 17, 2008.
“Future of Military Health Care,” Subcommittee on Military Personnel, Armed Services Committee, U.S. House of Representatives, March 12,2008.
“Challenges and Solutions to Health Insurance
Coverage for Small Businesses,” Committee on Small Businesses, U.S. House of Representatives, March 14, 2007.
“Medicare’s Sustainable Growth Rate,”
Committee on Ways and Means Subcommittee on Health, U.S. House of
Representatives, March 6, 2007.
“The Challenges of Medicare and Medicaid,” Committee on the Budget, U.S. House of Representatives, February 17, 2005.
“Helping Those Who Need It Most: Low Income
Seniors and the New Medicare Law,” Special Committee on Again, U.S. Senate, July 19, 2004 .
“Implementing the Medicare Prescription Drug
Program,” Committee on Government Affairs, U.S. Senate, April 8, 2004 .
“Health Cost Drivers and the Uninsured,”
Committee on Health, Labor, Education and Pensions, U. S. Senate, January 28,
2004 .
Report of the President's Task Force to
Improve Health Care Delivery For Our Nation's Veterans, Committee on Veterans'
Affairs, U. S. House of Representatives, June 3, 2003 .
Senate Finance Committee, Iowa Hearing, April
14, 2003 .
“Medicare's Long-Term Financial Viability,”
The Joint Economic Committee of the U. S. Senate and U. S. House of
Representatives, April 10, 2003 .
“Department of Health and Human Services
FY2004 Budget Priorities: Medicare and Medicaid,” Committee on the Budget, U. S. House of Representatives, February 26, 2003 .
Testimony before the House Veterans Affairs
Committee, Health Subcommittee, and the House Committee on Armed Services,
Military Personnel Subcommittee on the Presidential Task Force, March 7, 2002.
“Department of Health and Human Services
FY2003 Budget Priorities and Medicare Reform,” Committee on the Budget, U. S. House of Representatives, February 28, 2002 .
“Reforming and Restructuring the Health Care
Financing Administration,” Committee on Energy and Commerce, Subcommittee on
Health, Subcommittee on Oversight and Investigations, U. S. House of Representatives, May 10, 2001 .
“Regulatory Relief, HCFA Restructuring, and
Medicare Reform,” Committee on Ways and Means, Subcommittee on Health, U. S.
House of Representatives, March 15, 2001 .
“Department of Health and Human Services
FY2002 Budget Priorities,” Committee on the Budget, U. S. House of
Representatives, March 7, 2001 .
“Prescription Drugs and Medicare Reform,”
Committee on the Budget, U. S. Senate, February 15, 2001 .
“HCFA Governance and Medicare Reform,”
Committee on Finance , U. S. Senate, May 4, 2000 .
“The Need and Direction for Medicare Reform,”
Special Committee on Aging , U. S. Senate, February 8, 2000 .
“Refinements to the Medicare Provisions in
the Balanced Budget Act ( BBA ) of 1997,” Committee on Ways and Means,
Subcommittee on Health, U. S. House of Representatives, October 1, 1999 .
“Medicare Reform and Prescription Drug
Coverage,” Committee on Commerce , U. S. House of Representatives, September
28, 1999 .
“Medicare: The Need and Direction for
Reform,” Committee on Ways and Means , U. S. House of Representatives,
September 22, 1999 .
“Problems Facing Rural Hospitals and
Medicare's Payment Policies,” Committee on Appropriations, Subcommittee on
Agriculture, Rural Development, and Related Agencies, U. S. Senate, July 14, 1999 .
“The Impact of the Balanced Budget Act of
1997 on Medicare's Fee-for-Service Sector,” Committee on Finance, United States Senate, June 10, 1999
“Medicare: The Need and Direction for
Reform,” Committee on Finance , United States Senate, May 27, 1999 .
“Medicare Payment Policy: March 1999
Recommendations of the Medicare Payment Advisory Commission,” Committee on Finance , United States Senate, March 17, 1999 .
“Medicare Payment Advisory Commission's
Second Annual Report to the Congress on Medicare Payment Policy,” Committee on
Ways and Means, Subcommittee on Health, United States House of Representatives,
March 2, 1999 .
“Risk Adjustment and the Medicare+Choice
Program,” Committee on Commerce, Subcommittee on Health and the Environment,
United States House of Representatives, February 25, 1999 .
“Medicare Payment Advisory Commission's
Policies for Medicare's Home Health Benefit,” Committee on Ways and Means,
Subcommittee on Health, U. S. House of Representatives, August 6, 1998 .
“Year 2000 Problem,” Committee on
Appropriations, Subcommittee on Labor, Health and Human Services and Education,
U. S. House of Representatives, April 21, 1998 .
“Medicare Payment Advisory Commission's First
Report to the Congress,” Committee on Ways and Means, Subcommittee on Health,
U. S. House of Representatives, March 3, 1998 .
“Women's Health and Cancer Rights Act of
1997,” Senate Finance Committee, Subcommittee on Health Care, November 5, 1997
.
“The Roles of the Public and Private Sector
in Promoting Quality,” Advisory Commission on Consumer Protection and Quality
in the Health Care Industry, October 21, 1997 .
“The Physician Payment Review Commission's
Views on Provider-Sponsored Organizations,” Committee on Ways and Means,
Subcommittee on Health, U. S. House of Representatives, April 24, 1997 .
“The Physician Payment Review Commission's
Recommendations and Analyses of the PPRC's 1997 Annual Report to the Congress,”
Committee on Ways and Means, Subcommittee on Health, U. S. House of
Representatives, March 20, 1997 .
“The Physician Payment Review Commission's
Views on Medicare Payment to Teaching Hospitals and Medicare Disproportionate
Share Hospital payments,” Committee on Ways and Means, Subcommittee on Health,
U. S. House of Representatives, March 11, 1997 .
“The Continuing Need for Medicaid Reform,”
Committee on Commerce, Subcommittee on Health and Environment, U. S. House of Representatives, March 11, 1997 .
“Reviving Baby Boomers: Meeting the
Challenges,” Committee on Aging , U. S. Senate, March 6, 1997 .
“Health Care Quality and Consumer
Protection,” Committee on Labor and Human Resources, U.S. Senate, March 6, 1997
.
“View of the Physician Payment Review
Commission of the Administration's Proposed Budget Request for Fiscal Year 1998
for Medicare,” Committee on Finance, U. S. Senate, February 27, 1997 .
“The Physician Payment Review Commission's
Views and Recommendations on Medicare HMO Payments,” Committee on Ways and
Means, Subcommittee on Health, U. S. House of Representatives, February 25,
1997 .
“Financing Medicare: Short and Long Term
Implications,” Committee on Finance, Subcommittee on Health Care , U. S. Senate, February 12, 1997 .
“Budget Implications of Medicare Policy,”
Committee on Budget , U. S. Senate, January 23, 1997 .
“Future Directions in the Medicare Program,”
Committee on Ways and Means, Subcommittee on Health, U. S. House of
Representatives, April 30, 1996 .
Testimony before The Committee on
Appropriations, Subcommittee on Labor, Health and Human Services, and
Education, March 13, 1996 .
“The Governors' Proposal to Restructure
Medicaid,” Committee on Commerce , U. S. House of Representatives, March 6,
1996 .
“Saving Medicare,” Committee on Ways and Means , U. S. House of Representatives, September 22, 1995 .
“Medicare Payment Policies,” Committee on Finance , U. S. Senate, July 19, 1995 .
“Medicare Program Future,” Committee on
Commerce, Subcommittee on Health and Environment, U. S. House of
Representatives, July 12, 1995 .
“Growth and Change in Medicaid,” Finance Committee , U. S. Senate, June 29, 1995 .
“The Administrative Structure of the Medicaid
Program,” Committee on Commerce, Subcommittee on Health and Environment, U. S. House of Representatives, June 22, 1995 .
“Recent Growth in the Medicaid Program,”
Committee on Commerce, Subcommittee on Health and Environment, U. S. House of Representatives, June 21, 1995 .
“Explore Increasing and Improving Options for
Medicare Beneficiaries,” Committee on Ways and Means, Subcommittee on Health,
U. S. House of Representatives, May 24, 1995 .
“Medicare, Medicaid and the Federal Budget,”
Committee on Commerce, Subcommittee on Health and Environment, U. S. House of Representatives, March 28, 1995 .
“Potential Savings and Reforming Medicare,”
Committee on Government Reform and Oversight, Subcommittee on Human Resources
and Intergovernmental Relations, U. S. House of Representatives, March 22, 1995
.
“Medicare: Strengths, Weaknesses, and
Reforms,” Finance Committee , U. S. Senate, February 28, 1995 .
“The Economic Downturn and Its Impact on
Seniors,” Special Committee on Aging , U.S. Senate, March 14, 1992 .
“The President's Comprehensive Health Reform
Program,” Committee on Ways and Means, U. S. House of Representatives, March 5,
1992 .
“Broad Based Provider Taxes and
Disproportionate Share Hospital Limits in the Medicaid Program,” Committee on
Energy and Commerce, Subcommittee on Health and the Environment, U. S. House of Representatives, November 25, 1991 .
“Durable Medical Equipment Fraud and Abuse,”
Committee on the Budget, U. S. Senate, November 21, 1991 .
“Medicaid Donations and Taxes,” Committee on Finance , U. S. Senate, November 19, 1991 .
“Medicaid Provider Donations and Taxes,”
Committee on Energy and Commerce, Subcommittee on Health and the Environment, U. S. House of Representatives, November 15, 1991 .
“Health Maintenance Organization Oversight,”
Committee on Energy and Commerce, Subcommittee on Health and the Environment,
U. S. House of Representatives, November 15, 1991 .
“Medicaid Donations and Taxes,” Committee on
Energy and Commerce, Subcommittee on Health and the Environment, U. S. House of Representatives, October 16, 1991 .
“Health Care System Reforms,” Committee on
Energy and Commerce, Subcommittee on Health and the Environment, U. S. House of
Representatives, July 29, 1991 .
“Medicaid, Medicare Issues,” Committee on
Finance, Subcommittee on Health for Families and the Uninsured, U. S. Senate, July 26, 1991 .
“Durable Medical Equipment,” Committee on the
Budget, U. S. Senate, July 25, 1991 .
“Low-Income
Medicare Beneficiaries (QMBs),” Committee on Aging , U. S. Senate, July 24,
1991 .
“Physician
Payment Reform,” Committee on Finance, Subcommittee on Medicare and Long-Term Care , U. S. Senate, July 19, 1991 .
“Medicaid Oversight,” Committee on Energy and
Commerce, Subcommittee on Health and the Environment, U. S. House of Representatives, July 18, 1991 .
“Physician Payment Reform,” Committee on
Energy and Commerce, Subcommittee on Health and the Environment, U. S. House of Representatives, July 11, 1991 .
“Hospital Capital Payments,” Committee on
Finance, Subcommittee on Medicare and Long-Term Care , U. S. Senate, July 11, 1991 .
“Physician Fee Schedule,” Committee on Ways
and Means, Subcommittee on Health, U. S. House of Representatives, June 25,
1991 .
“Medicaid Oversight,” Committee on Energy and
Commerce, Subcommittee on Oversight and Investigations, U. S. House of Representatives, June 20, 1991 .
“Physician Fee Schedule,” Committee on Ways and Means , U. S. House of Representatives, June 13, 1991 .
“Hospital Capital Payments,” Committee on
Ways and Means, Subcommittee on Health, U. S. House of Representatives, May 30,
1991 .
“Physician Volume and Update,” Committee on
Ways and Means, Subcommittee on Health, U. S. House of Representatives, May 21,
1991 .
“Clinical Laboratory Improvement Amendments,”
Committee on Energy and Commerce, Subcommittee on Oversight and Investigations,
U. S. House of Representatives, May 2, 1991 .
“Medical Effectiveness,” Committee on Ways
and Means, Subcommittee on Health, U. S. House of Representatives, April 30,
1991 .
“FY 1992 Health Care Financing Administration
Appropriations,” Committee on Appropriations, Subcommittee on Labor, Health and
Human Services and Education, U. S. House of Representatives, April 23, 1991 .
“Extending Medicare Coverage to
Near-Elderly,” Committee on Ways and Means, Subcommittee on Health , U. S. House of Representatives, March 19, 1991 .
“GAO Report on PRO Review of HMOs,” Committee
on Aging , U. S. Senate, March 13, 1991 .
“FY 1992 Health Care Financing Administration
Appropriations,” Committee on Appropriations, U. S. Senate, March 7, 1991 .
“Skilled Nursing Facilities/Home Health
Agencies Catastrophic Benefits,” Committee on Ways and Means, Subcommittee on
Health, U. S. House of Representatives, March 4, 1991 .
“Hospitals/ProPAC Report,” Committee on Ways
and Means, Subcommittee on Health, U. S. House of Representatives, February 27,
1991 .
“Quality/Institute of Medicine Study,”
Committee on Finance, Subcommittee on Medicare and Long-Term Care , U. S. Senate, February 22, 1991 .
“The Ability of States to Fund Medicaid,”
Committee on Government Operations, Subcommittee on Human Resources and
Intergovernmental Relations, U. S. House of Representatives, December 7, 1990 .
“Medicaid Drug Reimbursement Program,”
Committee on Finance, Subcommittee on Health for Families and the Uninsured, U. S. Senate, September 17, 1990 .
“Medigap Insurance,” Committee on Finance,
Subcommittee on Medicare and Long-Term Care , U. S. Senate, September 14, 1990
.
“Medicaid Budget Initiatives,” Committee on
Energy and Commerce, Subcommittee on Health and the Environment, U. S. House of Representatives, September 10, 1990 .
“Medicaid Proposals,” Committee on Energy and
Commerce, Subcommittee on Health and the Environment, U. S. House of Representatives, September 10, 1990 .
“Peer Review Organizations,” Committee on
Finance, Subcommittee on Medicare and Long-Term Care , U. S. Senate, September 10, 1990 .
“Medicare and Medicaid Review,” Committee on Aging , U. S. House of Representatives, July 30, 1990 .
“Living Wills (S. 1766),” Committee on
Finance, Subcommittee on Medicare and Long-Term Care , U. S. Senate, July 20, 1990 .
“Medical Care Costs (Medicare Secondary
Payer),” Committee on Governmental Affairs, Permanent Subcommittee on
Investigations, U. S. Senate, July 12, 1990 .
“Hospital Accreditation,” Committee on Ways
and Means, Subcommittee on Health, U. S. House of Representatives, June 21,
1990 .
“Medicare Volume Performance Standards,”
Committee on Finance, Subcommittee on Medicare and Long-Term Care , U. S. Senate, May 18, 1990 .
“Medicare Prospective Payments to Skilled
Nursing Facilities, Home Health Agencies, Outpatient Departments, and
Prospective Payment System-Exempt Hospitals,” Committee on Ways and Means,
Subcommittee on Health, U. S. House of Representatives, May 10, 1990 .
“Medicare HMO Issues,” Committee on Ways and
Means, Subcommittee on Health, U. S. House of Representatives, May 8, 1990 .
“Health Maintenance Organizations and
Medicare,” Committee on Ways and Means, Subcommittee on Health, U. S. House of
Representatives, May 7, 1990 .
“Health Care : Access and Cost Containment,”
Committee on Finance, Subcommittee on Health for Families and the Uninsured, U. S. Senate, April 18, 1990 .
“Medicare Physician Payments,” Committee on
Ways and Means, Subcommittee on Health, U. S. House of Representatives, March
29, 1990 .
“Health Care Financing Administration FY 1993
Budget,” Committee on Appropriations, Subcommittee on Labor, Health and Human
Services and Education, U. S. House of Representatives, March 22, 1990 .
“Implementation of Clinical Laboratory Improvement
Amendment of 1988,” Committee on Labor and Human Resources and Subcommittee of
Oversight of Government Management, Committee on Governmental Affairs, U. S. Senate, March 9, 1990 .
“Prospective Payment System,” Committee on
Ways and Means, Subcommittee on Health, U. S. House of Representatives,
February 28, 1990 .
“Health Care Financing Administration FY 1991
Budget,” Committee on Appropriations, Subcommittee on Labor, Health and Human
Services and Education,” U. S. Senate, February 7, 1990 .
“Nomination of Health Care Financing
Administration Administrator,” Committee on Finance , U. S. Senate, January 25, 1990 .
“Hearings on Health Insurance Coverage,”
Committee on Small Business, U. S. House of Representatives, June 16, 1987 .
“The Minimum Health Benefits for All Working
Act of 1987,” Committee on Labor and Human Resources, U. S. Senate, May 15, 1987 .
“Medicare Catastrophic Coverage,” Committee
on Ways and Means, Subcommittee on Health, U. S. House of Representatives,
March 4, 1987 .
“Hearing on Long-Term Care,” Committee on
Finance, Subcommittee on Health , U. S. Senate, February 24, 1987 .
“Access to Health Care Act of 1986,”
Committee on Governmental Affairs, Subcommittee on Intergovernmental Relations,
U. S. Senate, June 26, 1986 .
“Health Care Improved Access Act of 1986,”
Committee on Ways and Means, Subcommittee on Health, U. S. House of
Representatives, June 9, 1986 .
“Distribution and Economics of Employer
Provided Fringe Benefits,” Committee on Ways and Means, Subcommittees on Social
Security and Select Revenue Measures, U. S. House of Representatives, September
18, 1984 .
“Medicare and the Elderly Poor,” Committee on
Finance , U. S. Senate, May 16, 1983 .
“Demographic Considerations for Policy
Makers,” a briefing for the Democratic Caucus, U. S. House of Representatives,
April 27, 1983 .
“The Future of Medicare,” Senate Special
Committee on Aging, April 13, 1983 .
“Proposed Budget Cuts Affecting the Medicare Program,”
Committee on Ways and Means, Subcommittee on Health, June 15, 1982 .
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