PHYSICIAN CEO 2019_1.2_Participant Directory

Arvind Cavale, MD, FACE is an Adult Clinical Endocrinologist, currently in his 20th year of practice in the Greater Philadelphia area. He

completed his medical education at Seth GS Medical College, University of Bombay in 1990, Residency in Internal Medicine from the Jamaica

Hospital Medical Center, NY in 1994 and Fellowship in Diabetes, Endocrinology & Metabolism from Nassau County Medical Center, NY in

1999. In between his training stints, Dr. Cavale served as an Internist in a rural hospital in Lutcher, LA from 1994-1996 and as an Instructor in

Medicine in NYC from 1996-97. After being on a partnership track with a fairly large group in Philadelphia, he decided to open his solo practice

in 2002, which he merged with that of a colleague in January 2018, to create Diabetes & Endocrinology Consultants of PA. He was also actively

involved in clinical research since 2010, being a trial site for the Duke Clinical Research Institute and Worldwide Clinical Trials, participating in

some landmark trials such as EXSCEL, Harmony Outcomes and Camellia TIMI 61. In 2016, he, along with his physician colleague and two

Dieticians, co-founded The Endocrine & Metabolic Institute of Greater Philadelphia, LLC , now known as the Signature Diabetes Institute,

through which they developed bundled diabetes prevention and management programs.

Dr. Cavale has seen health care from all angles - patient, caregiver, physician and tax payer; and believes that the decades long crisis in the

American healthcare system is solvable by better use of the free enterprise system, reduced role of government mandates & middlemen, greater

education of the population in general, and appropriate allocation of healthcare dollars with transparency in pricing. His concept of moving the

discussion from a cost-cutting to a value-based purchasing, preceded the recent push in the healthcare industry. In addition, he is convinced that

employers need to be the first to move healthcare financing in the new direction, and that physicians must be ready to cooperatively offer ROI

for employers who wish to utilize their healthcare dollars effectively, and promote engagement by employees. Therefore a new type of leadership

is need in organized medicine that moves physicians away from dependence on government programs, and into actively managing the

economics of their clinical activities, in collaboration with colleagues and employers. This move will help reduce the rate of physician burnout

and restore the patient-physician relationship, while creating a new business model. He hopes that this change will eventually lead to a reform in

medical education and training, where new medical graduates will be comfortable with discussing the value of their services and setting

expectations.

Dr. Cavale has practiced with holistic philosophy for more than 22 years, which involves "reversing the senses", ironically even before reading

the book for the PCEO course. His business philosophy has been to encourage staff to be maximally involved in day-day operations, patient

interactions and to 'own" their position in the office. He owes his success to his wife of 25 years, Kanchan Cavale, who has been his front deck

operator, office manager, tax consultant, CFO, payroll manager, fixer, etc. for over 16 years. She now functions as Practice Administrator in

addition to her "mom" duties. His professional partner, Alan Schorr, DO, has been a friend and supporter, ever since he volunteered to cross-

cover in 2002. His Clinical Manager/Study Coordinator, Nancy Ward, has been instrumental in implementing his goals of integrating human

ingenuity and technology to deliver optimal care to his patients while operating the practice efficiently. Finally, his patients are the main reason

for his practice to have the reputation it has, not just locally but regionally. For this he is forever grateful. He is also grateful to the profession

and particularly to his specialty of Endocrinology, that has placed him in such a crucial position to positively affect so many fellow human

beings. Dr. Cavale hopes that the Physician CEO program will equip him to deliver on his mission for the

second half of his career.