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Alice G. Gosfield


Alice G. Gosfield

Biography:

Ms. Gosfield served as Chairman of the Board of Directors of the National Committee for Quality Assurance, reelected to serve five terms from 1998 through 2002. She served on the Board for twelve years from1992 through 2003. In the public policy arena, she has served on four committees of the Institute of Medicine of the National Academy of Sciences studying issues involving utilization management and clinical practice guidelines and has served as an advisor to the Agency for Health Care Policy and Research in both evaluating one of their first three clinical practice guidelines and in developing methodologies to translate guidelines into medical review criteria, performance measures and standards of quality.

She was the first Chairman of the Board of PROMETHEUS Payment®, Inc. a not-for-profit, national, multi-stakeholder project to develop a new provider payment model (PROMETHEUS Payment®) that bases provider payment on the cost of delivering guidelines based care as measured in a comprehensive scorecard. She was the first Chairman of the Board of the Health Care Incentives Improvement Institute, Inc (HCI3) a not for profit organization which is the merger of Bridges to Excellence and PROMETHEUS Payment®.

She has been called on by the Congressional Budget Office, the General Accounting Office, the Robert Wood Johnson Foundation, the Federal Agency for Healthcare Research and Quality, the Joint Commission, and others to advise on issues pertaining to Medicare reimbursement, medical evidence, legislation dealing with medical necessity in managed care and tort reform. Ms. Gosfield served as President of the American Health Lawyers Association (formerly the National Health Lawyers Association), from 1992-1993 and chaired their Physician and Physician Organizations Institute from 2001 through 2006.