Hospital-Based Health Care Systems: The Post-BBA Era
April 27–28, 2000
Nora Super, Lisa Sprague, MBA & Karen Matherlee
This workshop featured the findings of a series of Forum-sponsored site visits on hospital-based health care systems in transition after the enactment of the Balanced Budget Act of 1997 (BBA) and the Medicare, Medicaid, SCHIP Balanced Budget Refinement Act of 1999 (BBRA). On the first afternoon, workshop participants examined the trend data leading up to the BBA, the rationale for many of its provisions, and the legislative and fiscal environment in which both the original law and subsequent refinements were enacted. In addition, the most recent post-BBA data regarding Medicare spending and utilization was presented. On day two, representatives from each of the participating health systems — Bon Secours, Henry Ford, and the University of Washington Academic Medical Center — made presentations that were followed by commentary from site visit participants regarding their key impressions. The workshop concluded with a wrap-up session at which participants were asked to reconcile the legislative, regulatory, and delivery system priorities that had been discussed throughout the conference and to explore opportunities for further research.
Sheila Burke, RN, Executive Dean, Kennedy School of Government; Julie James, Principal, Health Policy Alternatives; Dean Rosen, Senior Vice President of Policy and General Counsel, Health Insurance Association of America; Bill Vaughan, Minority Professional Staff Member, House Ways and Means Subcommittee on Health; Stuart Guterman, Principal Research Associate, Urban Institute; Kathleen Buto, Deputy Director, Center for Health Plans and Providers, Health Care Financing Administration, Department of Health and Human Services; Jeff Goldsmith, PhD, President, Health Futures, Inc.; Gail Warden, President and Chief Executive Officer, Henry Ford Health System; Everard O. Rutledge, PhD, Vice President, Community Health, Bon Secours Health System, Inc.; Eileen D. Malo, Executive Vice President of Continuing Care, Bon Secours Hampton Roads Health System; John B. Coombs, MD, Associate Vice President for Medical Affairs and Associate Dean, School of Medicine, University of Washington; Linda Bilheimer, Senior Program Officer, Health Care Group, Robert Wood Johnson Foundation; Michael Hash, Deputy Administrator, Health Care Financing Administration; Lawrence Goldberg, Director, Washington National Affairs for Health Care, Deloitte & Touche LLP
Learn more about the participants' impressions from the site visit report, published July 2000.