LDI Alumni-Faculty Exchange

The Economics and Politics of Employer-Sponsored Health Care

Friday, May 14, 2003
3:00 - 4:30 PM

F-85, Jon M. Huntsman Hall

The LDI Alumni-Faculty exchange program brings together Penn Alumni who are national health policy makers, corporate leaders, and researchers to discuss pressing issues in health care and how they impact consumers, society and the industry as a whole. This year’s panel is titled: “The Economics and Politics of Employer-Sponsored Health Care.”

Panelists include:

Bruce E. Bradley, MBA
Director, Health Plan Strategy and Public Policy for General Motors Health Care Initiatives

Mark V. Pauly, PhD
Bendheim Professor and Chair, Health Care Systems Department, The Wharton School

Karl Stark
Philadelphia Inquirer Staff Writer

Walter Tsou, MD
President-elect of the American Public Health Association and former Health Commissioner for the City of Philadelphia

Sandy Schwartz, MD
Professor of Medicine, School of Medicine, University of Pennsylvania will moderate the discussion.

Sponsored by the Leonard Davis Institute of Health Economics (LDI), The Wharton School, School of Medicine, School of Nursing, and School of Dentistry.

Bruce E. Bradley
is Director, Health Plan Strategy and Public Policy for General Motors Health Care Initiatives. He is responsible for health care related strategy and public policy with a focus on quality measurement and improvement, consumer engagement and cost effectiveness. General Motors provides health care coverage for over 1.2 million employees, retirees and their dependents with an annual expense of $4.5 billion.

Bradley joined GM in June 1996 after five years as corporate manager of Managed Care for GTE Corporation. In addition to his health care management experience at GTE, he spent nearly 20 years in health plan and health maintenance organization's (HMO) management. From 1972 to 1980 he was executive director of the Matthew Thornton Health Plan, Nashua, N.H. From 1980 to 1990 he was president and chief executive officer of the Rhode Island Group Health Association in Providence, RI, a staff model HMO.

He was co-founder of the HMO Group (now Alliance of Community Health Plans), a national corporation of 15 non-profit, independent group practice HMOs, and the HMO Group Insurance Co., Ltd.

Bradley has gained recognition for his work in achieving health plan quality improvement and for his efforts in developing the Health Employer Data and Information Set (HEDIS) measurements and processes. He is a board member of the National Quality Forum, Treasurer of the board of FACCT, a past board member of The Academy for Health Services Research and Policy, and a founding member and past chair of the Leapfrog Group board.

A native of Pelham, N.Y., Bradley holds a bachelor's degree in psychology from Yale University (1967) and master's degree in business and health care administration from the Wharton School at the University of Pennsylvania (1972).

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Mark V. Pauly currently holds the positions of Bendheim Professor and Chair of the Department of Health Care Systems. He is Professor of Health Care Systems, Insurance and Risk Management and Public Policy and Management, at the Wharton School and Professor of Economics, in the School of Arts and Sciences at the University of Pennsylvania. Dr. Pauly is a former commissioner on the Physician Payment Review Commission and an active member of the Institute of Medicine. One of the nation's leading health economists, Dr. Pauly has made significant contributions to the fields of medical economics and health insurance. His classic study on the economics of moral hazard was the first to point out how health insurance coverage may affect patients' use of medical services. Subsequent work, both theoretical and empirical, has explored the impact of conventional insurance coverage on preventive care, on outpatient care, and on prescription drug use in managed care. In addition, he has explored the influences that determine whether insurance coverage is available and, through several cost effectiveness studies, the influence of use on health outcomes and cost. Dr. Pauly is a co-editor-in-chief of the International Journal of Health Care Finance and Economics and an associate editor of the Journal of Risk and Uncertainty. He has served on an Institute of Medicine panel on public accountability for health insurers under Medicare.

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Karl Stark is a business health care reporter for the Philadelphia Inquirer. He has won many awards for his investigative work, including the National Press Club's Consumer Story of the Year. His reporting on the Pennsylvania-based Allegheny health system triggered a criminal investigation that led to a no contest plea in August 2002 by the former CEO for misusing more than $50 million in medical endowments. He documented how the CEO had gotten his wife into medical school over his staff's objections, how top executives received millions in low-interest loans and bonuses after promising to take pay cuts, and how hospital executives were spending millions over the years to discuss malpractice claims in Paris, Aruba and the Cayman Islands while Allegheny's hospitals lacked money to buy bandages.Recent articles documented how an ailing urban hospital secretly gave millions to its CEO before laying off 200 people. Stark is lead author of Covering the Quality of Health Care -- A Resource Guide for Journalists, published last year by the Association of Health Care Journalists with a grant from the Robert Wood Johnson Foundation. In September, 2001, he finished a year-long media fellowship from the Kaiser Family Foundation that enabled him to study medical quality and medical errors. He writes weekly jazz reviews for The Inquirer and has written for National Public Radio's jazz website, nprjazz.org. A former collegiate tennis player, he likes to think he still has game.

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Walter Tsou, MD, MPH is president-elect of the American Public Health Association. He served as Health Commissioner of Philadelphia from April 2000 to February 2002. Prior to his appointment, he was Deputy Director for Personal Health Services and Medical Director of the Montgomery County Health Department from 1991-2000. He was formerly Clinical Director in the Division of Ambulatory Health Services for the Philadelphia Department of Public Health. He has extensive experience in public health and currently serves on the national board of Physicians for a National Health Program.

Locally he is on the boards of Philadelphia Physicians for Social Responsibility, the Philadelphia Area Committee to Defend Health Care, the Institute for Social Medicine and Community Health and the Section on Public Health at the College of Physicians of Philadelphia. In the past, he has served on the boards and committees of the Maternity Care Coalition, the Philadelphia HIV Commission, Bridging the Gaps, the Asian American Health Care Network, and the United Way of SE Penna. He is a Contributing Editor of Physician's News Digest and Pennsylvania Medicine. He was named the Practitioner of the Year by the Philadelphia County Medical Society in 2001. He also received the 2001 Leadership Award of the Delaware Valley Healthcare Council. In 2004, he received the Broad Street Pump Award from Physicians for Social Responsibility. His medical degree is from the University of Pennsylvania; his MPH is from the Johns Hopkins School of Hygiene and Public Health, and he has an honorary Doctorate in Medical Sciences from Drexel University.

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J. SANFORD (SANDY) SCHWARTZ, MD is Professor of Medicine and Health Management and Economics at the School of Medicine and The Wharton School, board certified internist and former Executive Director of the Leonard Davis Institute of Health Economics, and co-Director of Penn's Robert Wood Johnson Clinical Scholars Program. Dr. Schwartz is an internationally recognized clinically oriented health services researcher. He was the first recipient of the Samuel P. Martin Award for Excellence in Health Services Research and is an elected member of the American Society for Clinical Investigation. His research interests include the assessment of medical interventions and practices (with an emphasis on cost-quality tradeoffs), medical decision making and the diffusion and adoption of medical innovation. Dr. Schwartz was founding Director of the American College of Physicians Clinical Efficacy Assessment Project and President of both the American Federation for Medical Research (formerly AFCR) and the Society for Medical Decision Making. Dr. Schwartz was founding Editor-in-Chief of the American Journal of Managed Care and has served as Associate Editor of Journal of General Internal Medicine and on the editorial board of Medical Decision Making. Widely recognized as an outstanding mentor, almost all of the more than 40 fellows and junior faculty he has mentored are advancing successfully in their careers in academic medicine and government. He currently is mentor to 12 junior faculty, all but two of whom have career development awards and he directs or co-directs four institution-wide NIH-sponsored health services research and clinical epidemiology training grants. An outstanding teacher, he directs three school of medicine courses in clinical evaluative sciences and health care systems and has received four student teaching awards in the past five year. He has served in an a policy advisory capacity on national advisory committees for numerous governmental agencies and non-profit groups including the NIH, CDC, IOM, NAS, DOD, FDA, WHO, RWJF, W.K. Kellogg Foundation, John A. Hartford Foundation, AAMC and NCQA.

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