MEETING AUDIO FILES |
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Audio Files - January 13 |
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Essential Health Benefits Workshop - Jan 13th Morning Session |
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Essential Health Benefits Workshop - Jan 13th Afternoon Session |
| Audio Files - January 14 |
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Essential Health Benefits Workshop - Jan 14 Session |
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AGENDA |
DAY 1: Wednesday, January 12, 2011 Room 202 |
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| CLOSED SESSION (Committee Members and IOM Staff) |
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| 8:00 a.m. - 6:00 p.m. |
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DAY 2: Thursday, January 13, 2011 Room 100 |
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CLOSED SESSION (Committee Members and IOM Staff) 7:45 a.m.-8:15 a.m. |
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| END CLOSED SESSION-START OPEN SESSION |
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| 8:20 a.m. |
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Welcome and Introductory Remarks
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John Ball, Chair and Moderator
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| SESSION 1 |
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POLICY CONTEXTS FOR THE STUDY
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| 8:30 a.m. |
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Remarks from Study Sponsor
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Sherry Glied, Ph.D., Assistant Secretary for Planning and Evaluation |
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U.S. Department of Health and Human Services |
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9:00 a.m.
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Understanding Legislative Intent of Section 1302
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Mark Hayes, J.D., Pharm.D., Greenberg Traurig; former Health Policy Director and
Chief Health Counsel, Senate Committee for Senator Grassley |
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David Bowen, Ph.D., Deputy Director for Global Health Policy and Advocacy
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at the Gates Foundation; former Director of Health Policy; Senate HELP Committee |
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David Schwartz, J.D., Health Counsel, Senate Finance Committee Democratic Staff |
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Katy Spangler, Senior Health Policy Advisor, Senate HELP Committee |
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9:40 am
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Department of Labor Survey Employer-Sponsored Coverage
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Joseph Piacentini, Ph.D., Office of Policy and Research, Employee Benefits Security Administration |
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William Wiatrowski, M.B.A., Associate Commissioner for Compensation and Working Conditions, Bureau of Labor Statistics |
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10:05 am
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Minimum Benefits: Economic Principles and Political Lessons from Massachusetts
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Jonathan Gruber, Ph.D., Professor of Economics, MIT, and Director of Health Care Program, NBER [Via Videoconferencing] |
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10:50 am
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Break
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SESSION 2
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RECOMMENDATIONS ON CRITERIA AND METHODS FOR DEFINING AND UPDATING INDIVIDUAL MANDATES AND PACKAGES
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11:00 am
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Purchaser Perspectives
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U.S. Chamber of Commerce: Jerry Malooley, MSIS, Director of Health Policy and Benefit Program Design for the State of Indiana |
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USI Insurance Services: Michael Turpin, Executive Vice President and National Practice Leader |
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National Business Group on Health: Helen Darling, M.A.,President and CEO |
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11:45 am
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State Perspectives
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Massachussetts: Jon Kingsdale, Ph.D., Managing Director, Wakely Consulting Group [VIA PHONE] |
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Maryland: Beth Sammis, Ph.D., Acting Insurance Commissioner, Maryland Insurance Administration |
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Rex Cowdry, M.D., M.P.H., Director for Maryland Health Care Commission |
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Utah: Representative James Dunnigan, Utah State House of Representatives and Insurance Broker, Dunnigan Insurance [VIA Videoconference] |
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National Governor's Association: Matthew Salo, Director, Health & Human Services Committee |
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END OPEN SESSION-START CLOSED SESSION
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1:00 pm
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Working Lunch
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END CLOSED SESSION- START OPEN SESSION
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SESSION 3
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MEDICAL APPROPRIATENESS AND NECESSITY
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1:30 pm
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Alan Garber, M.D., Ph.D., Staff Physician, VA Palo Alto Health Care Systems, and Director of the Center for Health Policy and Director for Primary Care and Outcomes Research, Stanford University [VIA videoconference]
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Consumers United for Evidence-Based Medicine (CUE): Barbara Warren, Psy.D., CASAC, CPP, Hunter College, and CUE Steering Committee |
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SESSION 4
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HOW INSURERS MAKE DETERMINATIONS OF BENEFIT DESIGN, NECESSITY, AND COVERAGE
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2:20 pm
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Lessons from Medicare on Coverage and Updating
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Louis Jacques, M.D., Director of Coverage and Analysis Group, CMS |
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2:40 pm
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Break
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3:00 pm
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Designing Benefits and Making Coverage Determinations
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Cigna: Jeffrey Kang, M.D., M.P.H., Chief Medical Officer
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Aetna: Robert McDonough, M.D., J.D., Director, Clinical Policy Research and Development |
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Blue Cross and Blue Shield Association: Virginia Calega, M.D., M.B.A., Vice President, Medical Management and Policy, Highmark |
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AHIP: Carmella Bocchino, M.B.A., Executive Vice President, Clinical Affairs and Strategic Planning |
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SESSION 5
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EXAMINING TWO CATEGORIES OF CARE IN SECTION 1302
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3:50 pm
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Category of Care (E) Mental health and substance use disorder services, including behavioral health treatment |
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Kenneth Wells, M.D., M.P.H., Senior Scientist, RAND, Professor of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, UCLA |
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Kavita Patel, M.D., UCLA |
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Paul Samuels, J.D., Director/President, Legal Action Center |
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4:20 pm
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Category of Care: (G) Rehabilitative and habilitative services and devices
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Consortium for Citizens for Disabilities: Peter Thomas, J.D., Co-Chair Health Taskforce |
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The Arc and United Cerebral Palsy Disability Policy Collaboration: Marty Ford, J.D., Director of Legal Advocacy |
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American Congress of Rehabilitation Medicine: Gary Ulicny, Ph.D., President and CEO, Shepherd Center |
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SESSION 6
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ADDITIONAL LEGISLATIVE GUIDANCE
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4:55 pm
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Sara Rosenbaum, J.D., Hirsh Professor and Chair, Department of Health Policy and Health Services, School of Public Health, The George Washington University |
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5:25 pm
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Public Session Closing Remarks
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John Ball, Chair
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5:35 pm
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Adjourn
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END OPEN SESSION-START CLOSED SESSION
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DAY 3: Friday, January 14, 2011 Room 100 |
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| 7:45 a.m.- 12:30 p.m. |
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CLOSED SESSION (Committee Members and IOM Staff) |
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SESSION 7
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INVITED PRESENTATIONS FROM ADDITIONAL STAKEHOLDERS
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12:30 pm
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Welcome and Introductory Remarks
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John Ball, Chair and Moderator
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12:35 pm
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Group 1
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American Academy of Hospice and Pallitative Medicine: Sean Morrison, M.D., FAAHPM, Director, National Pallitative Care Research Center |
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National Health Law Program (NHELP): Jina Dillion, J.D., Staff Attorney |
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Autism Speaks: Stuart Spielman, J.D., Senior Policy Advisor and Counsel |
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Children's Dental Health Project: Meg Booth, M.P.H., Deputy Director |
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American Academy of Pediatrics: Andrew Racine, M.D., Ph.D., FAAP, Director, Division of General |
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Pediatrics, Children's Hospital at Montefiore |
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Q & As
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1:05 pm
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Group 2
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American Congress of Obstetrics and Gynecology: Arnold W. Cohen, M.D., Chairman, Department of Obstetrics and Gynecology, Albert Einstein Medical Center |
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American Medical Association: Gerald E. Harmon, M.D., Major General USAF, Retired and Member, Council on Medical Service |
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American Society of Plastic Surgeons: Robert X. Murphy, Jr., M.D., M.S., Assistant CME, Lehigh Valley Health Network-M |
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American Hospital Association: Linda E. Fishman, M.B.A, Senior Vice President, Public Policy Analysis |
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and Development |
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American Chiropractic Association: John Fardaleau, M.A., Vice President, Government Relations |
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Q & As
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1:40 pm
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National Coalition for Cancer Survivorship: Thomas Sellers, M.P.A., President and CEO |
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National Kidney Foundation: Troy Zimmerman, Vice President, Government Relations |
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Obesity Action Coalition: Bruce Wolfe, M.D., ASBMS |
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Pharmaceutical Research and Manufacturers of America (PhRMA): Richard I. Smith, J.D., M.A., Senior Vice President, Policy and Research |
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American Pharmacists Association: Brian Gallagher, Pharm.D., J.D., Senior Vice President, Government Affairs |
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Q&As |
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| 2:10pm |
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Adjourn |
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