The USA spends more per capita on healthcare than any other OECD country, but American medical outcomes are not proportionately better. In fact, some metrics deem US patient outcomes to be worse. Evidently, our effort and resource allocation has been to no avail. Rather, we must make tactical, efficient decisions on how we look to treat patients domestically. In order to thwart our investment in low-value care, or quite simply, interventions that provide no medical benefit, Americans face an important choice going forward: we must determine how to intelligently fund various healthcare initiatives. This panel will discuss how the shift to value-based spending will not only help us financially, but also, and more importantly, help us physiologically.
Mark v pauly, phd
Bendheim Professor of Healthcare Management, The Wharton School
Mark V. Pauly, PhD, is Bendheim Professor in the Department of Health Care Management, Professor of Health Care Management, and Business and Public Policy at The Wharton School and Professor of Economics in the School of Arts and Sciences at the University of Pennsylvania. A former commissioner on the Physician Payment Review Commission, Dr. Pauly has been a consultant to the Congressional Budget Office, the Office of the Secretary of the U.S. Department of Health and Human Services, and served on the Medicare Technical Advisory Panel. He is Co-editor-in-chief of the International Journal of Health Care Finance and Economics and Co-editor of the recently published Handbook of Health Economics, Volume 2. Dr. Pauly has been elected President of the American Society of Health Economists this year. He is the 2012 winner of the William B. Graham Prize for Health Services Research and the 2012 recipient of the University of Pennsylvania Provost’s Award for Distinguished Ph.D. Teaching and Mentoring.
Michael cirigliano, md
Founder’s Associate Professor of General Internal Medicine, Perelman School of Medicine
Dr. Cirigliano is an Associate Professor of Medicine and practicing Internist at the Perelman School of Medicine at the University of Pennsylvania. He has over sixty publications in the medical literature and has been published in journals including the Journal of the American Medical Association, Hospital Practice and the Journal of Women’s Health. He has lectured throughout the country and has served on the editorial board of the Facts and Comparisons publication Review of Natural Products, and Hospital Physician. Dr. Cirigliano practices Internal Medicine full time and treats a full range of medical disorders in the adult patient population. Dr. Cirigliano currently serves as the medical correspondent and on air personality for the FOX 29 News program “Good Day Philadelphia.” He is also regularly featured on the “Preston and Steve” morning radio show on 93.3 WMMR. Over the years, “Dr. Mike” has covered innumerable medical topics including sports injuries to infectious diseases. He has a special interest in prevention and healthy living. Dr. Cirigliano was featured in Philadelphia Magazine’s “Top Docs” issue every year since 1996. He was also recognized by the Castle Connelly publication “Best Doctors In America” every year since 2008. Dr. Cirigliano was born and raised in the Philadelphia area. He is married and has two children, Amy and Nicholas. His interests include aviation and ice hockey.
william kramer, chief legal officer
Chief Legal Officer, Medically Home
Since June 2018, Bill has been Chief Legal Officer of Medically Home Group, Inc., a technology-enabled services company that brings a virtual hospital to a patient's home. Before Medically Home, Bill spent over 25 years at Aetna, most recently as Vice-President Health Care Counsel. At Aetna, Bill provided legal support regarding all aspects of managed care, including insurance and HMO regulatory issues, joint ventures, value-based provider relationships, disease management, utilization management, Healthcare IT and pharmacy benefits management.
Chief Medical Value Officer, Hospital for Special Surgery
Catherine MacLean, MD, PhD is the Chief Value Medical Officer at Hospital for Special Surgery, where she leads the development and execution of strategies to measure, report and improve health care value. She previously led quality and care management programs at Anthem/WellPoint; has been principal investigator on numerous quality research projects; and served as a director, chair or participant on numerous national committees and panels related to health care quality and value.
Dr. MacLean obtained her MD from Washington University, St. Louis; completed training in internal medicine at the Harbor-UCLA Medical Center, and in rheumatology at UCLA’s Center for the Health Sciences; and obtained her PhD in health services from UCLA’s School of Public Health.
Research Assistant Professor, Psychiatry, Perelman School of Medicine; Lecturer, Health Care Management, Wharton School
Molly Candon is a health economist at Penn’s Center for Mental Health in the Department of Psychiatry and a lecturer in the Department of Health Care Management. Her research focuses on how payers and health systems can incentivize the use of evidence-based, high-value treatments to expand access and improve outcomes for patients with psychiatric, substance use, and/or chronic pain conditions. Ongoing projects examine off-label psychotropic prescribing for chronic pain and dementia, the integration of physical and mental health care (which is currently underway at Penn Medicine), nursing turnover, and how alternative payment models can be applied to mental health care.
The Wharton School MBA Candidate
Ibrahim is a first-year MBA student at Wharton and is part of the Health Care Management major program. He spent the last five years as a strategy consultant with Oliver Wyman. He was an Associate in their Health and Life Sciences practice, leading teams with payers and providers. His work often focused on large-scale transformations and building different Care Management strategies. Ibrahim is passionate about wellness – physical, mental and spiritual.