Our Leadership Team

Mary D. Naylor, PhD, RN, FAAN, Program Director

Dr. Naylor is the Marian S. Ware Professor in Gerontology at the University of Pennsylvania, School of Nursing. Since 1990, Dr. Naylor has led an interdisciplinary program of research designed to improve the quality of care, decrease unnecessary hospitalizations and reduce health care costs for vulnerable community-based elders. To date, Dr. Naylor and her research team have completed three National Institutes of Health funded randomized clinical trials testing the Advanced Practice Nurse Transitional Care Model, an innovative approach to addressing the needs of high risk chronically-ill elders and their caregivers. With the support of The Commonwealth Fund, the Jacob & Valeria Langeloth Foundation and the John A. Hartford Foundation, this research team has recently partnered with a major insurance organization and health care organization to promote widespread adoption of this proven model of care coordination. An ongoing clinical trial funded by the Marian S. Ware Alzheimer Program and the National Institute on Aging has expanded testing of this model of care with hospitalized cognitively impaired elders and their caregivers. Additionally, Dr. Naylor and colleagues have just launched a study funded by the National Institute on Aging and the National Institute for Nursing Research that will examine over time the natural history of changes in health and quality of life among elders newly admitted to long term care settings or services. In recognition of her research and leadership, Dr. Naylor has received numerous awards. In 2005, Dr. Naylor was elected to the National Academy of Sciences, Institute of Medicine. She also is a member of the RAND Health Board, the National Quality Forum Board of Directors and the immediate past-chair of the Board of the Long-Term Quality Alliance. She was appointed to the Medicare Payment Advisory Commission in 2010.

Mark V. Pauly, PhD, Program Co-Director

Dr. Pauly received a Ph.D. in economics from the University of Virginia. He is a Professor of Health Care Management at the University of Pennsylvania's Wharton School. 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 medical care and health practices on health outcomes and cost. His interests in health policy deal with ways to reduce the number of uninsured people through tax credits for public and private insurance, and appropriate design for Medicare in a budget-constrained environment. 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 Institute of Medicine panels on public accountability for health insurers under Medicare and on improving the supply of vaccines.

Lori Melichar, PhD, Senior Program Officer

Lori Melichar has a Ph.D. in Economics from the University of Maryland. She works in the department of Research and Evaluation at the Robert Wood Johnson Foundation and is responsible for initiating and managing research and evaluation projects about the healthcare workforce—especially nurses. Dr. Melichar began her health economics/policy career at Project HOPE, Center for Health Affairs. She also has worked at Pfizer Pharmaceuticals, in the office of Economic Policy Analysis, and in the Demographic and Behavioral Sciences Branch of the National Institute for Child Health and Human Development, an institute of the National Institutes of Health. Dr. Melichar majored in Economics at Swarthmore College.