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F Biographical Sketches Mary Sue Coleman, Ph.D., Co-chair, is president of the University of Iowa and president of the University of Iowa Health Systems. She holds academic appointments as professor of biochemistry in the College of Medicine and profes- sor of biological sciences in the College of Liberal Arts. Dr. Coleman served as provost and vice president for academic affairs at the University of New Mexico (1993-1995) and as dean of research and vice chancellor at the University of North Carolina at Chapel Hill (1990-1992~. She was both faculty member and administrator of the Cancer Center at the University of Kentucky in Lexington for 19 years, where her research focused on the immune system and malignancies. Dr. Coleman is a member of the Institute of Medicine (IOM), the American Academy of Arts and Sciences, and a fellow of the American Association for the Advancement of Science. She has served on the Iowa Governor's Strategic Plan- ning Council, the Board of Trustees of the Universities Research Association, the Board of Governors of the Warren G. Magnuson Clinical Center at the National Institutes of Health, and other voluntary advisory bodies and corporate boards. Arthur L. Kellermann, M.D., M.P.H., Co-chair, is professor and director, Center for Injury Control, Rollins School of Public Health, Emory University, and professor and chairman, Department of Emergency Medicine, School of Medicine, Emory University. Dr. Kellermann has served as principal investigator or coinvestigator on several research grants, including federally funded studies of handgun-related violence and injury, emergency cardiac care, and the use of emergency room services. Among his many awards and distinctions, he is a fellow of the American College of Emergency Physicians (1992), is the recipient of a meritorious service award from the Tennessee State Legislature (1993) and the Hal 149

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50 CO VERA GE MA TTERS: INSURANCE AND HEALTH CARE Jayne Academic Excellence Award from the Society for Academic Emergency Medicine (1997), and was elected to membership of the Institute of Medicine in 1999. In addition, Dr. Kellermann is a member of the Editorial Board of the journal Annals of Emergency Medicine and has served as a reviewer for the New EnglandJournal of Medicine, the journal of the American Medical Association, and the AmericanJournal of Public Health. Ronald M. Andersen, Ph.D. is the Fred W. and Pamela K. Wasserman Profes- sor of Health Services and professor of sociology at the University of California, Los Angeles School of Public Health. He teaches courses in health services orga- nization, research methods, evaluation, and leadership. Dr. Andersen received his Ph.D. in sociology at Purdue University. He has studied access to medical care for his entire professional career of 30 years. Dr. Andersen developed the Behavioral Model of Health Services Use that has been used extensively nationally and internationally as a framework for utilization and cost studies of general popula- tions as well as special studies of minorities, low-income populations, children, women, the elderly, oral health, the homeless, and the HIV-positive population. He has directed three national surveys of access to care and has led numerous evaluations of local and regional populations and programs designed to promote access to medical care. Dr. Andersen's other research interests include interna- tional comparisons of health services systems, graduate medical education cur- ricula, physician health services organization integration, and evaluations of geriat- ric and primary care delivery. He is a member of the IOM and was on the founding board of the Association for Health Services Research. He has been chair of the Medical Sociology Section of the American Sociological Association. In 1994 he received the Association's Leo G. Weeder Award for Distinguished Service to Medical Sociology; in 1996, he received the Distinguished Investigator Award from the Association for Health Services Research; and in 1999, he re- ceived the Baxter Allegiance Health Services Research Prize. John Z. Ayanian, M.D., M.P.P.,*is an associate professor of medicine and health care policy at Harvard Medical School and Brigham and Women's Hospi- tal, where he practices general internal medicine. His research focuses on quality of care and access to care for major medical conditions, including colorectal cancer and myocardial infarction. He has extensive experience in the use of cancer registries to assess outcomes and evaluate the quality of cancer care. In addition, he has studied the effects of race and gender on access to kidney transplants and on quality of care for other medical conditions. Dr. Ayanian is deputy editor of the journal Medical Care, a Robert Wood Johnson Foundation Generalist Physician Faculty Scholar, and a fellow of the American College of Physicians. * Member of the Subcommittee on the Status of the Uninsured.

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APPENDIX F 15 Robert I. Blendon, M.B.A., Sc.D., is currently professor of health policy and political analysis at both the Harvard School of Public Health and the John F. Kennedy School of Government and has received outstanding teaching awards from both institutions. He also directs the Harvard Opinion Research Program and the Henry I. Kaiser National Program on Public Opinion and Health and Social Policy, which focuses on better understanding of public knowledge, atti- tudes, and beliefs about major domestic public policy issues. Dr. Blendon also codirects the Washington Post-Kaiser Family Foundation (KFF) survey project, which was nominated for a Pulitzer Prize, and a new project for National Public Radio and KFF on American attitudes toward health and social policy, which was cited by the National~ournal as setting a new standard of public opinion surveys in broadcast journalism. From 1987 to 1996, Dr. Blendon served as chair of the Department of Health Policy and Management at the Harvard School of Public Health and as deputy director of the Harvard University Division of Health Policy Research and Education. Prior to his Harvard appointment, Dr. Blendon was senior vice president at The Robert Wood Johnson Foundation. He was senior editor of a three volume series The Future of American Health Care and is a member of the IOM, the advisory committee to the director of the Centers for Disease Control and Prevention, and the editorial board of the Journal of the American Medical Association. Dr. Blendon is a graduate of Marietta College and received his master's of business administration and doctoral degrees from the University of Chicago and the Johns Hopkins School of Public Health, respectively. Peter Cunningham, Ph.D.,*is a senior health researcher at the Center for Studying Health System Change, where he has been involved extensively with the design and analysis of the Community Tracking Study. He has had primary responsibility for overseeing the design and implementation of the Community Tracking Study household survey and the followback survey to health insurance plans. In terms of his research, Dr. Cunningham has been concerned primarily with the uninsured, specifically in understanding variations across communities in uninsurance rates, access to care for uninsured persons, and the role of the health care safety net. Prior to joining the center in April 1995, Dr. Cunningham was a researcher at the Agency for Health Care Policy and Research (now the Agency for Healthcare Research and Quality ~AHRQ]), where he worked on the 1987 National Medical Expenditure Survey, including the Household Survey, the Sur- vey of American Indians and Alaska Natives, and the Institutional Population Component. Dr. Cunningham's research focused on issues concerning health insurance coverage, access to care, health care utilization and expenditures for children, people eligible for the Indian Health Service, poor and low-income people, and other disadvantaged groups. Dr. Cunningham holds a Ph.D. and a master's in Sociology from Purdue University. Sheila P. Davis, B.S.N., M.S.N., Ph.D.,* is associate professor, Department of Adult Health, in the School of Nursing at the University of Mississippi Medical

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52 CO VERA GE MA TTERS: INSURANCE AND HEALTH CARE Center. She is also vice president of Davis, Davis & Associates, a health manage- ment consultant company. Her research focuses on minority health issues, espe- cially cardiovascular risk among ethnic populations. Dr. Davis is the founder and chair of the Cardiovascular Risk Reduction in Children Committee at the Uni- versity of Mississippi. This is a multidisciplinary committee (physicians, nurses, dietician, health educator, college administrator, nurse practitioners, etc.) commit- ted to reducing cardiovascular risks in children. Dr. Davis is a member of the American Nurses Association and has written numerous publications on the pro- fession and the experiences of ethnic minorities in the health professions. She is author of a faith-based program, Healthy Kids Seminar, which is used to promote the adoption of healthy life-style choices by children. George C. Eads, Ph.D. is vice president and director of the Washington, D.C. office of Charles River Associates (CRA) and is an internationally known expert in the economics of the automotive and airlines industries. Prior to joining CRA, Dr. Eads was vice president and chief economist at General Motors Corporation. He frequently represented the corporation before congressional committees and federal regulatory agencies. He has served as a member of the President's Council of Economic Advisers and as a special assistant to the assistant attorney general in the Antitrust Division of the U.S. Department of Justice. Dr. Eads has published numerous books and articles on the impact of government on business and has taught at several major universities, including Harvard and Princeton. Paul Fronstin, Ph.D.,* is a senior research associate with the Employee Benefit Research Institute (EBRI). He is also director of EBRI's Health Security and Quality Research Program. Dr. Fronstin's research interests include trends in health insurance coverage and the uninsured, the effectiveness of managed care, retiree health benefits, retirement transitions, employee benefits and taxation, the role of nonprofit organizations in providing employee benefits, children's health insurance coverage, and public opinion about health care. His most recent publi- cations include papers in the Gerontologist, Journal of Health Politics, Policy and Law, and Health Affairs. Sandra R. Hernandez, M.D., is the chief executive officer (CEO) of The San Francisco Foundation, a community foundation serving the five Bay Area coun- ties. It is one of the largest community foundations in the country. Dr. Hernandez is a primary care internist who previously held a number of positions within the San Francisco Department of Public Health, including director of the AIDS Office, director of community public health, county health officer, and finally director of health for the City and County of San Francisco. She was appointed to and served on President Clinton's Advisory Commission on Consumer Protection and Quality in the Healthcare Industry. Among the many honors and awards bestowed on her, Dr. Hernandez was named by Modern Healthcare magazine as one of the top ten health care leaders for the next century. Dr. Hernandez is a graduate

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APPENDIX F 153 of Yale University, TuBts School of Medicine, and the OK School of Government at Harvard University. She is on the faculty of University of California, San Francisco (UCSF) School of Medicine and maintains an active clinical practice at San Francisco General Hospital in the AIDS Clinic. Catherine Hoffman, Sc.D., R.N.,* is an associate director of the Kaiser Commission on Medicaid and the Uninsured. She has focused her health services research career on differences in access to health care, particularly for vulnerable populations including low-income families, the uninsured, and those with chronic health problems. Dr. Hoffman has held both research and analytical positions in several organizations including the Institute for Health and Aging at UCSF, the Physician Payment Review Commission, and Kaiser Commission on the Future of Medicaid. She received her doctoral degree in health policy and management from the Johns Hopkins University School of Hygiene and Public Health and builds her health policy career on a clinical foundation as a nurse specialist in cardiac care. Willard G. Manning, Ph.D.,* is professor in the Department of Health Studies, PritzLer School of Medicine, and in the Harris School of Public Policy at the University of Chicago. His primary research focus has been on the effects of health insurance and alternative delivery systems on the use of health services and health status. He is an expert in statistical issues in cost-effectiveness analysis and small- area variations. His recent work has included examination of mental health ser- vices use and outcomes in a Medicaid population and cost-effectiveness analysis of screening and treating depression in primary care. Dr. Manning is a member of the Institute of Medicine. James I. Mongan, M.D., is president and COO of Massachusetts General Hospital. He was previously executive director, Truman Medical Center and dean, University of Missouri-Kansas City School of Medicine. Dr. Mongan served as assistant surgeon general in the Department of Health and Human Services as former associate director for health and human resources, Domestic Policy Staff, the White House, and as former deputy assistant secretary for health policy, Department of Health, Education and Welfare. Dr. Mongan is chair of the Task Force on the Future of Health Insurance for Working Americans, a nonpartisan effort of the Commonwealth Fund to address the implications of the changing United States work force and economy for the availability and affordability of health insurance, and is a member of the Kaiser Family Foundation Board and the Kaiser Commission on Medicaid and the Uninsured. Dr. Mongan is a member of the Institute of Medicine. Christopher Queram, M.H.S.A., has been CEO ofthe Employer Health Care Alliance Cooperative (The Alliance) of Madison, Wisconsin, since 1993. The Alliance is a purchasing cooperative owned by more than 175 member companies

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54 CO VERA GE MA TTERS: INSURANCE AND HEALTH CARE that contracts with providers, manages and reports data, performs consumer edu- cation, and designs employer and provider quality initiatives. Prior to his current position, Mr. Queram served as vice president for Programs at Meriter Hospital, a 475-bed hospital in Madison. Mr. Queram is a member of the Board of the National Business Coalition on Health and served as board chair for the past two years. He was a member of the President's Advisory Commission on Consumer Protection and Quality in the Health Care Industry. Mr. Queram served as a member of the Planning Committee for the National Quality Forum and contin- ues as convertor of the Purchaser Council of the Forum. He is a member of the Wisconsin Board on Health Information and the Board of the Wisconsin Private Employer Health Care Coverage program. He holds a master's degree in health services administration from the University of Wisconsin at Madison and is a fellow in the American College of Healthcare Executives. Shoshanna Sofaer, Dr.P.H., is the Robert P. Luciano Professor of Health Care Policy at the School of Public Affairs, Baruch College, in New York City. She completed her master's and doctoral degrees in public health at the University of California, Berkeley, taught for six years at the University of California, Los Angeles School of Public Health, and served on the faculty of George Washington University Medical Center, where she was professor, associate dean for research of the School of Public Health and Health Services, and director of the Center for Health Outcomes Improvement Research. Dr. Sofaer's research interests include providing information to individual consumers on the performance of the health care system; assessing the impact of information on both consumers and the system; developing consumer-relevant performance measures; and improving the responsiveness ofthe Medicare program to the needs of current and future cohorts of older persons and persons with disabilities. In addition, Dr. Sofaer studies the role of community coalitions in pursuing public health and health care system reform objectives, and has extensive experience in the evaluation of community health improvement interventions. She has studied the determinants of health insurance status among the near-elderly, including early retirees. Dr. Sofaer served as co-chair of the Working Group on Coverage for Low Income and Non- Working Families for the White House Task Force on Health Care Reform in 1993. Currently, she is co-chair of the Task Force on Medicare of the Century Foundation in New York City, a member of the IOM Board on Health Care Services, and a member of the AHRQ Health Systems Study Section. Stephen I. Trejo, Ph.D., is associate professor in the Department of Economics at the University of Texas at Austin. His primary research focus has been in the field of labor economics. He has examined the response of labor market partici- pants to the incentives created by market opportunities, government policies, and the institutional environment. Specific research topics include the economic ef- fects of overtime pay regulation; immigrant labor market outcomes and welfare recipiency; the impact of labor unions on compensation, employment, and work

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APPENDIX F 155 schedules; the importance of sector-specific skills; and the relative economic status of Mexican Americans. Reed V. Tuckson, M.D., is senior vice president of consumer health and medical care enhancement at United Health Group. Formerly, he was senior vice president, professional standards at the American Medical Association. Dr. Tuckson was president of Charles R. Drew University School of Medicine and Science from 1991 to 1997. From 1986 to 1990, he was commissioner of public health for the District of Columbia. Dr. Tuckson serves on a number of health care, aca- demic, and federal boards and committees and is a nationally known lecturer on topics concerning community-based medicine, the moral responsibilities of health professionals, and physician leadership. He currently serves on the IOM Roundtable on Research and Development of Drugs, Biologics, and Medical Devices and is a member of the Institute of Medicine. Edward H. Wagner, M.D., M.P.H., F.A.C.P., is a general internist-epide- miologist and director of the W.A. MacColl Institute for Healthcare Innovation at the Center for Health Studies, Group Health Cooperative of Puget Sound. He is also professor of health services at the University of Washington School of Public Health and Community Medicine. Current research interests include the devel- opment and testing of population-based care models for diabetes, the frail elderly, and chronic illnesses; the evaluation of the health and cost impacts of chronic disease and cancer interventions; and interventions to prevent disability and re- duce depressive symptoms in older adults. Dr. Wagner has written two books and more than 200 journal articles. He serves on the editorial boards of Health Services Research and theJournal of Clinical Epidemiology and acts as a consultant to multiple federal agencies and private foundations. He recently completed a stint as senior adviser on managed care initiatives in the director's office of the National Insti- tutes of Health. As of June 1998, he directs Improving Chronic Illness Care (ICIC), a national program of The Robert Wood Johnson Foundation. The overall goal of ICIC is to assist health systems improve their care of chronic illness through quality improvement and evaluation, research, and dissemination. Dr. Wagner is also Principal Investigator of the Cancer Research Network, a National Cancer Institute funded consortium of ten health maintenance organizations con- ducting collaborative cancer effectiveness research. Lawrence Wallack, Dr.P.H.,* is professor of public health and director, School of Community Health at Portland State University. He is also professor of public health, University of California, Berkeley. Dr. Wallack's primary interest is in the role of mass communication, particularly the news media, in shaping public health issues. His current research is focused on how public health issues are framed in print and broadcast news. He is principal author of Media Advocacy and Public Health: Powerfor Prevention and News for a Change: An Advocate's Guide to Working with the Media. He is also coeditor of Mass Communications and Public Health:

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56 COVERAGE MATTERS: INSURANCE AND HEALTH CARE Complexities and Conflicts. Dr. Wallack has published extensively on topics related to prevention, health promotion, and community interventions. Specific content areas of his research and intervention work have included alcohol, tobacco, vio- lence, handguns, sexually transmitted diseases, cervical and breast cancer, affirma- tive action, suicide, and childhood lead poisoning. Dr. Wallack is a member of the IOM Committee on Communication for Behavior Change in the 21st Century: Improving the Health of Diverse Populations.