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A working conference convened by the Center for Medicare Advocacy, Inc.,
supported by the Commonwealth Fund, a New York
City-based private foundation, and AARP
January
19, 2007
Prior to the
conference, the Center commissioned three background papers to provide a
framework for discussing the topics at hand. The first paper, written by senior
attorneys from the Center for Medicare Advocacy, presented a brief history and
an overview of the current Medicare beneficiary complaint process. The second
paper, written from the perspective of a physician, examined and assessed the
attributes of an ideal complaint process, regardless of the entity performing
the review function. The third paper, written from an
academic and legal perspective, explored possible
alternative entities that might handle the complaint process function, including
existing entities and a potential new entity. The three papers and their
accompanying presentation slides are provided below in Portable Document Format
(PDF).
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A Brief Overview
of the Current Medicare Beneficiary Complaint Process
Sally Hart, JD, MBT and Toby S. Edelman, JD
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PAPER

PRESENTATION
SLIDES
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Elements and
Considerations for Developing a Medicare Beneficiary
Complaint Process to Address Quality of Care Concerns:
The Medical Perspective
Peter A. Hollmann, MD
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PAPER

PRESENTATION
SLIDES
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Medicare Beneficiary Complaint Process: QIOs and Possible Alternatives
Diane E. Hoffmann, JD, MS and Virginia Rowthorn, JD
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PAPER

PRESENTATION SLIDES
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