Document 539 : Docket No. 99-14 : Hearing Decision : Bureau of Insurance

STATE OF MAINE
DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
34 STATE HOUSE STATION
AUGUSTA, MAINE 04333-0034

In Re: Application of Associated Hospital Service of Maine,	)
d/b/a Blue Cross and Blue Shield of Maine, To Convert to a	)
Stock Insurer and Voluntarily Liquidate and Dissolve	)
	)
And	)	DESIGNATION OF
	)	WITNESSES BY CAHC
Application of Anthem Health Plan of Maine, Inc., To Acquire	)	AND SUMMARY OF
the Assets of Associated Hospital Service of Maine,	)	TESTIMONY
d/b/a Blue Cross and Blue Shield of Maine, and Related	)
Transactions	)
	)
Consolidated Docket No. INS 99-14	)

Now comes Consumers for Affordable Health Care Coalition (CAHC), by and through their attorneys and representatives, pursuant to order of the Superintendent dated February 23, 2000, identifying witnesses and providing a brief summary of testimony likely to be offered:

Designation of Witnesses

Norbert Goldfield, M.D., Medical Director for 3 M Health Information Systems, former Associate National Medical Director for CIGNA Health Plans, Inc.

CAHC anticipates that Dr. Goldfield will offer prefiled testimony regarding quality assurance and improvement programs employed by Blue Cross and Blue Shield of Maine and Anthem Insurance Companies, Inc. The topics his testimony will most likely cover include utilization review criteria, clinical peer review process and procedures, case management policies and procedures, complaint ratios, and exclusionary coverage policies. Dr. Goldfield will likely review the health and public policy issues of concern arising from various practices and policies.

Dr. Goldfield may also testify to issues raised by the certificate of authority filing.

Attached is a biography and curricula vitae including Dr. Goldfield’s work experience, education, and publications and research.

Dr. Robert A. Strong, CFA, Professor of Finance, University of Maine at Orono, Visiting Professor of Finance, Harvard University

CAHC anticipates that Dr. Strong will offer pre-filed testimony regarding the valuation of Blue Cross and Blue Shield of Maine, the asset purchase agreement and issues arising therefrom, and the bidding and valuation processes.

Attached is Dr. Strong’s curricula vitae including work experience, education, publications including books and articles, and a biography.

Lawrence Orlowski, MBA in Finance, Research Analyst, Eagle Growth Investors, New York, NY

CAHC anticipates that Mr. Orlowski will offer pre-filed testimony regarding the valuation of Blue Cross and Blue Shield of Maine, and market conditions and trends.

Attached is Mr. Orlowski’s resume is attached.

Dated: March 10, 2000 __________________

Joseph P. Ditre, Esq.

Dale Lavi, Esq.

Consumer Health Law Program

A Program of CAHC Foundation

One Weston Court, Level One

P.O. Box 2490

Augusta, ME 04338-2490

Ph: (207) 622-7083/ Fx:622-7077

Email: jditre@mainecahc.org

Patrick Ende, Esq.

Maine Equal Justice Partners

65 State Street, 2^nd floor

P.O. Box 5347

Augusta, ME

Ph: (207) 626-7058/Fx:621-8148

Email: pende@mejp.org

CERTIFICATE OF SERVICE

The undersigned hereby certifies that on March 10, 2000, a copy of the CAHC’s Designation of Witnesses and Summary of Testimony was served by United States mail, first class postage prepaid, on each of the persons listed below.

Robert S. Frank, Esq.	James B. Zimpritch, Esq.
Harvey & Frank	Catherine R. Connors, Esq.
Two City Center	Pierce Atwood
P.O. Box 126	One Monument Square
Portland, Maine 04112	Portland, Maine 04101
(Blue Cross/Blue Shield of Maine)	(Anthem Insurance Companies, Inc.)

Judith Chamberlain, Esq.	Michele M. Garvin, Esq.
State of Maine	Ropes & Gray
Department of the Attorney General	One International Place
6 State House Station	Boston, Massachusetts 02110-2624
Augusta, Maine 04333-0006	(Central Maine Healthcare Corp.)
(Office of the Attorney General)

William H. Laubenstein, Esq.	Robert I. Goldman
State of Maine	Maine Council of Senior Citizens
Department of the Attorney General	27 Bowery Beach Road
6 State House Station	Cape Elizabeth, Maine 04107
Augusta, Maine 04333-0006	(Maine Council of Senior Citizens)
(Office of the Attorney General)

	John Dieffenbacher-Krall
	Executive Director
	Maine People's Alliance
	192 State Street
	Portland, Maine 04101
	(Maine People's Alliance)

Andrew B. MacLean, Esq.	Bonnie Post
Maine Medical Association	Executive Director or the Maine
Frank O. Stred Building	Ambulatory Care Coalition
P.O. Box 190	P.O. Box 390
Manchester, Maine 04351	Manchester, Maine 04351
(Thomas D. Hayward, M.D., Maroulla S. Gleaton, M.D., the Maine Medical Association)	(Sacopee Valley Health Center, Regional Medical Center at And Eastport Health Care, Inc., and Maine Ambulatory Care Coalition)

Kellie Miller	Sandra Parker
Maine Osteopathic Association	Maine Hospital Association
RR 2, Box 1920	150 Capitol Street
Manchester, Maine 04351	Augusta, ME 04330
(Maine Osteopathic Assn.)	(Maine Hospital Association)

Donald E. Quigley, Esq.
Maine Health
465 Congress Street, Ste. 600
Portland, ME 04101-3537
(MaineHealth)

Dated: March 3, 2000