[Federal Register Volume 64, Number 129 (Wednesday, July 7, 1999)]
[Notices]
[Pages 36695-36696]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-17161]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration
[HCFA-1082-N]


Medicare Program; July 22, 1999, Meeting of the Competitive 
Pricing Advisory Committee and the Area Advisory Committee for the 
Kansas City Metropolitan Area

AGENCY: Health Care Financing Administration (HCFA), HHS.

ACTION: Notice of meeting.

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SUMMARY: In accordance with section 10(a) of the Federal Advisory 
Committee Act, this notice announces a meeting of the Competitive 
Pricing Advisory Committee (the CPAC) and the Area Advisory Committee 
(AAC) for the Kansas City metropolitan area on July 22, 1999. The CPAC 
and the Kansas City metropolitan area AAC will meet both independently 
and in a joint session.
    The Balanced Budget Act of 1997 (BBA) requires the Secretary of the 
Department of Health and Human Services (the Secretary) to establish a 
demonstration project under which payments to Medicare+Choice 
organizations in designated areas are determined in accordance with a 
competitive pricing methodology. The BBA requires the Secretary to 
create the CPAC to make recommendations on demonstration area 
designation and appropriate research designs for the project. The BBA 
also requires the Secretary to appoint AACs in the demonstration sites 
to advise on the implementation of the project. CPAC and AAC meetings 
are open to the public.

DATES: The CPAC is scheduled to meet on July 22, 1999, from 10 a.m. 
until 4 p.m., c.d.s.t. The Kansas City metropolitan area AAC is 
scheduled to meet on July 22, 1999, from 8:30 a.m. until 5:30 p.m. Both 
committees will meet together in a joint session from 12 noon until 4 
p.m.

ADDRESSES: The meeting will be held at the Kansas City Airport 
Marriott, 775 Brasilia, Kansas City, MO, 64153, (816) 464-2200.

FOR FURTHER INFORMATION CONTACT: Sharon Arnold, Ph.D., Executive 
Director, Competitive Pricing Advisory Committee, Health Care Financing 
Administration, 7500 Security Boulevard C4-14-17, Baltimore, MD 21244-
1850, (410) 786-6451 (for information about the CPAC). Richard P. 
Brummel, Deputy Regional Administrator, Health Care Financing 
Administration, Richard Bolling Federal Building, Room 235, 601 East 
12th Street, Kansas City, MO 64106, (816) 426-5233 (for information 
about the Kansas City metropolitan area AAC).

SUPPLEMENTARY INFORMATION: Section 4011 of the Balanced Budget Act of 
1997 (BBA) (Pub. L. 105-33), requires the Secretary of the Department 
of Health and Human Services (the Secretary) to establish a 
demonstration project under which payments to Medicare+Choice 
organizations in designated areas are determined in accordance with a 
competitive pricing methodology. Section 4012(a) of the BBA requires 
the Secretary to appoint a Competitive Pricing Advisory Committee (the 
CPAC) to meet periodically and make recommendations to the Secretary 
concerning the designation of areas for inclusion in the project and 
appropriate research designs for implementing the project. The CPAC has 
previously met on May 7, 1998, June 24 and 25, 1998, September 23 and 
24, 1998, October 28, 1998, January 6, 1999, and May 13, 1999.
    The CPAC consists of 15 individuals who are independent actuaries, 
experts in competitive pricing and the administration of the Federal 
Employees Health Benefit Program, representatives of health plans, 
insurers, employers, unions, and beneficiaries. The CPAC members are: 
James Cubbin, Executive Director, General Motors Health Care 
Initiative; Robert Berenson, M.D., Director, Center for Health Plans 
and Providers, Health Care Financing Administration; John Bertko, 
Actuary Principal, Reden & Anders, Ltd.; Dave Durenberger, Vice 
President, Public Policy Partners; Gary Goldstein, M.D., former CEO, 
The Oschner Clinic; Samuel Havens, Healthcare Consultant and Chairman 
of Health Scope/United; Margaret Jordan, President and CEO, The 
Margaret Jordan Group; Chip Kahn, President, The Health Insurance 
Association of America; Cleve Killingsworth, President, Health Alliance 
Plan; Nancy Kichak, Director, Office of Actuaries, Office of Personnel 
Management; Len Nichols, Principal Research Associate, The Urban 
Institute; Robert Reischauer, Senior Fellow, The Brookings Institution; 
John Rother, Director, Legislation and Public Policy, American 
Association of Retired Persons; Andrew Stern, President, Service 
Employees International Union, AFL-CIO; and Jay Wolfson, Director, 
Florida Health Information Center, University of South Florida. The 
chairperson of the CPAC is James Cubbin and the co-chairperson is 
Robert Berenson, M.D. In accordance with section 4012(a)(5) of the BBA, 
the CPAC will terminate on December 31, 2004.
    Section 4012(b) of the BBA requires the Secretary to appoint an 
Area Advisory Committee (AAC) in each demonstration site to advise the 
Secretary on the implementation of the project. The CPAC has designated 
the Kansas City metropolitan area and Maricopa County in Arizona as the 
initial demonstration sites. The Kansas City metropolitan area AAC has 
previously met on March 26, 1999, April 8, 1999, April 22, 1999, and 
May 12, 1999. The Maricopa County AAC has previously met on March 31, 
1999, April 20, 1999, May 18 and 19, 1999, and June 7 and 8, 1999. 
Additional meetings for the Maricopa County AAC are scheduled for June 
30 and July 1, 1999.
    The Kansas City metropolitan area AAC consists of 17 members who 
represent health plans, providers, and Medicare beneficiaries. The 
members of the Kansas City metropolitan area AAC are: E.J. Holland, 
Jr., Assistant Vice President for Corporate Benefits, Sprint; Robert 
Bonney, Vice President, Managed Care, St. Luke's Shawnee Mission PHO; 
Hazel Borders, beneficiary; Richard Brown, President and CEO, Health 
Midwest; Cynthia Finter, President and Executive Director, Kaiser 
Permanente, Kansas City Region; Tresia Franklin, Director of Benefits 
Administration, Hallmark Cards, Inc.; Alan Freeman, CEO, Cass Medical 
Center; Herman Johnson, beneficiary, John Kennedy, Senior Vice 
President of Blue Cross and Blue Shield of Kansas City; Mike Oxford, 
Executive Director, Topeka Independent Living Resource Center; Jean 
Rumbaugh, Vice President, Government Programs, HealthNet; Kathleen 
Sebelius, Kansas Insurance Commissioner; Zarina Shockley-Sparling, 
Executive Director, Humana, Inc.; Jan Stallmeyer, R.N., President, 
Principal Health Care of Kansas City, Inc.; Charles Van Way III,

[[Page 36696]]

M.D., Metropolitan Medical Society; Barry Wilkinson, President 
(retired), Heavy Construction Workers Labor Local 663; and Esther Wolf, 
Associate, School of Social Welfare, University of Missouri at Kansas 
City. The chairperson of the Kansas City metropolitan area AAC is E.J. 
Holland, Jr.
    The agendas for the July 22, 1999, meetings will include the 
following:
     The CPAC will meet to review the status and any pending 
issues from the Maricopa County AAC and Kansas City metropolitan area 
AAC, as well as review preliminary information on future demonstration 
site selection.
     The Kansas City metropolitan area AAC will discuss and 
develop a communication and outreach plan for Kansas City beneficiaries 
and providers, discuss and decide how to measure potential disruption 
in the Kansas City market due to competitive pricing, and discuss and 
decide a schedule for implementation of the demonstration.
     In a joint session from 12 noon to 4 p.m., the CPAC and 
the Kansas City metropolitan area AAC will meet to discuss and decide 
how to measure possible beneficiary disruption in the Kansas City 
market due to competitive pricing.
    Individuals or organizations that wish to make 5-minute oral 
presentations on the CPAC agenda issues should contact Sharon Arnold, 
CPAC Executive Director, by 12 noon, July 15, 1999, to be scheduled. A 
written copy of the oral remarks should be submitted to the executive 
director no later than 12 noon, July 15, 1999. Anyone who is not 
scheduled to speak may submit written comments to the executive 
director by 12 noon, July 17, 1999.
    Individuals or organizations that wish to make 5-minute oral 
presentations on the Kansas City metropolitan area AAC agenda issues 
should contact Richard Brummel, Kansas City Deputy Regional 
Administrator, by 12 noon, July 15, 1999, to be scheduled. A written 
copy of the oral remarks should be submitted to the Kansas City Deputy 
Regional Administrator no later than 12 noon, July 15, 1999. Anyone who 
is not scheduled to speak may submit written comments to the Kansas 
City Deputy Regional Administrator by 12 noon, July 17, 1999.
    The number of oral presentations may be limited by the time 
available. This meeting is open to the public, but attendance is 
limited to the space available.

(Sec. 4012 of the Balanced Budget Act of 1997, Pub. L. 105-33 (42 
U.S.C.1395w-23 note) and section 10(a) of Public Law 92-463 (5 
U.S.C. App.2, section 10(a))

(Catalog of Federal Domestic Assistance Program No. 93.773, 
Medicare--Hospital Insurance; and Program No. 93.774, Medicare--
Supplementary Medical Insurance Program)

    Dated: June 30, 1999.
Nancy-Ann Min DeParle,
Administrator, Health Care Financing Administration.
[FR Doc. 99-17161 Filed 7-6-99; 8:45 am]
BILLING CODE 4120-01-P