[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,
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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