Medicare Health Maintenance Organizations: The IMC Experience : Hearing Before a Subcommittee of the Committee on Government Operations, House of Representatives, One Hundredth Congress, First Session, December 15, 1987, Volume 4U.S. Government Printing Office, 1988 - 205 pages |
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50 percent affiliated providers agency asked audit Chairman complaints concern conflict of interest CONGRESS THE LIBRARY Congressman correct costs counties Dade County DATE ACTIVITY December 15 decision demonstration employees enrollees enrollment standard fact Federal qualification Financing Administration Florida former HHS FOWLER George Reeb going GOULET HADDOW HCFA Health and Human Health Care Financing Health Maintenance Organizations Heckler HMO's hospital Human Services IMC contract IMC's inspector International Medical Centers investigation issue Jeb Bush Juan del Real KUSSEROW letter LIBRARY OF CONGRESS LIGHTFOOT Lyn Nofziger Medicaid Medicare beneficiaries Medicare contract Medicare enrollment Medicare Program ment Miami Miguel Recarey million MOLEY non-Medicare OHMO operations paid patient payment PELOSI PRIVATE HEALTH PLANS problems PRUSSIN qualification officer Recarey's received recommendations regulations requirement responsibility risk-based SAWYER staff statement subcommittee TEFRA terminate testimony Thank things tion waiver Wayne Fowler WEISS
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Page 92 - Administrator similarly cited the value of work done by the Department of Health and Human Services Office of the Inspector General and IV&V vendors at contractor sites in uncovering problems.
Page 97 - Did you have a statement that you would like to make? STATEMENT OF ROBERT F.
Page 72 - Mr. Chairman, this concludes my statement and I will be pleased to answer any of your questions.
Page 4 - ... to bring attention to this important topic of research on opportunistic infections. I am pleased that we have such a distinguished panel of witnesses to discuss this topic, and I look forward to hearing their testimony. Thank you, Mr. Chairman. Mr. WEISS. Thank you very much, Mr. Payne. Ms. Pelosi. Ms. PELOSI. Thank you, Mr. Chairman. I, too, want to thank you for holding this hearing. I think that the subject of the hearing reflects where we are with AIDS in our country. We have sat through...
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Page 205 - I'm going to ask unanimous consent that the hearing record be kept open for another two weeks and that we be empowered to ask questions of all of the witnesses in both panels.
Page 176 - ... is introduced (substantially curtailing the right to contest license renewals, guaranteed to the public by the Communications Act of 1934) that it is supported by 23 Senators and 118 Congressmen? The broadcasting industry is, without question, the single most powerful lobby in our nation's history. What should we do about it? What can we do about it? Once the Big Broadcasting-Big Business axis has kidnapped and run off with the democratic process is there anyway of guaranteeing its safe return?
Page 117 - ... organization's enrollment may be Medicare and Medicaid beneficiaries. (2) Waiver of composition of enrollment standard. Unless limited by the criteria specified in paragraph (d)(3) of this section, HCPA may waive compliance with the requirements of paragraph (d)<l) of this section if— (i) The organization is making reasonable efforts to enroll individuals who are not Medicare or Medicaid beneficiaries; and (ii) Medicare and Medicaid beneficiaries constitute more than 50 percent of the population...
Page 5 - ... as you know, it is the custom of this subcommittee to swear in all of its witnesses, and so I will ask you to raise your right hand.
Page 131 - PLANS. EXPANDING THE RANGE OF PRIVATE HEALTH PLANS AVAILABLE TO MEDICARE BENEFICIARIES BUILDS I ON THE TEFRA FRAMEWORK WHICH HAS PROVEN TO BE SOUND. OUR LESSON FOR FUTURE ADMINISTRATORS OF THE MEDICARE PROGRAM IS THAT STRICT ADHERENCE TO THE PRINCIPLES OF THAT FRAMEWORK WILL ASSURE THAT THE PLANS AVAILABLE TO BENEFICIARIES ARE SOUND, VIABLE, AND PROVIDE QUALITY HEALTH CARE. I WILL BE PLEASED TO ANSWER ANY QUESTIONS YOU MAY HAVE. The CHAIRMAN. Thank you, Dr. Roper. You probably remember that the first...