Pediatric Care Council

Committee Chair: Jonathan Price, MD

Description of Committee: The Pediatric Care Council maintains a dialogue between pediatricians and insurance plans; involves pediatricians or their practice administrators and plan medical directors or other decision makers:

It brings to light administrative "glitches and kinks" in coverage or in provision of pediatric care.
It seeks common goals among pediatricians and health plans for improving children's health, and
It creates contacts between the pediatric and insurance communities to promote one-on-one discussions where necessary

Meeting Dates: The council meets quarterly, in person and by teleconference, often just after meetings of the Ohio Association of Health Plans' Medical Directors Council. Meetings have been held at the OAHP headquarters and at Ohio AAP headquarters in Columbus.

Web sites of interest:
AAP Private Payer Advocacy (requires member login)

Committee members:
Jonathan Price, MD, Ohio AAP
Melissa Arnold, Ohio AAP Executive Director
Terry Barber, MD, Ohio AAP President
Mary Applegate, MD, Ohio Medicaid Medical Director
Lee Budin, MD, Nationwide Children's
Frank Combs, MD, Columbus Practicing Pediatricians
Cheryl Eiber, Summa Care
Richard Gajdowski, UHC
Marilee Gallagher, MD, University Premier Pediatrics, Mentor
John Hinton, AmeriGroup
Chris Hostler, Medical Mutual
Neejag Kanwal, Paramount Health
Kelly Kelleher, Nationwide Children's, Center for Innovation in Pediatric Practice
Barry Malinowski, Anthem
Keith Mandel, Cincinnati Children's Hospital and Medical Center (Physician Hospital Organization)
Kelly McGivern, Ohio Association of Health Plans CEO
Robert Robison, Buckeye Health
Ann Rogers, MD, Rainbow Pediatrics, Dublin
Paul Romano, Practice Administrator, Wheeling Pediatrics LLC, Martins Ferry
Robert Rzewnicki, Medical Mutual
Robert Snyder, MD, Pediatric Associates, Hilliard
Craig Thiele, CareSource
John Thomas, Medical Mutual

Additional information/accomplishments:
Hassle Factor Form - The American Academy of Pediatrics has developed a managed-care monitoring tool which can be used to document managed-care problems as they occur. To obtain an electronic version of the Hassle Factor Form, go to the Member's Only Channel of the AAP Web site at http://www.aap.org click on "Member Center" at the top of the page, log in, then go down to "More Resources" and click on AAP Hassle Factor Form.

Reports