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> Document 540 : INS 99-14 : Hearing Decision
STATE OF MAINE
Maine Medical Association ("MMA") hereby submits this statement pursuant to the Superintendent’s Order of February 23, 2000 requiring the parties to provide a list of witnesses and brief summaries of anticipated testimony. Witnesses: Thomas D. Hayward, M.D., President Maine Medical Association P. O. Box 339 East Corinth, Maine 04427 Brian M. Jumper, M.D., President-Elect Maine Medical Association 229 Vaughan Street Portland, Maine 04102
Gordon H. Smith, Esquire Executive Vice President Maine Medical Association 30 Association Drive P. O. Box 190 Manchester, Maine 04351 Boyd Buser, D.O. 11 Hills Beach Road Biddeford, Maine 04005 Kellie Miller, M.S., Executive Director Maine Osteopathic Association 693 Western Avenue Manchester, Maine 04351 Bonnie Post, Executive Director Maine Ambulatory Care Coalition P. O. Box 390 Manchester, Maine 04351 Margaret Roy, Executive Director Sacopee Valley Health Center 70 Main Street Porter, Maine 04047 William Diggins Maine Health Alliance 12 Stillwater Avenue, Suite C Bangor, Maine 04401 Richard Sigmond Temple University 2912 Carelton House 1801 JFK Boulevard Philadelphia, Pennsylvania 19103 One or more of these prospective witnesses will testify concerning the favorable experience of physician providers who have contracted with BCBSME; the importance and benefits of maintaining state-based, locally-controlled, non-profit health plans; information made available concerning Anthem’s practices in other states in negotiating and contracting with providers in other states; physician concerns that Anthem will attempt to require, or require, physicians to accept certain designated contract provisions if the providers want to contract with Anthem to provide services to Anthem BCBSME enrollees; the inclusion in provider contracts of "all products" provisions, "most favored customer" provisions and risk sharing provisions that will transfer downstream to providers "substantial risk" or the risk of covering a substantial portion of the cost; utilization and medical policy determination and management; physician concerns that Anthem will not provide appropriate and adequate systems and management support required for successful management of the transferred risk and that without such support physicians will not be able to continue to provide services required by enrollee patients; and the organization and integration of "Anthem East." Witnesses: Georgia Tuttle, M.D. Past President New Hampshire Medical Society 7 North State Street Concord, New Hampshire 03301 Dr. Tuttle is expected to testify about the experience and concerns of physicians in New Hampshire, before and after the closing of the Anthem acquisition of BCBSNH, about the acquisition of BCBSNH by Anthem. Witness: Roland D. Paegle, M.D. 804 Quarry Road Marion, Indiana 46952 Dr. Paegle is expected to provide testimony concerning physician experiences with Anthem operations in Indiana and the establishment of an Oversight Committee to review the actions of Anthem in Indiana. Witness: Jay Boekhoff, FSA, M.A.A.A. Randall P. Herman, FSA, M.A.A.A. Reden & Anders 60 South Sixth Street Minneapolis, Minnesota 55402-4402
Gordon H. Smith, Esquire Executive Vice President Maine Medical Association 30 Association Drive P. O. Box 190 Manchester, Maine 04351 William Diggins Maine Health Alliance 12 Stillwater Avenue, Suite C Bangor, Maine 04401 One or more of these witnesses are expected to testify concerning the capitalization of Anthem BCBSME; available information of the administrative expenses of BCBSME and Anthem and the extent to which any reduction in expenses or the creation of efficiencies can be anticipated; the ability of BCBSME to continue operations without an acquisition of assets by Anthem; available information concerning the organization and integration of Anthem East and the systems and management support required by physicians and other providers to manage appropriately and successfully any downstream transfer of "substantial risk" to physician and other providers; and the fairness of the purchase price for the assets of BCBSME. Adverse Witnesses: Keith W. Van Gieson, President and Chief Executive Officer BCBSME 2 Gannett Drive South Portland, Maine 04106-6911 Francis G. McGinty, Senior Vice President Health Care Policy and Treasurer BCBSME 2 Gannett Drive South Portland, Maine 04106-6911 Larry C. Glasscock, President Chief Executive Officer Anthem, Inc. 120 Monument Circle Indianapolis, Indiana 46204-4903
Michael Smith, Executive Vice President Chief Financial Officer Anthem, Inc. 120 Monument Circle Indianapolis, Indiana 46204-4903 One or more of these adverse witnesses may be subpoenaed to provide testimony concerning the reasons for the sale of assets of BCBSME to Anthem; Anthem commitments and obligations to provide resources and support for the delivery of health care services to enrollees; and Anthem’s provider contracting policies and track records.
Dated: March 10, 2000 mailto:gsmith@ctel.net Michel A. LaFond Sulloway & Hollis, P.L.L.C. Attorney for Maine Medical Association 9 Capitol Street, Box 1256 Concord, New Hampshire 03302-1256 603-224-2341 603-226-2405 - fax mal@sulloway.com
CERTIFICATE OF SERVICE
The undersigned hereby certifies that on March 10, 2000 a copy of the within Maine Medical Association’s List of Prospective Witnesses and Brief Summaries of Testimony was served via United States mail, first class postage prepaid, on each of the persons listed below.
Last Updated: August 22, 2012 |
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