National Academies Press: OpenBook

Employment and Health Benefits: A Connection at Risk (1993)

Chapter:C PARTICIPANTS IN MEETINGS HELD IN CONJUNCTION WITH PROJECT

« Previous: B REGULATION OF EMPLOYMENT-BASED HEALTH BENEFITS: THE INTERSECTION OF STATE AND FEDERAL LAW
Suggested Citation:"C PARTICIPANTS IN MEETINGS HELD IN CONJUNCTION WITH PROJECT." Institute of Medicine. 1993. Employment and Health Benefits: A Connection at Risk. Washington, DC: The National Academies Press. doi: 10.17226/2044.
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C
Participants in Meetings Held in Conjunction with Project

PUBLIC MEETING

February 19, 1992

Washington, D.C.

Committee Members and Staff Present

Harold T. Shapiro, Ph.D.

Princeton University, Chair

David Edwards

Eastman Kodak Company

Allen Feezor

North Carolina Department of Insurance

Marilyn J. Field, Ph.D.

Study Director

Jo Harris-Wehling

Staff Officer

George F. Sheldon, M.D.

University of North Carolina

K. Peter Schmidt, J.D.

Arnold and Porter

Donna D. Thompson

Senior Project Assistant

Joan B. Trauner, Ph.D.

Coopers & Lybrand

Oral Testimony

Roger Bulger, M.D.

Association of Academic Health Centers

Paul P. Cooper III, C.L.U.

Business Roundtable

Mary Jane England, M.D.

Washington Business Group on Health

Daniel H. Johnson, Jr., M.D.

American Medical Association

Richard M. Niemiec

Blue Cross and Blue Shield Association

Suggested Citation:"C PARTICIPANTS IN MEETINGS HELD IN CONJUNCTION WITH PROJECT." Institute of Medicine. 1993. Employment and Health Benefits: A Connection at Risk. Washington, DC: The National Academies Press. doi: 10.17226/2044.
×

Charles M. O'Brien, Jr.

American Hospital Association

John Ott, M.D.

Group Health Association of America

Michael O. Roush

National Federation of Independent Business

Elliot K. Wicks, Ph.D.

Health Insurance Association of America

Joy Johnson Wilson

National Conference of State Legislatures

Written Testimony

American Federation of Labor and Congress of Industrial Organizations (AFL-CIO)

American Federation of State, County and Municipal Employees (AFSCME)

Association of Private Pension and Welfare Plans

Children's Defense Fund

Consumers Union

WORKSHOP ON BIASED RISK SELECTION

February 20, 1992

Washington, D.C.

PARTICIPANTS LIST

Invited Panel

Gerard Anderson, Ph.D.

Director, Johns Hopkins Center for Hospital Finance and Management

George Berry, F.S.A.

Milliman & Robertson, Inc.

John M. Bertko, F.S.A.

Principal, Coopers & Lybrand

Bruce D. Bowen, Ph.D.

Director, Medical Economics and Statistics Kaiser Family Health Plan

James Charling, F.S.A.

Second Vice President Principal Financial Group

Alice Rosenblatt, F.S.A.

Senior Vice President and Chief Actuary Blue Cross/Blue Shield of Massachusetts

Gordon R. Trapnell, F.S.A.

President, Actuarial Research Corporation

IOM Committee and Staff

David Edwards

Director of Corporate Employee Benefits Eastman Kodak

Suggested Citation:"C PARTICIPANTS IN MEETINGS HELD IN CONJUNCTION WITH PROJECT." Institute of Medicine. 1993. Employment and Health Benefits: A Connection at Risk. Washington, DC: The National Academies Press. doi: 10.17226/2044.
×

Allen Feezor

Chief Deputy Commissioner of Insurance North Carolina Department of Insurance

Marilyn J. Field, Ph.D.

Study Director, Institute of Medicine

Jo Harris-Wehling

Staff Officer, Institute of Medicine

Stanley Jones

Independent Consultant

K. Peter Schmidt, J.D.

Partner, Arnold and Porter

Harold T. Shapiro, Ph.D.

President, Princeton University

George F. Sheldon, M.D.

Chair, Department of Surgery University of North Carolina

Donna D. Thompson

Senior Project Assistant Institute of Medicine

Joan B. Trauner, Ph.D.

Principal, Coopers and Lybrand

Karl D. Yordy

Director, Division of Health Care Services Institute of Medicine

Observers

David A. Bryant

Assistant Director of Government Information American Academy of Actuaries

Michael M. Hagan

Economist Agency for Health Care Policy and Research

Gary D. Hendricks

Director of Government Information American Academy of Actuaries

SYMPOSIUM PROGRAM

Academy Industry Program of the National Research Council and Committee on Employment-Based Health Benefits of the Institute of Medicine

American Employers and Health Care: Roles, Responsibilities, and Risks

May 19-20, 1992

Washington, D.C.
Suggested Citation:"C PARTICIPANTS IN MEETINGS HELD IN CONJUNCTION WITH PROJECT." Institute of Medicine. 1993. Employment and Health Benefits: A Connection at Risk. Washington, DC: The National Academies Press. doi: 10.17226/2044.
×

Tuesday, May 19, 1992

1:00 p.m. 

Welcome & Introductions 

Frank Press, President, National Academy of Sciences 

Karl Yordy, Director, Division of Health Care Services, Institute of Medicine 

Dallas L. Salisbury, President, Employee Benefit Research Institute, Symposium Chair

1:15

KEYNOTE ADDRESS: AMERICAN EMPLOYERS AND HEALTH CARE 

Dallas L. Salisbury, Employee Benefit Research Institute

1:45

THE QUESTION OF VALUE AND EMPLOYMENT-BASED HEALTH BENEFITS

Moderator: Alan R. Nelson, M.D., American Society of Internal Medicine

A Clinician-Researcher's Perspective

Albert G. Mulley, Jr., M.D., Massachusetts General Hospital

An Employer's Perspective

Charles R. Buck, Jr., Sc.D., General Electric Company

3:30

RISKY BUSINESS: SHARING AND SHUNNING THE BURDEN OF COSTLY ILLNESS

Moderator: Stanley B. Jones, Independent Consultant

A Consulting Actuary's Overview

George Berry, F.S.A., Milliman and Robertson

An Employer's Experience

Robert F. Seeman, American Airlines

5:20

HEALTH CARE COSTS AND BUSINESS COMPETITIVENESS

Moderator: W.H. Krome George (retired), Aluminum Company of America

Evidence and Its Limits

David J. Brailar, M.D., The Wharton School

Controversy and Context

Howard Rosen, Competitive Policy Council

Suggested Citation:"C PARTICIPANTS IN MEETINGS HELD IN CONJUNCTION WITH PROJECT." Institute of Medicine. 1993. Employment and Health Benefits: A Connection at Risk. Washington, DC: The National Academies Press. doi: 10.17226/2044.
×

Wednesday, May 20, 1992

9:00 a.m.

BEYOND THE BENEFITS PACKAGE: BUILDING A HEALTHY WORKFORCE

Moderator: Marilyn J. Field, Ph.D., Institute of Medicine

Implementing and Evaluating a Worksite Strategy

Barbara L. Decker, Southern California Edison Company

Legal and Ethical Cautions

Mark A. Rothstein, Health, Law and Policy Institute, University of Houston

10:30

LINKING EFFORTS OF PUBLIC AND PRIVATE SECTORS

Moderator: Harry P. Cain II, Ph.D., Blue Cross and Blue Shield Association

Initiatives at the State and Community Levels

W. David Helms, Ph.D., The Alpha Center

Lessons and Observations from One State

Ree Sailors, Florida Health Access

1:30 p.m.

HEALTH CARE REFORM AND THE ROLE OF THE EMPLOYER

Moderator: Judith Feder, Ph.D., Center for Health Policy Studies, Georgetown University

Focusing on the Individual and Market Forces

Robert E. Moffit, Ph.D., Heritage Foundation

Building on the Employment-based System

Walter B. Maher, Chrysler Corporation

Moving to National Health Insurance

Theodore R. Marmor, Ph.D., Yale University

Confronting the Perception Gaps

John Immerwahr, Ph.D., The Public Agenda Foundation

3:30

PATIENTS, PHYSICIANS, AND EMPLOYERS: CHANGE AND CHALLENGE

Jerome H. Grossman, M.D., New England Medical Center

Suggested Citation:"C PARTICIPANTS IN MEETINGS HELD IN CONJUNCTION WITH PROJECT." Institute of Medicine. 1993. Employment and Health Benefits: A Connection at Risk. Washington, DC: The National Academies Press. doi: 10.17226/2044.
×
Page323
Suggested Citation:"C PARTICIPANTS IN MEETINGS HELD IN CONJUNCTION WITH PROJECT." Institute of Medicine. 1993. Employment and Health Benefits: A Connection at Risk. Washington, DC: The National Academies Press. doi: 10.17226/2044.
×
Page324
Suggested Citation:"C PARTICIPANTS IN MEETINGS HELD IN CONJUNCTION WITH PROJECT." Institute of Medicine. 1993. Employment and Health Benefits: A Connection at Risk. Washington, DC: The National Academies Press. doi: 10.17226/2044.
×
Page325
Suggested Citation:"C PARTICIPANTS IN MEETINGS HELD IN CONJUNCTION WITH PROJECT." Institute of Medicine. 1993. Employment and Health Benefits: A Connection at Risk. Washington, DC: The National Academies Press. doi: 10.17226/2044.
×
Page326
Suggested Citation:"C PARTICIPANTS IN MEETINGS HELD IN CONJUNCTION WITH PROJECT." Institute of Medicine. 1993. Employment and Health Benefits: A Connection at Risk. Washington, DC: The National Academies Press. doi: 10.17226/2044.
×
Page327
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Employment and Health Benefits: A Connection at Risk Get This Book
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The United States is unique among economically advanced nations in its reliance on employers to provide health benefits voluntarily for workers and their families. Although it is well known that this system fails to reach millions of these individuals as well as others who have no connection to the work place, the system has other weaknesses. It also has many advantages.

Because most proposals for health care reform assume some continued role for employers, this book makes an important contribution by describing the strength and limitations of the current system of employment-based health benefits. It provides the data and analysis needed to understand the historical, social, and economic dynamics that have shaped present-day arrangements and outlines what might be done to overcome some of the access, value, and equity problems associated with current employer, insurer, and government policies and practices.

Health insurance terminology is often perplexing, and this volume defines essential concepts clearly and carefully. Using an array of primary sources, it provides a store of information on who is covered for what services at what costs, on how programs vary by employer size and industry, and on what governments do—and do not do—to oversee employment-based health programs.

A case study adapted from real organizations' experiences illustrates some of the practical challenges in designing, managing, and revising benefit programs. The sometimes unintended and unwanted consequences of employer practices for workers and health care providers are explored.

Understanding the concepts of risk, biased risk selection, and risk segmentation is fundamental to sound health care reform. This volume thoroughly examines these key concepts and how they complicate efforts to achieve efficiency and equity in health coverage and health care.

With health care reform at the forefront of public attention, this volume will be important to policymakers and regulators, employee benefit managers and other executives, trade associations, and decisionmakers in the health insurance industry, as well as analysts, researchers, and students of health policy.

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