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Abstract

Louis F. Rossiter, Ph.D., is Senior Research Fellow with the Thomas Jefferson Program in Public Policy at the College of William & Mary. Dr. Rossiter is the former Secretary of Health and Human Resources for the Commonwealth of Virginia . During his tenure as Secretary, he convened the Governor’s Conference on Human Genetics, the Family, and the Law (October 2001). Dr. Rossiter is the author of 14 edited books, one sole-author book published in 2000 on Medicare reform, and over 50 journal publications on health economics and policy.

Louis F. Rossiter, Ph.D.

LOU ROSSITER is Director of Research, Center for Excellence in Aging and Geriatric Health and Director, Executive Fellowship Program for State Budget Officers, The Thomas Jefferson Program in Public Policy, The College of William & Mary, Williamsburg, VA.

Rossiter is formerly the Secretary of Health and Human Resources for the Commonwealth of Virginia . As Secretary, Rossiter managed 13 agencies, 17,000 employees, and a $5 billion budget to enhance the health and independence of all Virginians.

While Secretary, he directed the implementation of Virginia's new private health insurance program for children and families; ensured significant further improvement in the state’s mental health system; created new policy initiatives in the emerging field of human genetics; and managed of the major information technology projects in the Secretariat. Virginia was awarded a first place ranking by the Center for Digital Government for the social service category in the prestigious 2002 Digital State Survey. The state was ranked 21st in the 2001 survey.

Rossiter is formerly a professor and funded researcher at the Medical College of Virginia (MCV) Campus of Virginia Commonwealth University and its nationally ranked Department of Health Administration from 1982 to 2000. He was the first director of the Williamson Institute for Health Studies on the MCV Campus. He took a leave of absence from MCV from 1989-1992 to serve as Senior Policy Advisor to the Administrator of the Centers for Medicare & Medicaid Services (previously HCFA).

Rossiter, 56, received his bachelor’s degree from Lenoir-Rhyne College , and his Ph.D. in economics from the University of North Carolina at Chapel Hill . He completed a post-doctoral fellowship in the Washington, DC , area at what is now called the U.S. Agency for Healthcare Research and Quality.

Center for Excellence in Aging and Geriatric Health

and

The Thomas Jefferson Program in Public Policy

College of William and Mary

P.O. Box 8795

Williamsburg, VA 23187-8795

(757) 221-1871

Present and Previous Positions

2002 - Present

Senior Research Fellow, The College Of William & Mary, Thomas Jefferson Program In Public Policy, Williamsburg, VA

2001 – 2002

Secretary Of Health And Human Resources (Cabinet Appointment), Office Of The Governor, Commonwealth Of Virginia , Richmond, VA

2000 – 2001

Deputy Secretary For Operations Of Health And Human Resources, Office Of The Governor, Commonwealth Of Virginia , Richmond, VA

1992 - 1996

Director, Office Of Health Care Policy And Research, Office Of The Vice President For Health Sciences, Medical College Of Virginia Campus, Virginia Commonwealth University, Richmond, VA

1989 - 2000

Professor, Williamson Institute For Health Studies, Department Of Health Administration, Virginia Commonwealth University (VCU), Richmond, VA

1989 - 1991

Senior Policy Advisor To The Administrator, Centers For Medicare & Medicaid Services (CMS) (or HCFA), Department Of Health And Human Services

1986 - 1990

Director, David G. Williamson, Jr., Institute For Health Studies, VCU, Richmond, VA

1985 - 1989

Associate Professor, Department Of Health Administration, VCU, Richmond, VA

1982 - 1985

Assistant Professor, Department Of Health Administration, VCU, Richmond, VA

1977 - 1982

Senior Researcher/Economist, Agency for Healthcare Research and Quality (or National Center For Health Services Research), Department Of Health & Human Services

Honors and Memberships on Federal Advisory Committees

Member, National Advisory Council, Health Care Financing and Organization Initiative, Robert Wood Johnson Foundation 1998 – present.
Published book: Understanding Medicare Managed Care: Meeting Economic, Strategic and Policy Challenges, Chicago, IL : Health Administration Press, 2001.
Member, Governor Gilmore’s Commission on Community Services and In-Patient Care (1997-1999)
Member, National Advisory Council to the Agency for Health Care Policy and Research. Appointed by Secretary Louis Sullivan, 1992-96.
Edited 14 books with Richard M. Scheffler, Advances in Health Economics and Health Services Research, JAI Press, Greenwich, Connecticut 1982 – 96.
Serve(d) on the Board of Directors and Executive Committee of six Virginia corporations:
	Astraea, Inc., $18 million revenues, 217 employees, 501(c) 3, Chairman of the Board (1996-2000)
	Virginia Health Quality Center , $5 million revenues, 60 employees, 501(c)3, Treasurer (1997-2000)
	Coalition on Donation, a national alliance of organizations dedicated to educating the public about organ and tissue donation (2001 – 2003)
	VCU Health System, Board of Directors. Appointed by Governor Gilmore. Chairman of the Quality, Risk Management and Safety Committee; Member of the Executive Committee (2002 – 2004)
		Member, Board of Directors, Virginia Interfaith Center for Public Policy
		Regulatory Resources Information Exchange, 3 part-time employees 501(c)3, Treasurer (1990 – present)
		Regulatory Resources, Inc., Sub-chapter S Corporation, Treasurer (1982 – present)
		Chironet, LLC, 3 full-time and 5 part-time employees, Founding Member (1998 – present)

A. Selected peer-reviewed publications (in chronological order, selected from over 50)

1. “Psychopathology in Medical Inpatients and Its Relationship to Length of Hospital Stay: A pilot Study” with James Levenson, Robert Hamer, Joel Silverman, Internation Journal of Psychiatry in Medicine 16, 3 (1986-87).

2. "National Medicare Competition Demonstration: History and Initial Experience", with others, Health Care Financing Review 8, 2 (Winter 1987).

3. "Risk‑Based Capitation Payments for Health Care: Some Principles," Journal of Health Administration Education 5, 4 (Fall 1987).

4. "Health Economist‑Induced Demand for Theories of Physician‑Induced Demand" with Gail Wilensky, Journal of Human Resources 22, 4 (Fall 1987).

5. "Service Use and Costs for Medicare Beneficiary in Risk‑based HMOs and CMPs" with Lyle Nelson and Killard Adamache, American Journal of Public Health 78, 8 (August 1988).

6. "Medicare's Two Systems for Paying Providers," with Kathryn Langwell, Health Affairs 7, 8 (Summer 1988).

7. "Patient Satisfaction Among Elderly Enrollees and Disenrollees in Medicare HMOs and CMPs," with Kathryn Langwell, Tom Wan, and Marjorie Rivnyak, Journal of the American Medical Association 262, 1 (July 7, 1989).

8. “Evaluation of the Medicaid Competition Demonstrations,” with Deborah Freund, Peter Fox, Jack Meyer, Robert Hurley and others, Health Care Financing Review 11, 2 (Winter 1989) 81-97.

9. "Relation of Psychopathology in General Medical Inpatients to Use and Cost of Services," with James L. Levenson and Robert M Hamer, American Journal of Psychiatry 147, 11 (November 1990).

10. "A Blended Sector Rate Adjustment for the Medicare AAPCC When Risk‑based Market Penetration is High," with Killard Adamache, Journal of Risk and Insurance LVIII, 2 (June 1990).

11. "Payment to Health Maintenance Organizations and the Geographic Factor," with Killard Adamache, Health Care Financing Review 12, 1 (Fall 1990).

12. “Health Policy Revolution: The Search For Minimum Supply Price,” Quarterly Review Economics and Business 30, 4 (Winter 1990) 136-9.

13. "Coordinated Care and Pubic Programs", with Gail R. Wilensky, Health Affairs 10,4 (Winter, 1991) 62-77.

14. "Psychopathology and Pain in Medical In-Patients Predict Resource. with James Levenson, Use During Hospitalization But Not Rehospitalization," Journal of Psychosomatic Research 36, 6 (1992)

15. “A Randomized Controlled Study Of Psychiatric Consultation Guided By Screening In General Medical Inpatients,” with James Levenson and Robert Hamer, American Journal of Psychiatry 149,5 (May 1992) 631-7.

16. “Prospective Payment For Outpatient Services,” Health Systems Review, 25, 1 (Jan-Feb 1992) 27-9.

17. "How the Elderly Fare in HMOs: Outcomes from the Medicare Competition Demonstrations" with Sheldon M. Retchin and others, Health Services Research 27:5 (December 1992).

18. “System Change: Quality Assessment And Improvement For Medicaid Managed Care,” with Wally R. Smith and J. James Cotter Health Care Financing Review, 17, 4 (Summer 1996)

19. “ Strategic Hospital Alliances: Impact on Financial Performance,” with Jan Clement, Roice Luke and others, Health Affairs 16, 6 (November/December 1997)

20. “Primary-Care--Physician Supply: Policy Analysis On The State Level,” with Vlad Olchanski , David Marsland and Robert Johnson, Clinical Performance and Quality Health Care. 6,3 (Jul-Sep 1998) 129-37.

21. “Behind The Physician Licensure Numbers: False Impressions, Retirement Crisis and Migration,” with Vlad Olchanski , David Marsland and Robert Johnson, Clinical Performance and Quality Health Care. 6,3 (Jul-Sep 1998)142-6.

22. “Combining State Administrative Databases And Provider Records To Assess The Quality Of Care For Children Enrolled In Medicaid,” with J. James Cotter, Wally R. Smith and others American Journal Medical Quality 14, 2 (Mar-Apr 1999) 98-104.

23. “Factors Associated With Changes In Satisfaction With Care,” with Bret Newsome, Sheldon Retchin , Michael Jurgensen and others Clinical Performance and Quality Health Care. 7, 2 (Apr-Jun 1999) 56-62.

24. “Internet-Based Monitoring And Benchmarking In Ambulatory Surgery Centers,” with Viktor Bovbjerg, Vlad Olchanski , Steve Zimberg and Jennifer Green Joint Commission Journal of Quality Improvement 26, 8 (Aug 2000) 450-65.

25. “The Impact Of Disease Management On Outcomes And Cost Of Care: A Study Of Low-Income Asthma Patients,” with others Inquiry 37, 2 (Summer 2000) 188-202.

26. “Effect Of Different Types Of Medicaid Managed Care On Childhood Immunization Rates” with J. James Cotter, Kathryn A. McDonald, Dawn Parker, Donna McClish DK and others Evaluation of Health Professions 23, 4 (December 2000) 397-408.

27. “Assessing Medicaid Recipient Access And Satisfaction. Fee-For-Service, Case Management, And Capitation,” with Viktor Bovbjerg, Wally R. Smith, J. James Cotter, and Donna McClish Evaluation of Health Professions 23, 4 (December 2000) 422-40.

28. “Access, Satisfaction, And Utilization In Two Forms Of Medicaid Managed Care,” with Wally R. Smith, J. James Cotter, Donna McClish and Viktor Bovbjerg Clinical Performance and Quality Health Care 8, 3 (2000) 150-7. (5)

29. “Medicare Managed Care: Can You Ignore It?” Healthplan (July/August 2001).

30. “Medicaid Disease management Programs: Findings from Three Leading US State Programs,” with Jeann L. Gillespie Disease Management and Health Outcomes, 11, 6 (2003) 345-361.

C. Research Support.

"National Medicare Competition Evaluation," Health Care Financing Administration, Co‑Principal Investigator ‑ Louis F. Rossiter. Prime Contractor ‑ Mathematica Policy Research, Washington, DC 1983‑88.

"Evaluation of the National Medicaid Competition Demonstrations," Health Care Financing Administration, MCV Project Director ‑ Louis F. Rossiter. Prime Contractor ‑ Research Triangle Institute, RTP, NC 1983‑88.

"An Analysis of Long‑term Rate Setting Strategies for Risk‑Based Contracting Under Medicare," Health Care Financing Administration, Co‑Principal Investigator ‑ Louis F. Rossiter, Project Director ‑ Killard W. Adamache. 1985‑87.

"Cost and Clinical Outcomes of Consultation Psychiatry," National Institute of Mental Health, Co‑Principal Investigators: James Levenson, M.D. and Louis F. Rossiter. 1987‑89.

"Establishing Project Hope as a HCFA Health Research Center ," Health Care Financing Administration , MCV Project Director ‑ Louis F. Rossiter. Prime grantee ‑ Project Hope, Chevy Chase, MD 1988‑1991.

"Evaluation of the TEFRA HMO Program," Health Care Financing Administration, Project Director and Co‑principal Investigator ‑ Louis F. Rossiter. Prime contractor ‑ Mathematica Policy Research, Princeton, NJ 1988‑1992.

"Development of Methodology for Efficiency and Productivity," Virginia Health Services Cost Review Council, Co-Principal Investigator: Ramesh Shukla , Louis F. Rossiter, and Jan Clement ($185,000) 1992-1993, 1993-1994, 1995-96.

“Development and Evaluation of a Quality Assessment and Improvement Program for Medicaid Managed Care”, Virginia Department of Medical Assistance Services, Co-Principal Investigators Wally R. Smith, M.D. and Louis F. Rossiter 1994-96.

“Trigon Blue Cross and Blue Shield General Patient Health Status Survey,” Trigon Blue Cross and Blue Shield, Project Director and Principal Investigator.. Louis F. Rossiter 1994-1996.

“Virginia Health Outcomes Partnership”, National Pharmaceutical Council, Project Director and Co-Principal Investigator Louis F. Rossiter with Ralph Small and Michelle Whitehurst Cook, M.D., 1994; 1995-96; 1997

“Establishing The Lewin Group as a HCFA Research Center ,” Health Care Financing Administration , MCV Project Director ‑ Louis F. Rossiter. Prime contractor ‑ The Lewin Group, Fairfax, VA (Task Order Contracts) 1995-1998.

“Executive Fellowship Program for State Budget Officers,” National Pharmaceutical Council, William & Mary Project Director ($456,626) 2003 – ongoing.