[Minutes of the steering committee]

              STEERING   COMMITTEE,   HEALTH   CARE   DELIVERY  SYSTEMS
MINUTES
WEDNESDAY,   JUNE  27,   1984
Members   Present:     Doctors   Bertrand,   Bowman,   Linder,   Nolan,   Ray,   Rollins,
Ruskin,   Singer,   Stafford,   Stiefel,   Turner,   Young,   Barry,   Bryan  and   Leone.
Members Absent:     Doctors   Henschen, Rowe and Russell.
Invited   Guests:     Mr.   Jim  Busick,   Executive   Secretary,   Guilford   County  Medical
Society,   Greensboro  Branch.
The  meeting  was  called   to  order  at   7=35  p.m.   after which  Dr.   Turner  gave
a   brief  overview of  the  concepts  of  alternative  health  care  delivery
systems now operating   in  this  country.     There  followed a discussion of
these  various   types  of organizations  and   it  was   the  concensus  of  the
committee  members   that  emphasis   be  placed  on  exploring   the   feasibility
of  a   free  access   system  such  as   a   HMO-IPA.      Because  of  present   recruitment
activities   directed  by  a   PPO  Organization,   there  was  also  decided   to  hear
from  the  PPO  Organization   regarding   their  type  of  health  care  delivery
system.
Mr.    Dennis   Barry   then  discussed  the  health  environment  of  the   Greensboro
area  emphasizing  the  point   that  at   present   fragmentation  of  physician's
groups  was  not  a   predominant  problem and   if  a  system could   be  established
that  would  avoid   this   fragmentation,   then   this  was   to  be  desired.     Mr.   Barry
then   discussed  the   fact   the   Blue  Cross-Blue  Shield  will   be   introducing
its  own   HMO-IPA  Program   in   the  Greensboro  area  and   that   it   has   completed
feasibility  studies   regarding  this  endeavor.     The   fact   that   Blue   Cross-
Blue  Shield  now enjoys  25% of  the  market  carrier  status  which  seems
sufficient   for  the  steering  committee   to   interview   representatives  of
this   carrier   regarding  physician-organized  plans.      It  was  decided   that
Mr.   John   Sharpe  of   Blue  Cross-Blue  Shield  will   be  contacted   to  speak
to  the  committee  meeting  on  Wednesday,   July   18th.
Discussion   then   followed   by   the  commi ttee  as  a  whole   regardi ng   Charter
Med,   Inc.   and   their  HMD-IPA  Plan.     Since   this   group  has  made  preliminary
investigations   into  the  Greensboro  area  at   the   request  of  the  Guilford
County  Medical   Society,   it  was   decided  that  physicians  would  contact
representatives  of other  physician  groups   that  are   involved  with   the   Charter
Med  Plan.      Doctors   Turner,   Bertrand,   Ray,   Young,   and  Stafford will   contact
selected  physicians  provided   by   that   firm and  Dr.   Mike   Leone  will   contact
the  physician   representative   in   Minneapolis,   Minnesota  associated  with  a
plan   that   has  not     fared   well   financially.     This   name  will   be  supplied  by
Mr.   Jim  Busick,   Executive  Secretary of   the   Guilford  County  Medical   Society,
Greensboro   Branch.      Reports  of  these  members  will   be  discussed  at   the  next
meeting.      Questions  were   formulated   to  be  presented   to  the   representatives
of  the  various   programs   so  that  an  overall   comparison  could  be  made  of   the
performance  of  the  various   systems.
Dr.   Jerry   Ruskin  suggested   that   Dr.   Kirkland   Schultz,   Chairman  of   the   Steering
Committee  of  Health   Care  Delivery  Systems   in   Charlotte  be  contacted   regarding