2015MAHP Senior Directory - Michigan Association of Health

Transcription

2015MAHP Senior Directory - Michigan Association of Health
Michigan Association of Health Plans
Resource and
Senior Management
Directory
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of Health Plans
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Michigan Association of Health Plans
Resource and Senior
Management Directory
Table
Tableof
ofcontents
Contents
Section One1
Alphabetical Listing of Advertisers and Ads
Section Two
2
Listing by Health Plan
Section Three
3
Listing by Category
Section Four
4
Standing Committees
Section Five
5
MAHP Foundation
2015 Resource and Senior Management Directory
i
Michigan Association of Health Plans
327 Seymour Avenue • Lansing, MI 48933 • 517-371-3181 • www.mahp.org
The mission of the Michigan Association of Health Plans is to provide leadership for the
promotion and advocacy of high quality, affordable, accessible health care for the citizens of
Michigan.
By promoting wellness and prescribing effective and appropriate use of health care resources, the
Association supports the efforts of other associations, organizations, businesses and
individuals to contain health care costs.
As the voice for health plans in Michigan, the Association seeks to increase public awareness about
plans’ services, aims, efficiency, operations and health care delivery benefits. The Association facilitates communication among members and with the health care industry on issues of common concern, and maintains contact with health care associations in other states and nationally.
The Michigan Association of Health Plans is a member of the American Health Insurance Plans (AHIP).
AHIP represents more than 1,300 member organizations that provide health care for more than 200
million Americans nationwide.
Michigan Association of Health Plans Executive Committee
President
Beverly A. Allen, Aetna Better Health of Michigan
President-elect
Kimberly Thomas, Priority Health
secretary
Jon Cotton, Meridian Health Plan
members-at-large
Stephen Harris, Molina Healthcare of Michigan
Kathy Kendall, BSN, MM, McLaren Health Plan
Matt Walsh, Health Alliance Plan
executive Director
Richard B. Murdock, Michigan Association of
Health Plans
treasurer
Randy A. Narowitz, Total Health Care, Inc.
Michigan Association of Health Plans Staff
Richard B. Murdock, Executive Director
[email protected]
Kirsten Fisk, Special Event Manager
[email protected]
Dominick Pallone, Deputy Director
[email protected]
Christine Gray, Business Manager
[email protected]
Christine Shearer, Deputy Director, Office
of Legislation & Advocacy
[email protected]
Laura Osminski, Executive Assistant
[email protected]
Cheryl Bupp, Medicaid Policy Director
[email protected]
ii
2015 Resource and Senior Management Directory
Membership
Michigan Association of Health Plans Membership Roster
Full Organizational
Members
Aetna Better Health of Michigan
1333 Gratiot, Suite 400
Detroit, MI 48207
Phone: (866) 782-8507
Fax: (313) 465-1605
Consumers Mutual Insurance of
Michigan
2601 Coolidge Road, Suite 200
East Lansing, MI 48823
Phone: (517) 492-9020
Fax: (517) 492-9021
Fidelis SecureCare of Michigan, Inc.
3030 West Grand Boulevard
Suite 650
Detroit, MI 48202
Phone: (855) 402-4791
Fax: (847) 517-1085
Grand Valley Health Plan
829 Forest Hill Avenue
Grand Rapids, MI 49546
Phone: (616) 949-2410
Fax: (616) 949-4978
HAP Midwest Health Plan, Inc.
5050 Schaefer
Dearborn, MI 48126
Phone: (313) 581-5500
Fax: (313) 581-2780
Harbor Health Plan
3968 Mt. Elliott
Detroit, MI 48207
Phone: (313) 578-3400
Fax: (313) 578-2462
Health Alliance Plan
2850 West Grand Boulevard
Detroit, MI 48202
Phone: (313) 664-3860
Fax: (313) 664-8433
2015 Resource and Senior Management Directory
HealthPlus of Michigan, Inc.
2050 South Linden Road
Flint, MI 48532
Phone: (810) 230-2000
Fax: (810) 230-2208
McLaren Health Plan
G3245 Beecher Road, Suite 200
Flint, MI 48532
Phone: (810) 733-9701
Fax: (810) 733-5788
Meridian Health Plan
777 Woodward Avenue, Suite 600
Detroit, MI 48226
Phone: (313) 324-3700
Fax: (313) 202-0071
Molina Healthcare of Michigan, Inc.
100 West Big Beaver Road, Suite 600
Troy, MI 48084-5209
Phone: (248) 925-1710
Fax: (248) 925-1719
Paramount Care of Michigan
106 Park Place
Dundee, MI 48131
Phone: (734) 529-8892
Fax: (734) 529-8896
Physicians Health Plan
P.O. Box 30377
Lansing, MI 48909-7877
Phone: (517) 364-8300
Fax: (517) 347-9460
Priority Health
1231 East Beltline, NE
Grand Rapids, MI 49525-4501
Phone: (616) 942-0954
Fax: (616) 942-1150
Total Health Care, Inc.
3011 West Grand Boulevard
Suite 1600
Detroit, MI 48202
Phone: (313) 871-2000
Fax: (313) 871-6400
UnitedHealthcare Community
Plans, Inc.
26957 Northwestern Highway
Suite 400
Southfield, MI 48073
Phone: (800) 903-5253
Fax: (248) 559-4640
Upper Peninsula Health Plan
228 West Washington Street
Marquette, MI 49855
Phone: (906) 225-7500
Fax: (906) 225-7690
ASSOCIATE MEMBER
IPC of Michigan, The Hospitalist
Group
4967 Crooks Road, Suite 130
Troy, MI 48098
Phone: (248) 952-1601
Fax: (248) 952-1614
United Physicians
30800 Telegraph Road, Suite 2800
Bingham Farms, MI 48025
Phone: (248) 593-0100
Fax: (248) 593-0117
LIMITED ORGANIZATIONAL
MEMBERS
Delta Dental Plan of Michigan
P.O. Box 30416
Lansing, MI 48909-7916
Phone: (517) 347-5210
Fax: (517) 347-5420
DENCAP Dental Plans
45 East Milwaukee
Detroit, MI 48202-3231
Phone: (313) 972-1400 ext. 225
Fax: (313) 972-4662
Lakeshore Regional Entity
12265 James Street
Holland, MI 49424
Phone: (616) 393-5647
Fax: (616) 393-5687
iii
Michigan Association of Health Plans Membership Roster, continued
Magellan Health Services
6950 Columbia Gateway Drive
Columbia, MD 21046
Phone: (443) 285-3471
Michigan Education Special
Services Association
1475 Kendale Boulevard
P.O. Box 2650
East Lansing, MI 48823
Phone: (517) 332-2581
Fax: (517) 333-6252
Mid-State Health Network
530 West Ionia, Suite F
Lansing, MI 48933
Phone: (517) 253-7525
Fax: (517) 253-7552
Southwest Michigan Behavioral
Health
5250 Lovers Lane, Suite 200
Portage, MI 49002
Phone: (269) 979-9132
Fax: (269) 979-9728
UAW Retiree Medical Benefits Trust
200 Walker Street, Suite 400
Detroit, MI 48207
Phone: (313) 324-5943
Fax: (313) 324-5940
ValueOptions
48561 Alpha Drive, Suite 150
Wixom, MI 48393
Phone: (248) 697-0530
iv
Cognizant
1243 North Intermediate Lake Road
Central Lake, MI 49622
Phone: (231) 642-7458
BUSINESS AFFILIATE
MEMBERS
4-D Pharmacy Management
Services
2520 Industrial Row Drive
Troy, MI 48084
Phone: (248) 540-8066
Fax: (248) 540-0112
Employee Health Insurance
Management, Inc.
26711 Northwestern Highway
Suite 400
Southfield, MI 48033
Phone: (248) 204-5677
Fax: (248) 204-5678
Advomas
335 East Big Beaver Road
Troy, MI 48083
Phone: (248) 989-4200
Fax: (248) 928-0017
Equian
5975 Castle Creek Parkway
Suite 100
Indianapolis, IN 46250
Phone: (317) 806-2000
Allergan, Inc.
250 East Greyhound Pass
Carmel, IN 46032
Phone: (317) 815-9835
Fax: (317) 566-8937
First Recovery Group
26899 Northwestern Highway
Suite 250
Southfield, MI 48033
Phone: (248) 443-4800
Fax: (248) 443-4804
Amgen USA
W331S546 Erin Way
Delafield, WI 53018
Phone: (262) 303-4881
Area Agencies on Aging Association
6105 W. St. Joseph, Suite 204
Lansing, MI 48910
Phone: (517) 886-1029
Fax: (517) 886-1305
AstraZeneca Pharmaceuticals
10430 Whispering Waters Lane
Caledonia, MI 49316
Phone: (517) 604-0092
Foster, Swift, Collins & Smith
313 S. Washington Square
Lansing, MI 48933
Phone: (517) 371-8100
Fax: (517) 371-8200
Genentech, Inc.
796 Arborrun Drive
Cincinnati, OH 45233
Phone: (513) 600-0604
Bayer Healthcare
53756 Huntington Drive
Shelby Township, MI 48316
Phone: (248) 650-8411
Genessee Health Plan
2171 South Linden Road
Flint, MI 48532
Phone: (810) 339-6390
Fax: (810) 249-7298
Celgene Corporation
7889 Hickory Drive, NE
Rockford, MI 49341
Phone: (908) 673-9000
Fax: (616) 866-2111
Gilead Sciences
10332 Bingham Road
Vanderbilt, MI 49795
Phone: (231) 549-5060
2015 Resource and Senior Management Directory
Michigan Association of Health Plans Membership Roster, continued
Great Lakes Health Connect
695 Kenmoor Avenue, SE
Suite B
Grand Rapids, MI 49546
Phone: (844) 454-2443
Fax: (616) 588-4710
Health Management Associates
120 North Washington Square
Suite 705
Lansing, MI 48933
Phone: (517) 482-9236
Fax: (517) 482-0920
Health Management Systems
5615 High Point Drive, Suite 100
Irving, TX 75038
Phone: (214) 453-3137
Fax: (646) 465-6581
Honigman Miller Schwartz and
Cohn LLP
660 Woodward Avenue
2290 First National Building
Detroit, MI 48226
Phone: (313) 465-7526
Fax: (313) 465-7527
Incyte Corporation
3375 Peshtigo Drive
Grandville, MI 49418
Phone: (616) 318-9521
Johnson & Johnson Company
2128 Lancer Drive
Troy, MI 48098
Phone: (248) 643-4413
Lilly USA
6810 Shorebrook Drive
Shelby Township, MI 48316
Phone: (586) 243-4970
2015 Resource and Senior Management Directory
MedEncentive
800 Research Parkway
Suite 380
Oklahoma City, OK 73104
Phone: (405) 319-8452
Fax: (405) 319-8455
Medical Advantage Group
1305 Abbott Road
East Lansing, MI 48823
Phone: (517) 336-1400
Fax: (517) 336-4177
Merck
336 South Kensington Avenue
LaGrange, IL 60525
Phone: (708) 921-6953
Fax: (908) 823-3004
Meridian Rx
777 Woodward Avenue, Suite 600
Detroit, MI 48226
Phone: (313) 324-3726
Fax: (313) 202-0006
Metron Integrated Health Systems
4630 Plainfield Avenue NE
Grand Rapids, MI 49525
Phone: (616) 975-5287
Fax: (616) 588-0974
Michigan Community Dental Clinics,
Inc.
One Water Street, Suite 200
Boyne City, MI 49712
Phone: (231) 547-7638
Fax: (231) 437-4782
Michigan Health Policy Forum
Michigan State University
A117 East Fee Hall
East Lansing, MI 48824-1316
Phone: (517) 432-9807
Fax: (517) 432-9977
Michigan Public Health Institute
2438 Woodlake Circle, Suite 200
Okemos, MI 48864
Phone: (517) 324-6060
Fax: (517) 324-6093
MPRO
22670 Haggerty, Suite 100
Farmington Hills, MI 48335-2611
Phone: (248) 465-7400
National Kidney Foundation of
Michigan
1169 Oak Valley Drive
Ann Arbor, MI 48108
Phone: (734) 222-9800
Novartis Pharmaceuticals
3632 Sleeth Road
Commerce Township, MI 48382
Phone: (248) 685-2039
Fax: (248) 685-0870
Novo Nordisk, Inc.
40826 East Ann Arbor Trail
Plymouth, MI 48170
Phone: (734) 634-2757
Nuyen, Tomtishen and Aoun, PC
2001 Commonwealth Boulevard
Suite 300
Ann Arbor, MI 48105
Phone: (734) 372-4100
Fax: (734) 372-4101
Pfizer Pharmaceuticals, Inc.
815 Partridge Court
Holly, MI 48532
Phone: (248) 880 -8981
Physicians Resource Management,
Inc.
301 East Liberty, Suite 600
Ann Arbor, MI 48104
Phone: (248) 302-3086
Fax: (877) 787-0595
v
Michigan Association of Health Plans Membership Roster, continued
Plante & Moran
1111 Michigan Avenue
P.O. Box 2500
Lansing, MI 48826-2500
Phone: (517) 336-7507
Fax: (517) 233-8864
PNC Bank
755 West Big Beaver Road
Suite 2400
Troy, MI 48084
Phone: (248) 729-8550
Fax: (866) 641-3082
Sanofi
9799 Chase Lake Road
Fowlerville, MI 48836
Phone: (517) 375-4580
Fax: (517) 468-5008
Tahio Oncology
6582 Tantallon Square
Dublin, OH 43016
Phone: (609) 750-5300
Fax:(609) 750-7450
ScriptGuideRx, Inc.
15400 East Jefferson
Grosse Pointe Park, MI 48230
Phone: (313) 821-3200
Fax: (313) 821-3201
UCB, Inc.
5650 Carvel Avenue
Indianapolis, IN 46220
Phone: (770) 970-7500
The Post Acute Care Network
120 Pondview Court
Brighton, MI 48116
Phone: (517) 404-8099
Seasons Hospice & Palliative
Care, Inc.
27355 John R
Madison Heights, MI 48071
Phone: (800) 370-8592
Fax: (248) 284-1397
Resource Link of Michigan
4678 Dixie Highway
Waterford, MI 48329
Phone: (248) 673-8700
Fax: (248) 673-8710
Shire US, Inc.
25668 Rutledge Crossing
Farmington Hills, MI 48335
Phone: (248) 426-9458
Fax: (248) 426-6228
Walgreens
1417 Lake Cook Road
MS: L459
Deerfield, IL 60015
Phone: (847) 964-6582
Fax: (847) 964-8814
AFFILIATED NATIONAL
ASSOCIATION
America’s Health Insurance Plans
604 Pennsylvania Avenue, SW
Suite 500
Washington, DC 20004
Phone: (202) 778-3200
Fax: (202) 331-7487
Web: www.ahip.org
Information on membership is available on our website: www.mahp.org
Or contact: Christine Gray
Business Manager
Michigan Association of Health Plans
(517) 371-3181
327 Seymour Avenue • Lansing, MI 48933 • 517-371-3181 • [email protected]
vi
2015 Resource and Senior Management Directory
Partners
Michigan Association of Health Plans Consulting Partners
Capitol National Bank
(Banking & Financial)
Ronda Thompson
200 N. Washington Square
Lansing, MI 48933
(517) 484-5080
Hooyenga Law & Mediation
(Legal Consultant)
Judy Hooyenga
14097 Garfield Street
Spring Lake, MI 49456
(616) 822-2691
CAS Consulting
(Medicaid Financial Consultant)
Chris Scherer
c/o Michigan Association of Health
Plans
327 Seymour Avenue
Lansing, MI 48933
(517) 371-3181
Knight Consulting
(Multi-Client Lobbyist)
Mickey Knight
Bill Burke
115 West Allegan, Suite 200
Lansing, MI 48933-1783
(517) 484-6917
Centennial Group
(Financial Advisors)
Mike Anderson
511 S. Washington
Lansing, MI 48933
(517) 346-7968
Diversified Management Services
(Summer Conference Coordinator)
Diane Drago
P.O. Box 7976
Ann Arbor, MI 48107
(734) 747-2746
FKW Consulting
(Healthcare Reform Consultant)
Fran Wallace
c/o Michigan Association of Health
Plans
327 Seymour Avenue
Lansing, MI 48933
(517) 371-3181
Fraser, Trebilcock, Davis
& Dunlap, P.C.
(MAHP Legal Firm)
Ed Castellani
124 West Allegan, Suite 1000
Lansing, MI 48933
(517) 482-5800
2015 Resource and Senior Management Directory
L. Farnum, Inc.
(PAC Management)
Lisa Farnum
327 Seymour Avenue
Lansing, MI 48933
(517) 482-5311
Maner, Costerisan & Ellis, P.C.
(Certified Auditor)
Dennis Theis
2425 East Grand River Avenue
Suite 1
Lansing, MI 48912
(517) 323-7500
Martin Waymire
(Public Relations & Communication)
David Waymire
426 W. Ottawa Street
Lansing, MI 48933
(517) 485-6600
Mitchell Research &
Communications, Inc.
(Healthcare Reform Media
Specialist & Issue Management)
Steve Mitchell
314 Evergreen, Suite B
East Lansing, MI 48823
(517) 351-4111
NuWave Technology Partners
(IT Consultant)
6539 Westland Way
Lansing, MI 48917
(517) 322-2200
Nuyen, Tomtishen & Aoun, P.C.
(Legal Consultant)
Joe Aoun
2001 Commonwealth Blvd.
Suite 300
Ann Arbor, MI 48105
(734) 372-4106
Paychex (Payroll)
625 Kenmoor Avenue, Suite 100
Grand Rapids, MI 49546
Resource Link of Michigan
(Medicare Consultant)
Jan Getty
4768 Dixie Hwy.
Waterford, MI 48329
(248) 673-8700
Midwest Strategy Group
(Legislative Consultant)
Dusty Fancher
101 S. Washington Square, Suite 620
Lansing, MI 48933
(517) 853-0537
vii
Resource and Senior Management Directory
Health Plan Leadership and
Award Recipients over the Years
MAHP Presidents Over the Years
1981
Ellis Bonner
1982-83
Jerry Landgraph
1984-85
Calvin Lippitt
1992-93
Ron Palmer
1986-87
Lee Lich
1998-99
Bobby L. Jones
1988-89
Jim Walworth
2000-01
Paul Fuhs
1990-91
Ron Dobbins
2002-03
Kim Horn
1994-95
Ken Rimmer
1996-97
Arnold DuFort
2004-05
Fran Parker
2010
Dennis Smith
2006
Roman Kulich
2011-12
Kathy Kendall
2007
Roman Kulich,
David Crosby
2013-14
Bruce Hill
2015
Beverly Allen
2008
David Crosby
2009
David Crosby,
Dennis Smith
MAHP Award Recipients Over the Years
1995
2001
MAHP Legislator of the
Year
Bill Hardiman
1996
2002
MAHP Legislator of the
Year
Buzz Thomas
1997
2003
1998
2004
Eugene Farnum Award
Robert Emerson
2005
MAHP Legislator of the
Year
Bruce Caswell
Ellis J. Bonner Award
Lee Lich
Ellis J. Bonner Award
Ron Dobbins
Ellis J. Bonner Award
James Walworth
Ellis J. Bonner Award
Janet Ofodile
1999
Ellis J. Bonner Award
James Patton
2000
Ellis J. Bonner Award
Marshall Katz, MD
viii
Ellis J. Bonner Award
Francine (Fran) Parker
Ellis J. Bonner Award
Olga Dazzo
Ellis J. Bonner Award
Eugene Farnum
Ellis J. Bonner Award
Kimberly K Horn
Ellis J. Bonner Award
Joseph Lentine, Sr.
Eugene Farnum Award
Bev Hammerstrom
2006
Ellis J. Bonner Award
Bobby L. Jones
MAHP Legislator of the
Year
Mike Switaski
2015 Resource and Senior Management Directory
2007
2010
2013
Eugene Farnum Award
Mary Lannoye
Eugene Farnum Award
Vernon Smith
Eugene Farnum Award
James K. Haveman
Presidential Merit Award
Michigan’s Partnership for
Health Care Reform (MSMS,
MOA, MHA)
Presidential Merit Award
Michigan Public Health
Institute
Presidential Merit Award
Michigan Chamber of
Commerce
MAHP Legislator of the
Year
Mark Jansen
MAHP Legislator of the
Year
Matt Lori
MAHP Legislator of the
Year
Kate Segal
MAHP Legislator of the
Year
Vincent Gregory
2011
2014
Ellis J. Bonner Award
James Byrne, MD
MAHP Legislator of the
Year
Tom George
MAHP Legislator of the
Year
Gary McDowell
2008
Ellis J. Bonner Award
Nancy Wanchik
Eugene Farnum Award
Paul Reinhart
Presidential Merit Award
Put Michigan People First
Coalition
MAHP Legislator of the
Year
Bruce Patterson
MAHP Legislator of the
Year
Alma Wheeler Smith
2009
Ellis J. Bonner Award
David B. Cotton, MD
Eugene Farnum Award
Janet D. Olszewski
Ellis J. Bonner Award
Mark Saffer
Ellis J. Bonner Award
Kathy Kendall
Eugene Farnum Award
Lynn Owen
Presidential Merit Award
Michigan Pharmacists
Association
MAHP Legislator of the
Year
Roger Kahn, MD
MAHP Legislator of the
Year
Lesia Liss
2012
Ellis J. Bonner Award
Dan Champney
Eugene Farnum Award
Randy Richardville
Presidential Merit Award
Michigan Primary Care
Association
Presidential Merit Award
American Association of
Retired Persons, Michigan
Chapter
MAHP Legislator of the
Year
Mike Bishop
MAHP Legislator of the
Year
Jim Marleau
MAHP Legislator of the
Year
Kathy Angerer
MAHP Legislator of the
Year
Roy Schmidt
2015 Resource and Senior Management Directory
Ellis J. Bonner Award
William Alvin
Ellis J. Bonner Award
Dennis Smith, Upper Peninsula
Health Plan
Eugene Farnum Award
Senator Roger Kahn
Presidential Merit Award
Health Care Association of
Michigan
MAHP Legislator of the
Year
Representative Mike Shirkey
MAHP Legislator of the
Year
Senator Rebekah Warren
2015
Eugene Farnum Award
Dick Posthumus
Presidential Merit Award
National Kidney Foundation of
Michigan
MAHP Legislator of the
Year
Representative Tim Greimel
MAHP Legislator of the
Year
Senator Tom Casperson
ix
Advertising Directory
Michigan Association of Health Plans
Resource and Senior
Management Directory
SECTION ONE
Advertising
Directory
The managed care industry in Michigan is fortunate to have a wide array of
creative and innovative companies who provide valuable services for our industry.
To help our plans identify and contact these companies for additional information,
the Michigan Association of Health Plans has compiled this directory of prestigious
companies and organizations who work with the Michigan health care industry.
2015 Resource and Senior Management Directory
1
Michigan Association of Health Plans
Resource and Senior Management Directory
Table
of contents
Advertisers
Access2Care1-10
Keryx Biopharmaceuticals
Active Infusion/Complete Infusion Services/
1-34
Lincare Home Infusion Services
Kiriworks1-39
LDR SPINE
1-39
Alkermes1-32
1-38
Lilly USA
1-21
American Specialty Health
1-32
Medical Advantage Group/PCVS
1-40
Area Agencies on Aging Association
1-33
Metron Integrated Health Systems
1-22
Millenium Health
1-23
MVP Collaborative
1-40
AstraZeneca1-11
Axia Strategies, Inc.
1-46
Axiom Systems
1-33
Natera1-24
Beecher Carlson
1-44
National Kidney Foundation of Michigan
Behavioral Health Professionals, Inc.
1-12
Novo Nordisk, Inc.
Byram Healthcare
1-34
Nuyen, Tomtishen and Aoun, PC
1-45
Optimity Advisors
1-41
Centene Corporation Specialty Health Management Solutions
1-13
Daiichi Sankyo, Inc.
1-35
Dell1-14
Delta Dental Plan of Michigan
1-35
DRG Claims Management
1-36
EnvisionRx1-15
First Recovery Group
1-36
Great Lakes Health Connect
1-44
Health Information Designs
1-37
Health Management Systems (HMS)
1-16
Healthy Living Medical Supply
1-37
HighPoint Solutions
1-17
Hologic1-18
Hope Network
1-19
ikaSystems1-45
Ingham Health Plan Corp.
1-47
Inovalon1-20
J&B Medical Supply Co.
JMS and Associates
Back cover
1-38
1-25
1-7
Optum1-26
Orexo U.S., Inc.
1-41
PNC Healthcare
1-45
PerformRx1-8
Pfizer, Inc.
1-42
RedCard1-42
Resource Link
1-45
Saginaw Community Care Hub
1-43
Sanofi U.S.
1-27
Sequenom Laboratories
1-43
Softheon1-9
SPH Analytics
1-28
Takeda Pharmaceuticals
1-46
Total Transit, Inc.
1-46
U.S. Medical Management
1-29
VARIS, LLC
1-30
Walgreens1-31
Zoll LifeVest
1-44
Joint Venture Hospital Laboratories (JVHL) 1-47
2015 Resource and Senior Management Directory
1-1
Michigan Association of Health Plans
Resource and Senior Management Directory
The Michigan Association of Health Plans (MAHP) appreciates the
support of the following vendors for the 2015 MAHP Resource
Directory.
Access2Care
16331 Bay Vista Drive
Clearwater, FL 33760
Contact: Jamie Wilkie, Director Sales, Managed
Care
[email protected]
AstraZeneca Pharmaceuticals
10430 Whispering Waters Lane, SE
Caledonia, MI 49316
Contact: Brian Ziegler, Account Manager
517-604-0092
[email protected]
Active Infusion/Complete Infusion Services/
Lincare Home Infusion Services
31555 Industrial Road, Suite 200
Livonia, MI 48150
734-425-2550
Contact: Am Korver-Murar, Senior Account
Representative
[email protected]
Axia Strategies, Inc.
8688 Eagle Creek Circle
Savage, MN 55318
Contact: Bob Ziomek, Principal
952-945-3535
[email protected]
Alkermes
8759 Grange Hall
Tecumseh, MI 49286
Contact: Glenn Cornish, Regional Managed
Markets Director
[email protected]
American Specialty Health
10221 Waterridge Circle
San Diego, CA 92121
Contact: Liz Long, Manager, Sales Support
619-301-4817
[email protected]
Area Agencies on Aging Association
6105 W. St. Joseph, Suite 204
Lansing, Michigan 48917
517-886-1029
Contact: Mary M. Ablan, Executive Director
[email protected]
1-2
Axiom Systems
241 East 4th Street, Suite 200
Frederick, MD 21701
Contact: Kate Heckert, Administrative Assistant
301-815-5220
[email protected]
Beecher Carlson
Six Concourse Parkway, Suite 2300
Atlanta, GA 30328
404-460-1413
Contact: Marci Steiging, Marketing Director
[email protected]
Behavioral Health Professionals, Inc.
1333 Brewery Park Blvd., Suite 300
Detroit, MI 48207
313-656-0000
Contact: Leslie White, Director, Marketing and
Public Relations
[email protected]
2015 Resource and Senior Management Directory
Michigan Association of Health Plans
Byram Healthcare
31000 Lahser Road, Suite 6
Beverly Hills, MI 48025
Contact: Michael Iles, Director of Managed
Care
248-40-5730
[email protected]
EnvisionRx
2181 East Aurora Road, Suite 201
Twinsburg, OH 44087
954-767-2645
Contact: Josh Paulen, Marketing Strategies
Executive
[email protected]
Centene Corporation Specialty Health
Management Solutions
7711 Forsyth Avenue
St. Louis, MO 63105
314-445-0728
Contact: Whitney DiSalvo, Senior Marketing
Communications Specialist
[email protected]
First Recovery Group
26899 Northwestern Hwy., Suite 250
Southfield, MI 48033
877-449-4801
Contact: David Rosen, President
[email protected]
Daiichi Sankyo, Inc.
8 Galahad Road
Northborough, MA 01532
973-953-2805
Contact: Anwell Wilbekin, Northeast Director,
Managed Markets
[email protected]
Dell
8530 Creekside Drive
Sagamore Hills, OH 44067
Contact: Jennifer Lescsak, Healthcare
Business Development Senior Advisor
216-905-6338
[email protected]
Delta Dental Plan of Michigan
P.O. Box 30416
Lansing, MI 48909
517-349-6000; 248-489-2119
Contact: Mike Bobak, Manager, Sales and
Account Management
[email protected]
DRG Claims Management
63 Flushing Avenue, Unit 299
Brooklyn, NY 11205
Contact: Jennifer Curtsinger, Vice President,
Sales and Business Development
646-793-1374
[email protected]
2015 Resource and Senior Management Directory
Great Lakes Health Connect
695 Kenmoor Avenue, SE, Suite B
Grand Rapids, MI 49546
616-588-4694
Contact: Brian Mack, Marketing Manager
[email protected]
Health Information Designs
391 Industry Drive
Auburn, AL 36832
952-285-4459
Contact: Chris Rofidal, Regional Sales Director,
Midwest
[email protected]
Health Management Systems (HMS)
5615 High Point Drive
Irving, TX 75038
972-894-8717
Contact: Shalece Pollock, Event Coordinator
[email protected]
Healthy Living Medical Supply
1095 Crooks
Troy, MI 48084
248-577-9903
Contact: Cliff Grabowski, President
[email protected]
HighPoint Solutions
301 East Germantown Pike
East Norriton, PA 19382
610-233-2700
Contact: Jenna Byczek, Senior Marketing
Manager
[email protected]
1-3
Michigan Association of Health Plans
Hologic
250 Campus Drive
Marlborough, MA 01752
312-882-6412
Contact: Camille Grubbs, Regional Manager
[email protected]
Keryx Pharmaceuticals
750 Lexington Avenue, 20th Floor
New York, NY 10022
616-450-5642
Contact: Julie Helm, Renal Sales Specialist
[email protected]
ikaSystems
134 Turnpike Road
Southborough, MA 01772
508-804-6761
Contact: Julianne Johnsky, Marketing
Manager
[email protected]
Kiriworks
1991 Crocker Road, Suite 400
Westlake, OH 44145
216-325-5390
Contact: Katie Shaw, Product Marketing
Manager
[email protected]
Ingham Health Plan Corp.
2547 Belle Chase Way, Suite 1
Lansing, MI 48911
517-336-3779
Contact: Robin Reynolds, Executive Director
[email protected]
LDR SPINE
13785 Research Blvd., Suite 20
Austin, TX 78750
512-344-3471
Contact: Nicole Felder, Event Planner
[email protected]
Inovalon
4321 Collington Road
Bowie, MD 20716
301-809-4000, ext.1863
Contact: Megan Lawson, Marketing and
Events Specialist
[email protected]
Lilly USA
6810 Shorebrook Drive
Shelby Twp., MI 48316
586-23-4970
Contact: Lisa Samerdyke, Senior Account
Manager
[email protected]
J&B Medical Supply Co., Inc.
50496 West Pontiac Trail
Wixom, MI 48393
800-737-0045, ext. 271
Contact: Ray Zak, Contract Administrator
[email protected]
Medical Advantage Group/PCVS
1305 Abbott
East Lansing, MI 48823
517-999-8033
Contact: Marci McLeod, Administrative
Assistant
[email protected]
JMS and Associates
37735 Enterprise Court, Suite 600
Farmington Hills, MI 48331
877-489-8881, ext.206
Contact: Chuck Agrusa, President
[email protected]
Joint Venture Hospital Laboratories (JVHL)
999 Republic Drive, Suite 300
Allen Park, MI 48168
313-271-3692
Contact: John Kolozsvary, CEO
[email protected]
1-4
Metron Integrated Health Systems
4680 Plainfield Avenue, NE
Grand Rapids, MI 49525
616-975-5309
Contact: Laura Ann Gordon, Chief Sales and
Marketing Officer
[email protected]
Millennium Health
16981 Via Tazon
San Diego, CA 92127
877-451-3534; 312-533-5459
Contact: Michelle Seramur, Account Director
[email protected]
2015 Resource and Senior Management Directory
Michigan Association of Health Plans
MVP Collaborative
1751 East Lincoln Avenue
Madison Heights, MI 48071
248-591-5145
Contact: Kevin Danaj, CEO
[email protected]
Natera
201 Industrial Road, Suite 410
San Carlos, CA 94070
858-353-2262
Contact: James Aliamus, Marketing Specialist
[email protected]
National Kidney Foundation of Michigan
1169 Oak Valley Drive
Ann Arbor, MI 48108
734-222-9800
Contact: Linda Smith-Wheelock, COO
[email protected]
Novo Nordisk, Inc.
21196 Woodfarm Drive
Northville, MI 48167
248-888-1066
Contacts:
Bill Young, Regional Account Executive
[email protected]
Shelly O’Connor, Account Executive
[email protected]
Lorelei Black, Regional Account Executive II
[email protected]
Nuyen, Tomtishen and Aoun, PC
2001 Commonwealth Blvd., Suite 300
Ann Arbor, MI 48105
734-372-4100
Contact: Joseph T. Aoun, JD
[email protected]
Optimity Advisors
1600 K Street, NW, Suite 202
Washington, DC 20006
202-251-6286
Contact: Joshua Goldstein, Associate
[email protected]
2015 Resource and Senior Management Directory
Optum
13625 Technology Drive
Eden Prairie, MN 55344
952-917-8442
Contact: Michelle Lemke, Senior Event
Manager
[email protected]
Orexo U.S., Inc.
150 Headquarters Drive
East Tower, 5th Floor
Morristown, NJ 07960
Contact: David Byram, Vice President, Market
Access
[email protected]
PNC Healthcare
755 West Big Beaver, Suite 2400
Troy, MI 48084
586-20-7985
Contact: JoAnn Klotz, Healthcare Treasury
Officer
[email protected]
PerformRx
200 Stevens Drive
Philadelphia, PA 19113
215-937-8073
Contact: John Butts, Director, Sales & Public
Relations
[email protected]
Pfizer, Inc.
815 Partridge Court
Holly, MI 48442
248-880-8981
Contact: Wade Nagelkirk, Account Director
[email protected]
RedCard
7700 Bonhomme Avenue, Suite 200
St. Louis, MO 63105
314-445-6000
Contact: Colin Hadican, Regional Director,
Sales
[email protected]
1-5
Michigan Association of Health Plans
Resource Link
4678 Dixie Highway
Waterford, MI 48329
248-673-8700
Contact: Jan Getty, President
[email protected]
Saginaw Community Care HUB
500 Hancock
Saginaw, MI 48602
989-797-3506
Contact: Linda Tilot, Director of Care
Management & Quality
[email protected]
Sanofi U.S.
9799 Chase Lake Road
Fowlerville, MI 48836
517-404-6201
Contact: Chris Van Wynen,
Account Executive
[email protected]
Sequenom Laboratories
3595 John Hopkins Court
San Diego, CA 92121
858-202-9056
Contact: Lani Duenas, Event & Exhibition
Manager
[email protected]
Softheon
1500 Stony Brook Road
Stony Brook, NY 11794
631-675-3159
Contact: Yvonne Villante
SPH Analytics
11545 Wills Road, Suite 100
Alpharetta, GA 30009
678-689-0303
Contact: Alisa Simpson, Sales Executive
[email protected]
Total Transit, Inc.
4600 West Camelback Road
Glendale, AZ 85301
602-200-5500
Contact: Janeo Rea, National Business
Development Manager
[email protected]
U.S. Medical Management
500 Kirts Blvd.
Troy, MI 48084
248-824-6441
Contact: Jennifer Slabinski, Director of
Marketing
[email protected]
Smith-Wheelock
VARIS, LLC
9245 Sierra College Blvd., Suite 100
Roseville, CA 95661
916-294-0860
Contact: Robyn Wilkie, Business
Development
[email protected]
Walgreens
26261 Evergreen Road, Suite 250
Southfield, MI 48306
502-767-3523
Contact: Chard Downing, Regional
Healthcare Director
[email protected]
Zoll Lifevest
121 Gamma Drive
Pittsburgh, PA 15238
724-771—2775
Contact: Stephanie Lohr, Director of National
Accounts
[email protected]
Takeda Pharmaceuticals
One Takeda Parkway
Deerfield, IL 60015
517-202-3557
Contact: Nancy Reed, Senior Regional
Access Manager
[email protected]
1-6
2015 Resource and Senior Management Directory
CHANGES
SUPPORT
TOGETHER
FAMILY
quick, which word
jumps out at you?
KATIE NORTON
Katie has type 1 diabetes
For nearly a century, we have been committed to ending diabetes. And as a leader
in research, education, and unique partnerships, we’re nearly there. Because we
never lose sight of the fact that every day patients like Katie dream about a future
free from their disease. And that’s why we believe that together we can defeat
diabetes in our lifetime. For more about us, visit novonordisk-us.com.
© 2012 Novo Nordisk Printed in the U.S.A. 0712-00010440 -1 October 2012
2015 Resource and Senior Management Directory
1-7
Your innovative pharmacy benefits partner
delivering improved clinical outcomes.
PerformRx offers clients:
•
•
•
Drug therapy management.
Medicare Part D administration.
Prior authorization.
•
•
•
Rebate management.
Specialty utilization management.
Star Rating support.
Formed in 1999, PerformRx LLC is a URAC-accredited, clinician-led pharmacy benefits manager
driven by a strong clinical culture, adaptive technology and personalized customization.
1-866-533-5492 | www.performrx.com
Access. Outcomes. Personalized Care.
Complete specialty pharmacy service.
Total pharmaceutical care management.
PerformSpecialty offers clients:
•
•
•
Disease management.
Adherence programs.
Utilization management.
•
•
•
Member support programs.
Fulfillment.
Refill reminders.
PerformSpecialty LLC is a high-touch, member-driven specialty pharmacy dedicated to
providing personalized member care and better access to achieve healthier outcomes.
1-855-287-7888 | www.performspecialty.com
1-8
2015 Resource and Senior Management Directory
WHAT’S YOUR
EXCHANGE STRATEGY?
Let Softheon help plan your next move.
Learn more at www.softheon.com
2015 Resource and Senior Management Directory
1-9
Place holder for Access2Care
1-10
2015 Resource and Senior Management Directory
What science can do
Circulating tumour DNA
AstraZeneca has pioneered the use of
circulating tumour DNA (ctDNA) in
the diagnosis of cancer. Pieces of DNA
break off from a tumour and circulate
in the bloodstream where they can be
analysed to give genetic information
about a patient’s tumour. This allows
healthcare professionals to determine
the right treatment for the patient using
a non-invasive blood test.
AstraZeneca
is proud to support
the Michigan Association
of Health Plans
______________________________
For more information,
call 1-800-AZandMe
or visit astrazeneca-us.com
©2015 AstraZeneca Pharmaceuticals PL. All rights reserved
2015 Resource and Senior Management Directory
1-11
1-12
2015 Resource and Senior Management Directory
2015 Resource and Senior Management Directory
1-13
What does Dell know about healthcare?
Dell healthcare by the numbers:
•
•
•
•
•
•
•
6 of the largest health plans in the U.S. by market share are Dell
Services customers
Serve 100+ health insurance payer organizations supporting over
65 million policy holders
More than 96 million claims are processed annually, 99 percent of
claims processed within service-level agreement (SLA) timeframes
1.3 million enrollments per year, 98 percent of changes processed
within 48 hours
More than 11 million calls handled annually and approximately
300,000 items audited each year
Resource pool of 46,000 claims professionals
Largest HIPAA-compliant private healthcare cloud worldwide
For more information, please visit: Dell.com/healthplans.
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2015 Resource and Senior Management Directory
2015 Resource and Senior Management Directory
1-15
Team Up With the
hms.com
©2015 HMS
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2015 Resource and Senior Management Directory
2015 Resource and Senior Management Directory
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2015 Resource and Senior Management Directory
2015 Resource and Senior Management Directory
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2015 Resource and Senior Management Directory
Lilly salutes the Michigan
Association of Health
Plans for 30 years of
serving patients.
CA30100 06/14 PRINTED IN USA ©2015, Eli Lilly and Company. ALL RIGHTS RESERVED.
2015 Resource and Senior Management Directory
www.lilly.com
1-21
Quality Healthcare
+
Low Patient Cost
+
Great Clinical
Outcomes
“When you
add it all up,
Metron comes
out on top.”
Family owned for nearly 40 years
6 locations across West Michigan
Metron of Cedar Springs offers
“SmarterHeart” Cardiac Rehab
Metron selected as an ortho rehab
post-acute preferred provider
Metron gets more people home
and keeps them there!
To learn more... visit our web site at:
www.metronhealth.com
or call LauraAnn Gordon, Chief Sales &
Marketing Officer, at 616-975-5309
Corporate Office:
4630 Plainfield Avenue NE, Suite 100
Grand Rapids, MI 49525
Phone: 616-957-3957 or 800-542-8621
Fax: 616-957-5751
committed to the
community!
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2015 Resource and Senior Management Directory
Millennium Health is
PERSONALIZED
MEDICATION
INTELLIGENCE.
Personalized medication
intelligence takes
the guesswork out of
prescribing with
smarter solutions for
medication management.
Up to half of the 187 million Americans who take
one or more prescription drugs do not take their
medications as prescribed.
Medication misuse is complex. Helping patients get
the most out of their medication doesn’t have to be.
Millennium Health has created a suite of targeted
clinical tools to address the need for personalized
medication intelligence and help patients get on
their path to well sooner. Our comprehensive reports
and shoulder-to-shoulder support help health care
providers deliver the right medications, for the right
patient, at the right time. It’s an intelligent approach
to the whole picture of health.
Learn more about medication intelligence at
www.millenniumhealth.com
Millennium Health.
From insight to impact.
The Millennium Health, Millennium PGT, Millennium UDT and RxAnte logos are service marks or registered service marks of Millennium Health, LLC or its subsidiaries in the
United States and other countries. All other trademarks used herein are the property of their respective owners. Millennium UDT and Millennium PGT tests were developed
and their performance characteristics determined by Millennium Health, LLC. These tests have not been cleared or approved by the U.S. Food and Drug Administration.
MLI-ADV18701
2015 Resource and Senior Management Directory
RxAnteTM
RxAnte provides predictive
analytics and targeted
clinical interventions to help
health care providers know
the future of each patient’s
potential medication
misuse—and change it.
Millennium PGTSM
Millennium PGT is a
pharmacogenetic test that
helps clinicians improve
treatment by anticipating a
patient’s likely response to
prescription medication.
Millennium UDTSM
Millennium UDT provides
feedback that allows
clinicians to monitor and
accurately assess their
patient’s progress and
better calibrate their
treatment plan.
Millennium Health is
personalized medication
intelligence. We help
clinicians optimize the use
of medications by delivering
timely, accurate, clinically
actionable information to
inform the right treatment
decisions for each patient
at the right time.
© 2015 Millennium Health, LLC 6/2015
1-23
C A N YO U D I S T I N G U I S H
B A BY F R O M M O M ?
P a n or a m a Ca n
TM
V isit Natera at Booth J
Panorama:
part of the Natera
family of products
201 Industrial Road, Suite 410 | San Carlos, CA 94070 | www.natera.com | 1-855-866-(6478) | Fax 1-650-730-2272
This test was developed by Natera, Inc. a laboratory certified under the Clinical Laboratory Improvement Amendments (CLIA). This test
has not been cleared or approved by the U.S. Food and Drug Administration (FDA). Although FDA does not currently clear or approve
laboratory-developed tests in the U.S., certification of the laboratory is required under CLIA to ensure the quality and validity of the tests.
© Natera 2015. All Rights Reserved.
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2015 Resource and Senior Management Directory
The National Kidney Foundation of Michigan (NKFM) is proud to offer a
wide variety of evidence-based disease prevention programs including
My Choice...My Health: Diabetes Prevention Program.
My Choice...My Health helps those at high risk of developing type 2
diabetes to adopt and maintain a healthy lifestyle.
The NKFM has had significant success with outcomes from the
program including participants losing an average of 5% body weight
and getting more than 160 minutes of exercise weekly. Data from
participants enrolled in the program as part of their health plan exceed
CDC requirements.
Based on research funded by the NIH and the CDC, DPP reduces the
risk of developing type 2 diabetes by 58%.
Contact the NKFM for more information:
1169 Oak Valley Dr., Ann Arbor, MI 48108
734-222-9800 | www.nkfm.org
2015 Resource and Senior Management Directory
1-25
© 2015 Optum, Inc.
HEALTHIER
ISN’T JUST A FEELING
FOR US, IT’S A
MISSION
HEALTHIER IS HERE
At Optum, Healthier goes way beyond a feeling. Quite simply,
it’s our passion and our purpose. By combining data and
analytics with technology and expertise, we power modern
health care like no one else. Our insights quickly lead to better
outcomes for hospitals, doctors, pharmacies, health plans,
governments, employers and the millions of lives they touch.
Which, come to think of it, is a pretty good feeling as well.
optum.com
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2015 Resource and Senior Management Directory
Sanofi US is part of a leading global healthcare company that discovers,
develops, produces and markets innovative therapies to help protect health
and enhance people’s lives. Along with the other U.S. affiliates, Genzyme,
Sanofi Pasteur, Merial and Chattem, we work to prevent and treat the diseases
we know about today, as well as those we may face tomorrow.
2015 Resource and Senior Management Directory
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SPHAnalytics.com
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2015 Resource and Senior Management Directory
Quality. Compassion. Commitment.
Intensive Primary Care for High Acuity Patient Populations
Primary Care Physicians
Our In-Home
Continuum Offers:
Lab Services
X-Ray and Ultrasound
Home Health
Hospice
DME
Podiatry
Solutions For
Health Plans:
500 Kirks Blvd, Troy, MI 48084
2015 Resource and Senior Management Directory
Primary Care
Resource Allocated Care
High Risk Member
Identification
Reduced Hospital Admission /
Readmission Rates
Case Management /
Resource Coordination
Care Gaps Closure
Transitions of Care
Eye Exams
248-824-6000
Health Risk Assesments
Email: [email protected]
www.usmmllc.com
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Overpayment
Identification Services
by experienced, innovative leaders
Recover up to 3% of your DRG and APC paid claims
www.varis1.com
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2015 Resource and Senior Management Directory
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vivitrol.com
ALKERMES and VIVITROL are registered trademarks of Alkermes, Inc.
©2014-2015 Alkermes, Inc. All rights reserved.
VIV-001979 Printed in U.S.A.
vivitrol.com
Empower Your Members
to Live Healthier & Longer
Healthyroads: Population Health and Well-Being Solutions
Helping members create sustained behavior change, leveraging an effective
engagement platform, offering personalized one-on-one coaching, and more
Contact Rik Lee: 619.952.5512
Specialty Health Care/Physical Medicine Programs
Building and managing practitioner networks for chiropractic, acupuncture,
physical/occupational/speech therapy, podiatry, massage therapy, and more
Contact Mary Villa: 760.390.6307
Fitness and Exercise Programs
Motivating Medicare Advantage, group retiree, and/or commercial members to get active
through no- or low-cost fitness facility, home fitness, and reimbursement programs
Contact Jose Gastelum: 619.540.3078
Start Improving Lives Today!
NA-071A 06/15 © 2015 American Specialty Health Incorporated (ASH). All rights reserved.
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2015 Resource and Senior Management Directory
2015 Resource and Senior Management Directory
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Byram Healthcare has been a national leader in disposable
medical supply delivery since 1968. You can depend on our
excellence and expertise in providing quality services.
Our goal as a national medical supply partner is to make
ordering medical supplies convenient and flexible for your
members.
•Orderscanbeplacedbyphone,fax,webore-mail
•Patienteducationprovided
•Extensiveproductlinesoffered
•Membercomplianceprograms
•Clinicalandproductsupport
•Skilledreimbursementspecialistshandleall
aspects of billing
Call today! 1-877-902-9726
Servicing all
of your Home
Infusion needs
to your patients
throughout
the state
of Michigan
1-800-666-0706
Fax 1-248-589-2644
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1-866-425-2550
Fax 1-734-425-0470
1-866-576-0326
Fax 1-616-554-6171
2015 Resource and Senior Management Directory
9 Better provider networks
9 Better flexibility
9 Better experience
9 Better technology
9 Better account support
It's easy to see
why we’re the
BEST dental
partner for your
health plan!
9 Better customer service
9 Better overall value
We do everything dental…BETTER!
www.deltadentalmi.com
2015 Resource and Senior Management Directory
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2015 Resource and Senior Management Directory
Lea
r
Bo n mo
oth re
TT- at
9.
In•de•pend•ent
(adj.) free from control in action or judgment
The specialty drug pipeline is overflowing. Is your PA program consistent,
objective, and auditable? Does your PA program allow you to appropriately
manage new, expensive therapies?
You need high-quality, evidence-based criteria. You need a program that is not
influenced by manufacturer relations. You need a PA solution that is independent.
Gain independence.
Gain control.
HIDesigns.com
@thePAexperts
[email protected]
866.689.0898
Healthy Living is proud to be
a leading provider of diabetes
testing supplies and insulin pumps
(866)779-8512
•
•
•
•
Insulin Pumps and Pump Supplies
Diabetic Testing Supplies
Prescription Medications
Conveniently delivered to your
members’ homes
We are committed to providing an outstanding customer experience!
www.healthylivingmedicalsupply.com
2015 Resource and Senior Management Directory
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2015 Resource and Senior Management Directory
Mobi-C® Cervical Disc
FDA
Approved
The First and ONLY
FDA-Approved Cervical Disc
for Both One & Two-Level
Disc Replacement
www.cervicaldisc.com
2015 Resource and Senior Management Directory
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2015 Resource and Senior Management Directory
We’re dedicated to helping
Michigan Health Plans
improve operations and member
wellness through
innovative models of care,
TLEVQEG]FIRI½XWWXVEXIKMIWERH
member engagement.
Washington, DC | Brussels | London | Los Angeles | New York | Zurich
Stay informed at www.OptimityAdvisors.com
?
Is it time for a change
for your patients with
opioid dependence
to learn more about ZUBSOLV
check us out on:
www.zubsolv.com
Orexo US, Inc., © 2015 All rights reserved. ZUB202A
INDICATION
ZUBSOLV® (buprenorphine and naloxone) sublingual tablet (CIII) is indicated for the maintenance treatment of opioid dependence and should be used as part of a complete treatment plan to include counseling and psychosocial support.
Treatment should be initiated under the direction of physicians who are certified under the Drug Addiction Treatment Act of 2000, and who have been assigned a unique identification number (“X” number).
IMPORTANT SAFETY INFORMATION
CONTRAINDICATIONS
• ZUBSOLV sublingual tablet should not be used by patients hypersensitive to buprenorphine or naloxone, as serious adverse reactions, including anaphylactic shock, have been reported
WARNINGS AND PRECAUTIONS
• ZUBSOLV sublingual tablet can be abused in a manner similar to other opioids, legal or illicit. Clinical monitoring appropriate to the patient’s level of stability is essential. Multiple refills should not be prescribed early in
treatment or without appropriate patient follow-up visits
• ZUBSOLV sublingual tablet can cause serious, life-threatening, respiratory depression and death, particularly when taken by the intravenous (IV) route in combination with benzodiazepines or other central nervous system (CNS)
depressants (eg, sedative s, tranquilizers, or alcohol). Patients should be warned against self-administration or misuse of these combinations
• Not recommended for initiation of treatment (induction) in patients with moderate hepatic impairment due to the increased risk of precipitated withdrawal. However, buprenorphine/naloxone products may be used with caution
for maintenance treatment in patients with moderate hepatic impairment who have initiated treatment on a buprenorphine product without naloxone. However, patients should be carefully monitored and consideration given to
the possibility of naloxone interfering with buprenorphine’s efficacy.
• ZUBSOLV sublingual tablet is not recommended in patients with severe hepatic impairment
• Dose reduction of CNS depressants, ZUBSOLV sublingual tablet, or both should be considered in situations of concomitant prescription
• Children who take ZUBSOLV sublingual tablet can have severe, possibly fatal, respiratory depression
• Intravenous misuse or taking ZUBSOLV sublingual tablet before the effects of full-agonist opioids (eg, heroin, hydrocodone, methadone, morphine, oxycodone) have subsided is likely to cause opioid withdrawal syndrome
• Neonatal withdrawal has been reported following use of buprenorphine by the mother during pregnancy
• ZUBSOLV sublingual tablet is not appropriate as an analgesic. There have been reported deaths of opioid-naïve individuals who received a 2-mg sublingual dose of buprenorphine
USE IN SPECIFIC POPULATIONS
• Pregnancy: Based on animal data, buprenorphine may cause fetal harm. Use of ZUBSOLV sublingual tablet in pregnant women or during breastfeeding should only be considered if the potential benefit justifies the potential risk.
• Nursing mothers: Caution should be exercised when buprenorphine-containing products are administered to a nursing woman. The safety of buprenorphine/naloxone in breastfeeding has not been established
• Not recommended in patients with severe hepatic impairment and may not be appropriate for patients with moderate hepatic impairment.
ADVERSE REACTIONS
• Adverse events commonly observed with the sublingual administration of buprenorphine/naloxone sublingual tablets during clinical trials and post-marketing experience are headache, nausea, vomiting, hyperhidrosis,
constipation, signs and symptoms of withdrawal, insomnia, pain, and peripheral edema
• This is not a complete list of potential adverse events associated with buprenorphine/naloxone sublingual tablets. Please see full Prescribing Information for a complete list
• To report an adverse event associated with taking ZUBSOLV sublingual tablet, please call 1-888-ZUBSOLV (1-888-982-7658). You are encouraged to report adverse events of prescription drugs to the FDA. Visit www.fda.gov/
medwatch or call 1-800-FDA-1088
PLEASE VISIT BOOTH# XXXX TO SEE FULL PRESCRIBING INFORMATION AND MEDICATION GUIDE.
2015 Resource and Senior Management Directory
1-41
We make a living by what we get. We make a life by what we give.”
-Winston Churchill
Pfizer is proud
to support:
The Michigan Association of Health Plans
Over 2 billion healthcare documents processed
Over 10 million healthcare ID Cards printed
Over $3 billion in healthcare
e-payments processed
www.redcard.com
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2015 Resource and Senior Management Directory
Helping people to better health
Providing healthcare outreach, engagement
and activation supports through:
• SaginawPathwaystoBetterHealth
• CommunityAccesstoHomeVisiting
• Children’sHealthcareAccessProgram
(comingJanuary2016)
The HUB is a division of Saginaw County
Community Mental Health Authority.
Supporting innovation
in addressing the
social determinants of health
 VISIT OUR BOOTH #TT-30
THE FIRST AND MOST COMPREHENSIVE NONINVASIVE PRENATAL TEST OF ITS
KIND FOR WOMEN AT HIGH RISK FOR FETAL CHROMOSOMAL ABNORMALITIES
IT COSTS LESS TO GET IT RIGHT THE FIRST TIME
0.9% non-reportable rate and stringent utilization
management lower the total cost of service
THE VALUE OF SATISFACTION
Highly accurate test results and 5-day turnaround time
set your physicians’ and members’ minds at ease
COMMITTED TO PLAN PARTNERSHIPS
Over 160 million lives under contract and counting…
ALSO OFFERING
CF
UNIVERSAL
No test is perfect. While results of this test are highly accurate,
false positive and false negative results may occur in rare cases.
2015 Resource and Senior Management Directory
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C
M
Y
CM
MY
CY
CMY
K
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2015 Resource and Senior Management Directory
We are proud to support the
Michigan Association of
Health Plans
and congratulate it on 30 years of
success in promoting affordable and
accessible health care coverage
Nuyen, Tomtishen and
Aoun, P.C.
____________________________
Committed to excellence in insurance, healthcare and
business law
Joseph T. Aoun
Steven D. Feenstra
Joseph G. Nuyen, Jr.
Brad M. Tomtishen
Michael B. Tulchinsky
2001 Commonwealth Blvd.
Suite 300
Ann Arbor, MI 48105
734-372-4100
www.ntalaw.com
for growing
stronger.
Decades in healthcare provide
unparalleled insight.
Long-standing relationships
deliver results.
To learn more, visit pnc.com/healthcare
for the achiever in you®
PNC and “for the achiever in you” are registered marks of The PNC
Financial Services Group, Inc. (“PNC”). Banking and lending products
and services, bank deposit products, and treasury management
products and services for healthcare providers and payers are provided
by PNC Bank, National Association, a wholly owned subsidiary of PNC
and Member FDIC. Certain banking and lending products and services
may require credit approval.
©2015 The PNC Financial Services Group, Inc. All rights reserved.
CIB HC PDF 0615-0106-193950
2015 Resource and Senior Management Directory
1-45
Getting people to where they need to go
has taken us to where we are today.
NEMT Services and Innovative Solutions
A lot has changed since 1984, but our dedication to
outstanding customer service and our commitment to
the community remain the same. The best part of the
journey has been helping people on theirs, and we
thank our passengers and clients for choosing to take
it with us.
ACCREDITED
CORE ORGANIZATIONAL
QUALITY
TT20150623QTRPG
1-46
totaltransit.com 602-200-5500
2015 Resource and Senior Management Directory
Pathways to Better Health
Pathways to Better Health can help you manage
your patients/members health.

Improve care outcomes by assessing needs
related to social determinants of health

1-on-1 care navigation in member’s homes

Community Health Worker supports your
member to achieve health goals
CALL 517-336-3777 or
866-291-8691
Or visit the website at
carehubihp.org
A Community Health Worker can help identify the health and social service needs
your members may need to improve their health. To qualify:
Eligible for Medicaid, Medicare, or Healthy Michigan Plan
Have 2 or more “chronic” health conditions
18 years of age or older
Live in Ingham, Eaton, Clinton, Gratiot or Montcalm County
Take advantage of this innovative approach to improving population health!
The project described was supported by Grant Number 1C1CMS331025 from the Department of Health and Human Services, Centers for Medicare & Medicaid Services. The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of the U.S. Department of Health and Human Services or any of its agencies.
2015 Resource and Senior Management Directory
1-47
Listing by Health Plan
Michigan Association of Health Plans
Resource and Senior
Management Directory
SECTION TWO
Listing by
Health Plan
2015 Resource and Senior Management Directory
2
Michigan Association of Health Plans
Resource and Senior Management Directory
Listing by Health Plan
Table of contents
Aetna Better Health of Michigan
2-2
Consumers Mutual Insurance of Michigan 2-3
Fidelis SecureCare of Michigan, Inc.
2-4
Grand Valley Health Plan
2-5
Harbor Health Plan
2-6
Health Alliance Plan
2-7
Health Alliance Plan HAP Midwest Health Plan
2-8
HealthPlus of Michigan, Inc.
2-9
McLaren Health Plan
2-10
Meridian Health Plan
2-11
Molina Healthcare of Michigan, Inc.
2-12
Paramount Care of Michigan, Inc.
2-13
Physicians Health Plan
2-14
Priority Health
2-15
Total Health Care, Inc.
2-16
UnitedHealthcare Community Plan, Inc.
2-17
Upper Peninsula Health Plan
2-18
2015 Resource and Senior Management Directory
2-1
Michigan Association of Health Plans
Aetna Better Health of Michigan
1333 Gratiot, Suite 400
Detroit, MI 48207
(866) 782-8507
www.aetnabetterhealth.com/Michigan
Executive Director: Beverly A. Allen
Phone: (313) 465-1517
Email:[email protected]
Director of Finance: Kenyata Rogers
Phone: (313) 465-1523
Email:[email protected]
Director of Health Services:
Karen Hammons, RN, BSN, MSA, CCM
Phone: (313) 465-1516
Email:[email protected]
Chief of Operations: Teressa Smith
Phone: (313) 465-1548
Email:[email protected]
Director of Clinical Health Services:
Keith Hoffman, MSW
Phone: (313) 324-7590
Email:[email protected]
Medical Director: Joseph L. Blount, MD
Phone: (313) 465-1538
Email:[email protected]
Director of Pharmacy: Michael Hammoud, RPh
Phone: (313) 465-1549
Email:[email protected]
Director of Quality: Rachel Godwin, RN
Phone: (313) 465-1535
Email:[email protected]
Manager of Community Outreach:
Diane Byrd-Johnson
Phone: (313) 465-1590
Email:[email protected]
NCQA Expert: Rachel Godwin, RN
Phone: (313) 465-1534
Email:[email protected]
State Medicaid Contract Liaison: Donna West
Phone: (313) 465-1552
Email:[email protected]
Director of Network Management:
Natalie Lukaszewicz
Phone: (330) 523-6136
E-mail:[email protected]
2-2
2015 Resource and Senior Management Directory
Michigan Association of Health Plans
Consumers Mutual Insurance
of Michigan
2601 Coolidge Road, Suite 200
East Lansing, MI 48823
(855) 492-9020
www.consumersmutual.org
CEO: Dennis Litos
Phone: (517) 492-9020
Email:[email protected]
CFO: Michael Cutroni
Phone: (517) 492-9020
Email:[email protected]
Senior Director of Strategic Initiatives &
Public Policy: Janet Olszewski
Phone: (517) 492-9020
Email:[email protected]
Chief Medical Officer: Brad Ropp, MD
Phone: (517) 492-9020
Email:[email protected]
Marketing & Service Officer: David Eich
Phone: (517) 492-9020
Email:[email protected]
CIO: Kevin Walker
Phone: (517) 492-9020
Email:[email protected]
Legal & Compliance Officer: Jayson Welter
Phone: (517) 492-9020
Email:[email protected]
Group Manager of Network Development &
Provider Relations: Robert Polick
Phone: (517) 492-9020
Email:[email protected]
Human Resources Officer: Lisa Letarte
Phone: (517) 492-9020
Email:[email protected]
Director of Quality: Stacey Duncan-Jackson
Phone: (517) 492-9020
Email:[email protected]
Director of Medical Management: OPEN
Phone: (517) 492-9020
2015 Resource and Senior Management Directory
2-3
Michigan Association of Health Plans
Fidelis SecureCare of Michigan, Inc.
800 Tower Drive, Suite 200
Troy, MI 48098
(844) 239-7387
www.fidelissc.com
CEO: Amy Williams
Phone: (248) 729-8910
Email:[email protected]
Manager, Human Resources: Kimberly Fell
Phone: (248) 729-8931
Email:[email protected]
Vice President Legislative & Government
Relations: Dawn Siggett
Phone: (517) 294-8604
Email:[email protected]
Director, Finance: Josephine Piraneo
Phone: (248) 729-8945
Email:[email protected]
Vice President Complex Care Programs:
Marcie Johnson
Phone: (248) 729-8911
Email:[email protected]
Vice President Compliance:
Kathy Harkness, RN, MSA, CPHQ, CHC
Phone: (248) 729-8929
Email:[email protected]
Vice President Contracting: Dennis Rogissart
Phone: (248) 729-8902
Email:[email protected]
Communications Specialist:
Charles “Chip” Tischer
Phone: (248) 729-8914
Email:[email protected]
Provider Services: Julie Hurst
Phone: (248) 729-8909
Email:[email protected]
State Medicaid Liaison: Marcie Johnson
Phone: (248) 729-8911
Email:[email protected]
Director, Customer Service: Kelly Rolando
Phone: (248) 729-8947
Email: [email protected]
2-4
2015 Resource and Senior Management Directory
Michigan Association of Health Plans
Grand Valley Health Plan
829 Forest Hill Avenue
Grand Rapids, MI 49546
(616) 949-2410
www.gvhp.com
President/CEO: Pamela Lea Silva
Phone: (616) 949-2410
Email:[email protected]
CIO: Steve Duchemin
Phone: (616) 949-2410
Email:[email protected]
Disease Management/Health Promotions:
Ken Van Beek, LMSW
Phone: (616) 949-2410
Email:[email protected]
Human Resources: Jan Jones
Phone: (616) 949-2410
Email:[email protected]
Marketing: Mike Messinger
Phone: (616) 949-2410
Email:[email protected]
Medical Director: Daniel Wallace, DO
Phone: (616) 949-2410
Email:[email protected]
Pharmacy Director: Anne Kozal, RPh
Phone: (616) 532-8882
Email:[email protected]
Provider Services: Janet Lederman
Phone: (616) 949-2410
Email:[email protected]
Public Relations: Matt Witkowski
Phone: (616) 949-2410
Email:[email protected]
NCQA Expert: Kara Dunwoody
Phone: (616) 949-2410
Email:[email protected]
State Medicaid Liaison: Kara Dunwoody
Phone: (616) 949-2410
Email:[email protected]
2015 Resource and Senior Management Directory
2-5
Michigan Association of Health Plans
Harbor Health Plan
3663 Woodward Avenue, Suite 120
Detroit, MI 48201
(313) 578-3400
www.harborhealthplan.com
President/CEO: Carrie Harris-Muller
Phone: (313) 578-2234
Email:[email protected]
CFO: Beverly Maison
Phone: (602) 824-3734
Email: [email protected] or
[email protected]
CMO/Medical Director: Gregory Berger, MD
Phone: (248) 809-3782
Email:[email protected]
State Medicaid Contract Liaison: Ruth Evans
Phone: (313) 578-3761
Email:[email protected]
Public Relations: Carrie Harris-Muller
Phone: (313) 578-2234
Email:[email protected]
Provider Services: Joyce Poole
Phone: (313) 966-9380
Email:[email protected]
Director, Utilization/Case Management:
Joan Valentine, RN
Phone: (248) 281-6093
Email:[email protected]
Manager, Quality: Denise Doede, RN
Phone: (248) 281-6619
Email:[email protected]
Director, IT (interim): Christie Foley
Phone: (615) 665-6157
Email:[email protected]
Director, Customer Service: Ruth Evans
Phone: (866) 494-1247
Email:[email protected]
Claims Manager: Jay Belew
Phone: (602) 824-4094
Email:[email protected]
2-6
2015 Resource and Senior Management Directory
Michigan Association of Health Plans
Health Alliance Plan
2850 West Grand Boulevard
Detroit, MI 48202
(313) 872-8100
www.hap.org
President & CEO: James Connelly
Phone: (313) 664-8360
Email:[email protected]
Director of Government Affairs: Rory Lafferty
Phone: (313) 664-8124
Email:[email protected]
Senior Vice President & COO: Matthew Walsh
Phone: (313) 664-8855
Email:[email protected]
Vice President, Pharmacy Care Management:
Antonio Petitta, RPh, MBA
Phone: (313) 664-8838
Email:[email protected]
Senior Vice President & CFO: Todd Hutchison
Phone: (313) 664-8559
Email:[email protected]
Chief Compliance Officer: Dawn Geisert
Phone: (313) 664-8048
Email:[email protected]
Director, Public Relations:
Susan Schwandt, APR
Phone: (248) 443-1076
Email:[email protected]
Deputy General Counsel: Dan Champney
Phone: (313) 664-8904
Email:[email protected]
Vice President, Human Resources:
Derick Adams
Phone: (313) 664-8852
Email:[email protected]
Vice President, Marketing & Community
Outreach: DeAndre Lipscomb
Phone: (248) 443-7735
Email:[email protected]
Senior Vice President, Chief Medical Officer:
Naim Munir, MD
Phone: (313) 664-8361
Email:[email protected]
Senior Vice President, Chief Marketing Officer:
Mary Ann Tournoux
Phone: (313) 664-8389
Email:[email protected]
Vice President & Chief Information Officer:
Annette Marcath
Phone: (313) 664-8166
Email:[email protected]
2015 Resource and Senior Management Directory
2-7
Michigan Association of Health Plans
Health Alliance Plan
HAP Midwest Health Plan
4700 Schaefer Road, Suite 340
Dearborn, MI 48126
(888) 654-2200
www.hap.org/midwest
CEO: Mark B. Saffer
Phone: (313) 581-5500
Email:[email protected]
NCQA Expert: Kimberly Weaver
Phone: (313) 586-6077
Email:[email protected]
CFO: Allen A. Kessler
Phone: (313) 586-6064
Email:[email protected]
State Medicaid Contract Liaison: Sudha Gadgil
Phone: (313) 586-6001
Email:[email protected]
CIO: Refaat Shulaiba
Phone: (313) 586-6040
Email:[email protected]
Director of Customer Services: Pat Madden
Phone: (313) 586-6020
Email:[email protected]
Medical Director: Mark Tucker, MD
Phone: (313) 586-6060
Email:[email protected]
Director of Credentialing: Betty J. King
Phone: (313) 586-6062 or (313) 664-8454
Email:[email protected]
Pharmacy Director: Brian Peltz, MS, RPh
Phone: (313) 827-5565
Email:[email protected]
Quality Improvement: Kimberly Weaver
Phone: (313) 586-6077
Email:[email protected]
Human Resources: Monica Rogers
Phone: (313) 827-5707 or (248) 443-9212
Email:[email protected]
Marketing: Joseph Rochester
Phone: (313) 586-6056
Email:[email protected]
Health Promotions: Andrea VanGoethem
Phone: (313) 586-6071
Email:[email protected]
Disease Management: Andrea VanGoethem
Phone: (313) 586-6071
Email:[email protected]
Provider Services: Nehya Ahmed
Phone: (313) 586-6055
Email:[email protected]
2-8
2015 Resource and Senior Management Directory
Michigan Association of Health Plans
HealthPlus of Michigan, Inc.
2050 South Linden Road
Flint, MI 48532
(810) 230-2000
www.healthplus.com
President & CEO: Nancy Jenkins
Phone: (810) 230-2132
Email:[email protected]
COO: Mac McClurkan
Phone: (810) 230-2272
Email:[email protected]
Senior Director, Information Technology:
Julie Boyer
Phone: (810) 230-2061
Email:[email protected]
Director of Human Resources: Todd Harrison
Phone: (810) 600-8042
Email:[email protected]
Vice President, Provider Network &
Contracting: Antoinette Geyer
Phone: (810) 230-2009
Email:[email protected]
Associate General Counsel: Patty Curylo
Phone: (810) 230-2238
Email:[email protected]
Government Relations Administrator: Lesia Liss
Phone: (586) 863-6953
Email:[email protected]
Senior Director of Pharmacy Services:
Carrie Germain, RPh
Phone: (810) 230-2299
Email:[email protected]
Health Promotions: Elaine Schnueringer
Phone: (810) 230-2037
Email:[email protected]
Senior Director of Quality Improvement:
Margaret F. Kokoszka
Phone: (810) 230-2074
Email:[email protected]
2015 Resource and Senior Management Directory
Senior Director, Provider Network Management:
Jeanne Visuri
Phone: (989) 797-4007
Email:[email protected]
Interim Compliance and Privacy Official:
Dave Paxton
Phone: (810) 230-2276
Email:[email protected]
Senior Vice President Strategic Development
& Alignment, Chief Medical Officer:
Michael Genord, MD, MBA
Phone: (810) 496-8478
Email:[email protected]
Senior Medical Director:
Chris Milback, MD, MBA
Phone: (810) 230-2040
Email:[email protected]
Plan Medical Director: Michael Swarin, DO
Phone: (810) 230-2121
Email:[email protected]
Senior Director, Clinical Operations and
Performance: Pam Sanborn
Phone: (810) 600-8015
Email:[email protected]
Director, Product Marketing: Raj Bajpai
Phone: (810) 720-7791
Email:[email protected]
Vice President, Sales and Marketing:
Graham Smith
Phone: (810) 230-2240
Email:[email protected]
Director, Product Development: Bryan Cole
Phone: (810) 720-2768
Email:[email protected]
2-9
Michigan Association of Health Plans
McLaren Health Plan
G3245 Beecher Road, Suite 200
Flint, MI 48532
(888) 327-0671
www.mclarenhealthplan.org
President/CEO: Kathy Kendall, BSN, MM
Phone: (810) 733-9700
Email:[email protected]
State Medicaid Contract Liaison: Sue Bayer
Phone: (517) 913-2622
Email:[email protected]
COO: Carol Solomon
Phone: (810) 733-9705
Email:[email protected]
Public Relations: Stacy Daul
Phone: (810) 733-9762
Email:[email protected]
CFO: Carol Solomon
Phone: (810) 733-9705
Email:[email protected]
Vice President, Health Services:
Beth Caughlin, RN
Phone: (810) 733-9710
Email:[email protected]
CIO: Carol Solomon
Phone: (810) 733-9705
Email:[email protected]
Chief Medical Director: Kathy Kudray, DO
Phone: (810) 733-9709
Email:[email protected]
Pharmacy Director: Teresa DuFresne
Phone: (810) 733-9727
Email:[email protected]
Vice President, General Counsel: Teri Mikan
Phone: (810) 733-9774
Email:[email protected]
Corporate Compliance Officer: Sue Bayer
Phone: (517) 913-2622
Email:[email protected]
Quality Improvement: Beth Caughlin, RN
Phone: (810) 733-9710
Email:[email protected]
Human Resources: Mary Schaefer
Phone: (810) 733-9545
Email:[email protected]
Marketing: Rhonda Hayes
Phone: (810) 733-9566
Email:[email protected]
Health Promotions: Carmen McGlinchey
Phone: (810) 733-9524
Email:[email protected]
Disease Management: Mary Lynn Clark, RN
Phone: (810) 733-9642
Email:[email protected]
NCQA Expert: Beth Caughlin, RN
Phone: (810) 733-9710
Email:[email protected]
2-10
2015 Resource and Senior Management Directory
Michigan Association of Health Plans
Meridian Health Plan
777 Woodward Avenue, Suite 600
Detroit, MI 48226
(313) 324-3700
www.mhplan.com/mi/
CEO: Jon Cotton
Phone: (313) 324-3705
Email:[email protected]
Network Development Director: Kellie Rice
Phone: (313) 324-1848
Email:[email protected]
CFO: Janice Torosian
Phone: (313) 324-3704
Email:[email protected]
State Medicaid Contract Liaison:
Patricia Graham
Phone: (313) 324-1936
Email:[email protected]
COO: Jon Cotton
Phone: (313) 324-3705
Email:[email protected]
CIO: Teri Takai
Phone: (313) 324-9100
Email:[email protected]
Chief Medical Officer and Executive Vice
President: Robert Frank, MD
Phone: (313) 324-3708
Email:[email protected]
Member Services Director: Christina Brandon
Phone: (313) 324-3732
Email:[email protected]
Claims Director: Bruce Wegner
Phone: (313) 324-3730
Email:[email protected]
COO/Meridian Rx: Rene Acker
Phone: (313) 324-3738
Email:[email protected]
Vice President of Quality and Performance
Improvement: Meghan Harris
Phone: (515) 802-3545
Email:[email protected]
Director of Utilization Management:
Catherine Smith, RN
Phone: (313) 324-3741
Email:[email protected]
General Council: Michael Stines, JD
Phone: (313) 324-3746
Email:[email protected]
Human Resources/Chief Administrative Officer:
Sean P. Cotton, JD
Phone: (313) 324-3707
Email:[email protected]
2015 Resource and Senior Management Directory
2-11
Michigan Association of Health Plans
Molina Healthcare of Michigan, Inc.
880 West Long Lake Road, Suite 600
Troy, MI 48098
(866) 449-6828
(248) 925-1790
www.molinahealthcare.com
President: Stephen Harris
Phone: (248) 925-1710
Email:[email protected]
Chief Operating Officer: Christine Surdock
Phone: (248) 925-1708
Email:[email protected]
Vice President, Finance & Analytics: Stephen
Whiting
Phone: (248) 925-1730
Email:[email protected]
Vice President, HealthCare Services: Kim
English
Phone: (248) 729-0827
Email:[email protected]
Vice President, Medical Affairs and CMO:
James D. Forshee, MD
Phone: (248) 925-1702
Email:[email protected]
Associate Vice President, Provider Network
Management: Elyse Berry
Phone: (248) 925-1750
Email:[email protected]
Associate Vice President, Government
Contracts & State Medicaid Contract Liaison:
Pam Gourwitz
Phone: (248) 925-1701
Email:[email protected]
Director, Community Outreach:
Heidi McGlinnen
Phone: (248) 925-1724
Email:[email protected]
Compliance Director:
Michael von Arx, MHA, MA, CHC
Phone: (248) 729-0837
Email:[email protected]
Pharmacy Director: Jennifer Walters, PharmD
Phone: (248) 925-0839
Email:[email protected]
Pharmacy Alternate: James D. Forshee, MD
Phone: (248) 925-1702
Email:[email protected]
Legal Counsel: Carl Gardner
Phone: (562) 506-9200
Email:[email protected]
NCQA Expert & Quality Improvement:
Hagy Wegener
Phone: (248) 729-0840
Email:[email protected]
Human Resources: Rebecca Claxton
Phone: (248) 729-0855
Email:[email protected]
2-12
2015 Resource and Senior Management Directory
Michigan Association of Health Plans
Paramount Care of Michigan, Inc.
106 Park Place
Dundee, MI 48131
(734) 529-8892
www.paramountcareofmichigan.com
President: John C. Randolph
Phone: (419) 887-2803
Email:[email protected]
Health Promotions: Margaret Ogilvie
Phone: (419) 887-2300
Email:[email protected]
Vice President, Operations: Jeffrey Martin
Phone: (419) 887-2959
Email:[email protected]
Disease Management: Tricia Keller
Phone: (419) 887-2313
Email:[email protected]
Vice President, Finance: Stacey L. Bock
Phone: (419) 887-2970
Email:[email protected]
Manager, Provider Relations: Trisha Henzler
Phone: (419) 887-2828
Email:[email protected]
Vice President, Medical Director:
John D. Meier, MD
Phone: (419) 887-2213
Email:[email protected]
NCQA Expert: Margaret Ogilvie
Phone: (419) 887-2300
Email:[email protected]
Director, Marketing: Jeff O’Connell
Phone: (419) 887-2806
Email:[email protected]
Director, Information Systems: David H. Cook
Phone: (419) 887-2717
Email:[email protected]
Pharmacy Director: Amber Zuber
Phone: (419) 887-2248
Email:[email protected]
Regulatory Compliance: Sue Harris
Phone: (419) 887-2943
Email:[email protected]
Quality Improvement: Margaret Ogilvie
Phone: (419) 887-2300
Email:[email protected]
Human Resources: Pat Appley
Phone: (419) 887-2938
Email:[email protected]
Michigan Marketing: Nancy Hejl
Phone: (734) 529-8894
Email:[email protected]
2015 Resource and Senior Management Directory
2-13
Michigan Association of Health Plans
Physicians Health Plan
1400 East Michigan Avenue
P.O. Box 30377
Lansing, MI 48909-7877
(517) 364-8400
www.phpmichigan.com
President & CEO: Dennis Reese
Phone: (517) 364-8379
Email:[email protected]
Director of Member Services: Phyllis Fisher
Phone: (517) 364-8212
Email:[email protected]
Vice President, CFO/COO:
George A. Schneider
Phone: (517) 364-8434
Email:[email protected]
Controller: Kevin Essenmacher
Phone: (517) 364-8282
Email:[email protected]
Executive Medical Director: Peter Graham, MD
Phone: (517) 364-8467
Email:[email protected]
Associate Medical Director:
Kenneth Thompson, MD
Phone: (517) 364-8368
Email:[email protected]
Compliance Officer: VACANT
Manager, Information Technology: Nick Smith
Phone: (517) 364-8476
Email:[email protected]
Clinical Pharmacy Manager:
Ann Hunt-Fugate, PharmD
Phone: (517) 364-8428
Email:[email protected]
Director of Quality Management:
Linda Dickinson
Phone: (517) 364-8324
Email:[email protected]
Vice President of Sales: Kevin Kaplan
Phone: (517) 364-8331
Email:[email protected]
Disease Management: Linda Dickinson
Phone: (517) 364-8324
Email:[email protected]
Manager of Network Services: Robin Classens
Phone: (517) 364-8461
Email:[email protected]
Government Programs Administrator:
(Medicaid) Mary Anne Sesti
Phone: (517) 364-8498
Email:[email protected]
2-14
2015 Resource and Senior Management Directory
Michigan Association of Health Plans
Priority Health
1231 East Beltline, NE
Grand Rapids, MI 49525-4501
(616) 942-0954
www.priorityhealth.com
President/CEO: Michael Freed
Phone: (616) 464-3661
Email:[email protected]
CFO: Mary Anne Jones
Phone: (616) 464-8695
Email: [email protected]
CIO: Krischa Winright
Phone: (616) 464-8195
Email:[email protected]
COO: Mike Koziara
Phone: (248) 324-2710
Email:[email protected]
Medical Director: Jay LaBine, MD
Phone: (616) 464-8971
Email:[email protected]
Pharmacy Director: Steven Marciniak
Phone: (248) 324-2820
Email:[email protected]
Legal Counsel: Kimberly L. Thomas, Esq.
Phone: (616) 464-8131
Email:[email protected]
Quality Improvement: Bob VanEck
Phone: (616) 464-8204
Email:[email protected]
Associate Vice President, Analytics &
Improvement: Timothy Zeddies
Phone: (616) 464-8169
Email:[email protected]
Provider Services: Mike Koziara
Phone: (248) 324-2710
Email:[email protected]
NCQA Expert: Bob VanEck
Phone: (616) 464-8204
Email:[email protected]
State Medicaid Contract Liaison: Nancy Busch
Phone: (616) 464-8739
Email:[email protected]
Public Relations: Gene Cronin
Phone: (616) 464-8540
Email:[email protected]
Vice President, Sales & Client Services:
Scott Norman
Phone: (616) 464-8384
Email:[email protected]
Executive Director, Public Policy:
Dave Bilardello
Phone: (616) 464-8127
Email:[email protected]
Human Resources: Pam Ries
Phone: (616) 391-1371
Email:[email protected]
Marketing: Joan Budden
Phone: (616) 464-8703
Email:[email protected]
Health Promotions: Kandi Lannen
Phone: (616) 464-8628
Email:[email protected]
2015 Resource and Senior Management Directory
2-15
Michigan Association of Health Plans
Total Health Care, Inc.
3011 West Grand Boulevard, Suite 1600
Detroit, MI 48202
(313) 871-2000
www.THCmi.com
CEO: Randy A. Narowitz
Phone: (313) 871-7878
Email:[email protected]
State Medicaid Contract Liaison: Karen Bunio
Phone: (313) 871-7827
Email:[email protected]
CFO: Nicole Roush
Phone: (313) 871-7842
Email:[email protected]
Public Relations: Randy A. Narowitz
Phone: (313) 871-7878
Email:[email protected]
CIO: Noah Monro
Phone: (313) 871-7836
Email:[email protected]
Medical Director: Robyn J. Arrington, Jr., MD
Phone: (313) 871-7801
Email:N/A
Quality Improvement: Nancy Williams, RN
Phone: (313) 871-5263
Email:[email protected]
Human Resources: Nancy Sinutko
Phone: (313) 871-7803
Email:[email protected]
Marketing: Stephen Slaga
Phone: (313) 871-7810
Email:[email protected]
Chief Clinical Officer: Linda Alexander, RN
Phone: (313) 871-5260
Email:[email protected]
Disease Management: Nancy Williams, RN
Phone: (313) 871-5263
Email:[email protected]
Provider Services: Susan Ryan
Phone: (313) 871-6589
Email:[email protected]
NCQA Expert: Nancy Williams, RN
Phone: (313) 871-5263
Email:[email protected]
2-16
2015 Resource and Senior Management Directory
Michigan Association of Health Plans
UnitedHealthcare Community Plan, Inc.
26957 Northwestern Highway, Suite 400
Southfield, MI 48033
(800) 903-5253
www.uhccommunityplan.com
CEO: Dennis J. Mouras
Phone: (248) 331-4269
Email:[email protected]
NCQA Expert: Mary Ellen Gies
Phone: (248) 331-4286
Email:[email protected]
CFO: Carol Gothard
Phone: (248) 331-4389
Email:[email protected]
Pharmacy Director: Jeanne Cavanaugh
Phone: (248) 331-4277
Email:[email protected]
CIO: Cybele Kanin
Phone: (303) 693-1789
Email:[email protected]
State Medicaid Contract Liaison:
Michael J. Parr, Esq.
Phone: (248) 331-4413
Email:[email protected]
COO: Lisa Gray
Phone: (248) 331-4322
Email:[email protected]
Medical Director: Brian Kennedy, MD, MPH
Phone: (248) 331-4488
Email:[email protected]
UnitedHealthcare – Commercial Health Plan
Vice President: Tim DiMartino
Phone: (248) 936-1215
Email:[email protected]
Legal Counsel: Eric J. Wexler, Esq.
Phone: (248) 331-4264
Email:[email protected]
Quality Improvement: Mary Ellen Gies
Phone: (248) 331-4286
Email:[email protected]
Marketing: Rosie Reebel
Phone: (248) 331-4238
Email:[email protected]
Health Promotions: Mary Ellen Gies
Phone: (248) 331-4286
Email:[email protected]
Case Management: Laurie Salswedel
Phone: (248) 331-4463
Email:[email protected]
Provider Services: Lisa Gray
Phone: (248) 331-4322
Email:[email protected]
2015 Resource and Senior Management Directory
2-17
Michigan Association of Health Plans
Upper Peninsula Health Plan
228 West Washington Street
Marquette, MI 49855
(906) 225-7500
www.uphp.com
CEO: Dennis H. Smith
Phone: (906) 225-7833
Email:[email protected]
CFO: Regina Bergh
Phone: (906) 225-7491
Email:[email protected]
Medical Director: Michael M. Mlsna, MD
Phone: (906) 225-7500
Email:[email protected]
Pharmacy Director: Sheryl Waudby, MS, RPh
Phone: (906) 225-7876
Email:[email protected]
Chief Quality Officer: Anne Levandoski, RN, BSN
Phone: (906) 225-7723
Email:[email protected]
Director of Human Resource Services:
Tanya Jennings
Phone: (906) 225-7786
Email:[email protected]
Disease Management: Anne Levandoski, RN, BSN
Phone: (906) 225-7723
Email:[email protected]
Provider Services: Johanna Novak
Phone: (906) 225-1187
Email:[email protected]
NCQA Expert: Anne Levandoski, RN, BSN
Phone: (906) 225-7723
Email:[email protected]
Director of Government Programs:
Melissa Holmquist
Phone: (906) 225-7157
Email:[email protected]
Chief Innovation Officer: Paula Hedlund
Phone: (906) 225-7831
Email:[email protected]
2-18
2015 Resource and Senior Management Directory
Michigan Association of Health Plans
Resource and Senior
Management Directory
Listing by Category
SECTION THREE
Listing by
Category
2015 Resource and Senior Management Directory
3
Michigan Association of Health Plans
Resource and Senior Management Directory
Listing by Category
Table of contents
CEO3-2
CFO3-3
CIO3-4
COO3-5
Disease Management 3-6
Health Promotions
3-7
Human Resources
3-8
Legal Counsel
3-9
Marketing3-10
Medical Director
3-11
NCQA Expert
3-12
Pharmacy Director
3-13
Provider Services
3-14
Public Relations
3-15
Quality Improvement Director
3-16
State Medicaid Liaison
3-17
2015 Resource and Senior Management Directory
3-1
Michigan Association of Health Plans
CEO
Aetna Better Health of Michigan
Beverly A. Allen
Phone: (313) 465-1517
Email: [email protected]
Meridian Health Plan
Jon Cotton
Phone: (313) 324-3705
Email: [email protected]
Consumers Mutual Insurance of Michigan
Dennis Litos
Phone: (517) 492-9020
Email: [email protected]
Molina Healthcare of Michigan, Inc.
Stephen Harris
Phone: (248) 925-1710
Email: [email protected]
Fidelis SecureCare of Michigan, Inc.
Amy Williams
Phone: (248) 729-8910
Email: [email protected]
Paramount Care of Michigan, Inc.
John C. Randolph
Phone: (419) 887-2803
Email: [email protected]
Grand Valley Health Plan
Pamela Lea Silva
Phone: (616) 949-2410
Email: [email protected]
Physicians Health Plan
Dennis Reese
Phone: (517) 364-8379
Email: [email protected]
Harbor Health Plan
Carrie Harris-Muller
Phone: (313) 578-2234
Email: [email protected]
Priority Health
Michael Freed
Phone: (616) 464-3661
Email: [email protected]
Health Alliance Plan
James Connelly
Phone: (313) 664-8360
Email: [email protected]
Total Health Care, Inc.
Randy Narowitz
Phone: (313) 871-7878
Email: [email protected]
Health Alliance Plan
HAP Midwest Health Plan
Mark B. Saffer
Phone: (313) 581-5500
Email: [email protected]
UnitedHealthcare Community Plan, Inc.
Dennis J. Mouras
Phone: (248) 331-4269
Email: [email protected]
HealthPlus of Michigan, Inc.
Nancy Jenkins
Phone: (810) 230-2132
Email: [email protected]
Upper Peninsula Health Plan
Dennis H. Smith
Phone: (906) 225-7833
Email: [email protected]
McLaren Health Plan
Kathy Kendall, BSN, MM
Phone: (810) 733-9700
Email: [email protected]
3-2
2015 Resource and Senior Management Directory
Michigan Association of Health Plans
CFO
Aetna Better Health of Michigan
Kenyata Rogers
Phone: (313) 465-1523
Email: [email protected]
Physicians Health Plan
George A. Schneider
Phone: (517) 364-8434
Email: [email protected]
Consumers Mutual Insurance of Michigan
Michael Cutroni
Phone: (517) 492-9020
Email: [email protected]
Priority Health
Mary Anne Jones
Phone: (616) 464-8695
Email: [email protected]
Harbor Health Plan
Beverly Maison
Phone: (602) 824.3734
Email: [email protected] or
[email protected]
Total Health Care, Inc.
Nicole Roush
Phone: (313) 871-7842
Email: [email protected]
Health Alliance Plan
Todd Hutchison
Phone: (313) 664-8559
Email: [email protected]
Health Alliance Plan
HAP Midwest Health Plan
Allen A. Kessler
Phone: (313) 586-6064
Email: [email protected]
UnitedHealthcare Community Plan, Inc.
Carol Gothard
Phone: (248) 331-4389
Email: [email protected]
Upper Peninsula Health Plan
Regina Bergh
Phone: (906) 225-7491
Email: [email protected]
McLaren Health Plan
Carol Solomon
Phone: (810) 733-9705
Email: [email protected]
Meridian Health Plan
Janice Torosian
Phone: (313) 324-3704
Email: [email protected]
Molina Healthcare of Michigan, Inc.
Stephen Whiting
Phone: (248) 925-1730
Email: [email protected]
Paramount Care of Michigan, Inc.
Stacey L. Bock
Phone: (419) 887-2970
Email: [email protected]
2015 Resource and Senior Management Directory
3-3
Michigan Association of Health Plans
CIO
Consumers Mutual Insurance of Michigan
Kevin Walker
Phone: (517) 492-9020
Email: [email protected]
Paramount Care of Michigan, Inc.
David H. Cook
Phone: (419) 887-2717
Email: [email protected]
Grand Valley Health Plan
Steve Duchemin
Phone: (616) 949-2410
Email: [email protected]
Physicians Health Plan
Nick Smith
Phone: (517) 364-8476
Email: [email protected]
Harbor Health Plan
Christie Foley
Phone: (615) 665-6157
Email: [email protected]
Priority Health
Krischa Winright
Phone: (616) 464-8195
Email: [email protected]
Health Alliance Plan
Annette Marcath
Phone: (313) 664-8166
Email: [email protected]
Total Health Care, Inc.
Noah Monro
Phone: (313) 871-7836
Email: [email protected]
Health Alliance Plan
HAP Midwest Health Plan
Refaat Shulaiba
Phone: (313) 586-6040
Email: [email protected]
UnitedHealthcare Community Plan, Inc.
Cybele Kanin
Phone: (303) 693-1789
Email: [email protected]
HealthPlus of Michigan, Inc.
Julie Boyer
Phone: (810) 230-2061
Email: [email protected]
Upper Peninsula Health Plan
Paula Hedlund
Phone: (906) 225-7831
Email: [email protected]
McLaren Health Plan
Carol Solomon
Phone: (810) 733-9705
Email: [email protected]
Meridian Health Plan
Teri Takai
Phone: (313) 324-9100
Email: [email protected]
Molina Healthcare of Michigan, Inc.
Stephen Whiting
Phone: (248) 925-1730
Email: [email protected]
3-4
2015 Resource and Senior Management Directory
Michigan Association of Health Plans
COO
Aetna Better Health of Michigan
Teressa Smith
Phone: (313) 465-1548
Email: [email protected]
UnitedHealthcare Community Plan, Inc.
Lisa Gray
Phone: (248) 331-4322
Email: [email protected]
Health Alliance Plan
Matthew Walsh
Phone: (313) 664-8855
Email: [email protected]
HealthPlus of Michigan, Inc.
Mac McClurkan
Phone: (810) 230-2272
Email: [email protected]
McLaren Health Plan
Carol Solomon
Phone: (810) 733-9705
Email: [email protected]
Meridian Health Plan
Jon Cotton
Phone: (313) 324-3705
Email: [email protected]
Molina Healthcare of Michigan, Inc.
Christine Surdock
Phone: (248) 925-1708
Email: [email protected]
Paramount Care of Michigan, Inc.
Jeffrey Martin
Phone: (419) 887-2959
Email: [email protected]
Physicians Health Plan
George A. Schneider
(517) 364-8434
[email protected]
Priority Health
Mike Koziara
Phone: (248) 324-2710
Email: [email protected]
2015 Resource and Senior Management Directory
3-5
Michigan Association of Health Plans
Disease Management
Grand Valley Health Plan
Ken Van Beek, LMSW
Phone: (616) 949-2410
Email: [email protected]
Total Health Care, Inc.
Nancy Williams, RN
Phone: (313) 871-5263
Email: [email protected]
Harbor Health Plan
Joan Valentine, RN
Phone: (248) 281-6093
Email: [email protected]
UnitedHealthcare Community Plan, Inc.
Laurie Salswedel
Phone: (248) 331-4463
Email: [email protected]
Health Alliance Plan
HAP Midwest Health Plan
Andrea VanGoethem
Phone: (313) 586-6071
Email: [email protected]
Upper Peninsula Health Plan
Anne Levandoski, RN, BSN
Phone: (906) 225-7723
Email: [email protected]
HealthPlus of Michigan, Inc.
Pam Sanborn
Phone: (810) 600-8015
Email: [email protected]
McLaren Health Plan
Mary Lynn Clark, RN
Phone: (810) 733-9642
Email: [email protected]
Paramount Care of Michigan, Inc.
Tricia Keller
Phone: (419) 887-2313
Email: [email protected]
Physicians Health Plan
Linda Dickinson
Phone: (517) 364-8324
Email: [email protected]
3-6
2015 Resource and Senior Management Directory
Michigan Association of Health Plans
Health Promotions
Grand Valley Health Plan
Ken Van Beek, LMSW
Phone: (616) 949-2410
Email: [email protected]
Health Alliance Plan
HAP Midwest Health Plan
Andrea VanGoethem
Phone: (313) 586-6071
Email: [email protected]
HealthPlus of Michigan, Inc.
Elaine Schnueringer
Phone: (810) 230-2037
Email: [email protected]
McLaren Health Plan
Carmen McGlinchey
Phone: (810) 733-9524
Email: [email protected]
Paramount Care of Michigan, Inc.
Margaret Ogilvie
Phone: (419) 887-2300
Email: [email protected]
Priority Health
Kandi Lannen
Phone: (616) 464-8628
Email: [email protected]
Total Health Care, Inc.
Linda Alexander, RN
Phone: (313) 871-5260
Email: lalexander@ THCmi.com
UnitedHealthcare Community Plan, Inc.
Mary Ellen Gies
Phone: (248) 331-4286
Email: [email protected]
2015 Resource and Senior Management Directory
3-7
Michigan Association of Health Plans
Human Resources
Consumers Mutual Insurance of Michigan
Lisa Letarte
Phone: (517) 492-9020
Email: [email protected]
Paramount Care of Michigan, Inc.
Pat Appley
Phone: (419) 887-2938
Email: [email protected]
Fidelis SecureCare of Michigan, Inc.
Kimberly Fell
Phone: (248) 729-8931
Email: [email protected]
Priority Health
Pam Ries
Phone: (616) 391-1371
Email: [email protected]
Grand Valley Health Plan
Jan Jones
Phone: (616) 949-2410
Email: [email protected]
Total Health Care, Inc.
Nancy Sinutko
Phone: (313) 871-7803
Email: [email protected]
Health Alliance Plan
Derick Adams
Phone: (313) 664-8852
Email: [email protected]
Upper Peninsula Health Plan
Tanya Jennings
Phone: (906) 225-7786
Email: [email protected]
Health Alliance Plan
HAP Midwest Health Plan
Monica Rogers
Phone: (313) 827-5707 or (248) 443-9212
Email: [email protected]
HealthPlus of Michigan, Inc.
Todd Harrison
Phone: (810) 600-8042
Email: [email protected]
McLaren Health Plan
Mary Schaefer
Phone: (810) 733-9545
Email: [email protected]
Meridian Health Plan
Sean P. Cotton, JD
Phone: (313) 324-3707
Email: [email protected]
Molina Healthcare of Michigan, Inc.
Rebecca Claxton
Phone: (248) 729-0855
Email: [email protected]
3-8
2015 Resource and Senior Management Directory
Michigan Association of Health Plans
Legal Counsel
Consumers Mutual Insurance of Michigan
Jayson Welter
Phone: (517) 492-9020
Email: [email protected]
Health Alliance Plan
Dan Champney
Phone: (313) 664-8904
Email: [email protected]
HealthPlus of Michigan, Inc.
Patty Curylo
Phone: (810) 230-2238
Email: [email protected]
McLaren Health Plan
Teri Mikan
Phone: (810) 733-9774
Email: [email protected]
Meridian Health Plan
Michael Stines, JD
Phone: (313) 324-3746
Email: [email protected]
Molina Healthcare of Michigan, Inc.
Carl Gardner
Phone: (562) 506-9200
Email: [email protected]
Priority Health
Kimberly L. Thomas, Esq.
Phone: (616) 464-8131
Email: [email protected]
UnitedHealthcare Community Plan, Inc.
Eric J. Wexler, Esq.
Phone: (248) 331-4264
Email: [email protected]
2015 Resource and Senior Management Directory
3-9
Michigan Association of Health Plans
Marketing
Aetna Better Health of Michigan
Diane Byrd-Johnson
Phone: (313) 465-1590
Email: [email protected]
Priority Health
Joan Budden
Phone: (616) 464-8703
Email: [email protected]
Consumers Mutual Insurance of Michigan
David Eich
Phone: (517) 492-9020
Email: [email protected]
Total Health Care, Inc.
Stephen Slaga
Phone: (313) 871-7810
Email: [email protected]
Grand Valley Health Plan
Mike Messinger
Phone: (616) 949-2410
Email: [email protected]
UnitedHealthcare Community Plan, Inc.
Rosie Reebel
Phone: (248) 331-4238
Email: [email protected]
Health Alliance Plan
Mary Ann Tournoux
Phone: (313) 664-8389
Email: [email protected]
Health Alliance Plan
HAP Midwest Health Plan
Joseph Rochester
Phone: (313) 586-6056
Email: [email protected]
HealthPlus of Michigan, Inc.
Graham Smith
Phone: (810) 230-2240
Email: [email protected]
McLaren Health Plan
Rhonda Hayes
Phone: (810) 733-9566
Email: [email protected]
Paramount Care of Michigan, Inc.
Jeff O’Connell
Phone: (419) 887-2806
Email: [email protected]
3-10
2015 Resource and Senior Management Directory
Michigan Association of Health Plans
Medical Director
Aetna Better Health of Michigan
Joseph L. Blount, MD
Phone: (313) 465-1538
Email: [email protected]
Molina Healthcare of Michigan, Inc.
James D. Forshee, MD
Phone: (248) 925-1702
Email: [email protected]
Consumers Mutual Insurance of Michigan
Brad Ropp, MD
Phone: (517) 492-9020
Email: [email protected]
Paramount Care of Michigan, Inc.
John D. Meier, MD
Phone: (419) 887-2213
Email: [email protected]
Grand Valley Health Plan
Daniel Wallace, DO
Phone: (616) 949-2410
Email: [email protected]
Physicians Health Plan
Peter Graham, MD
Phone: (517) 364-8467
Email: [email protected]
Harbor Health Plan
Gregory Berger, MD
Phone: (248) 809-3782
Email: [email protected]
Priority Health
Jay LaBine, MD
Phone: (616) 464-8971
Email: [email protected]
Health Alliance Plan
Naim Munir, MD
Phone: (313) 664-8361
Email: [email protected]
Total Health Care, Inc.
Robyn J. Arrington, Jr., MD
Phone: (313) 871-7801
Email: N/A
Health Alliance Plan
HAP Midwest Health Plan
Mark Tucker, MD
Phone: (313) 586-6060
Email: [email protected]
UnitedHealthcare Community Plan, Inc.
Brian Kennedy, MD, MPH
Phone: (248) 331-4488
Email: [email protected]
HealthPlus of Michigan, Inc.
Michael Genord, MD, MBA
Phone: (810) 496-8478
Email: [email protected]
Upper Peninsula Health Plan
Michael M. Mlsna, MD
Phone: (906) 225-7500
Email: [email protected]
McLaren Health Plan
Kathy Kudray, DO
Phone: (810) 733-9709
Email: [email protected]
Meridian Health Plan
Robert Frank, MD
Phone: (313) 324-3708
Email: [email protected]
2015 Resource and Senior Management Directory
3-11
Michigan Association of Health Plans
NCQA Expert
Aetna Better Health of Michigan
Rachel Godwin, RN
Phone: (313) 465-1534
Email: [email protected]
Priority Health
Bob VanEck
Phone: (616) 464-8204
Email: [email protected]
Consumers Mutual Insurance of Michigan
Jayson Welter
Phone: (517) 492-9020
Email: [email protected]
Total Health Care, Inc.
Nancy Williams, RN
Phone: (313) 871-5263
Email: [email protected]
Grand Valley Health Plan
Kara Dunwoody
Phone: (616) 949-2410
Email: [email protected]
UnitedHealthcare Community Plan, Inc.
Mary Ellen Gies
Phone: (248) 331-4286
Email: [email protected]
Harbor Health Plan
Denise Doede, RN
Phone: (248) 281-6619
Email: [email protected]
Upper Peninsula Health Plan
Anne Levandoski, RN, BSN
Phone: (906) 225-7723
Email: [email protected]
Health Alliance Plan
HAP Midwest Health Plan
Kimberly Weaver
Phone: (313) 586-6077
Email: [email protected]
HealthPlus of Michigan, Inc.
Margaret F. Kokoszka
Phone: (810) 230-2074
Email: [email protected]
McLaren Health Plan
Beth Caughlin, RN
Phone: (810) 733-9710
Email: [email protected]
Molina Healthcare of Michigan, Inc.
Hagy Wegener
Phone: (248) 729-0840
Email: [email protected]
Paramount Care of Michigan, Inc.
Margaret Ogilvie
Phone: (419) 887-2300
Email: [email protected]
3-12
2015 Resource and Senior Management Directory
Michigan Association of Health Plans
Pharmacy Director
Aetna Better Health of Michigan
Michael Hammoud, RPh
Phone: (313) 465-1549
Email: [email protected]
Physicians Health Plan
Ann Hunt-Fugate, PharmD
Phone: (517) 364-8428
Email: [email protected]
Grand Valley Health Plan
Anne Kozal, RPh
Phone: (616) 532-8882
Email: [email protected]
Priority Health
Steven Marciniak
Phone: (248) 324-2820
Email: [email protected]
Health Alliance Plan
Antonio Petitta, RPh, MBA
Phone: (313) 664-8838
Email: [email protected]
UnitedHealthcare Community Plan, Inc.
Jeanne Cavanaugh
Phone: (248) 331-4277
Email: [email protected]
Health Alliance Plan
HAP Midwest Health Plan
Brian Peltz, MS, RPh
Phone: (313) 827-5565
Email: [email protected]
Upper Peninsula Health Plan
Sheryl Waudby, MS, RPh
Phone: (906) 225-7876
Email: [email protected]
HealthPlus of Michigan, Inc.
Carrie Germain, RPh
Phone: (810) 230-2299
Email: [email protected]
McLaren Health Plan
Teresa DuFresne
Phone: (810) 733-9727
Email: [email protected]
Meridian Health Plan
Rene Acker
Phone: (313) 324-3738
Email: [email protected]
Molina Healthcare of Michigan, Inc.
Jennifer Walters, PharmD
Phone: (248) 925-0839
Email: [email protected]
Paramount Care of Michigan, Inc.
Amber Zuber
Phone: (419) 887-2248
Email: [email protected]
2015 Resource and Senior Management Directory
3-13
Michigan Association of Health Plans
Provider Services
Consumers Mutual Insurance of Michigan
Robert Polick
Phone: (517) 492-9020
Email: [email protected]
Paramount Care of Michigan, Inc.
Trisha Henzler
Phone: (419) 887-2828
Email: [email protected]
Fidelis SecureCare of Michigan, Inc.
Julie Hurst
Phone: (248) 729-8909
Email: [email protected]
Physicians Health Plan
Robin Classens
Phone: (517) 364-8461
Email: [email protected]
Grand Valley Health Plan
Janet Lederman
Phone: (616) 949-2410
Email: [email protected]
Priority Health
Mike Koziara
Phone: (248) 324-2710
Email: [email protected]
Harbor Health Plan
Joyce Poole
Phone: (313) 966-9380
Email: [email protected]
Total Health Care, Inc.
Susan Ryan
Phone: (313) 871-6589
Email: [email protected]
Harbor Health Plan
Ruth Evans
Phone: (866) 494-1247
Email: [email protected]
UnitedHealthcare Community Plan, Inc.
Lisa Gray
Phone: (248) 331-4322
Email: [email protected]
Health Alliance Plan
HAP Midwest Health Plan
Nehya Ahmed
Phone: (313) 586-6055
Email: [email protected]
Upper Peninsula Health Plan
Johanna Novak
Phone: (906) 225-1187
Email: [email protected]
HealthPlus of Michigan, Inc.
Antoinette Geyer
Phone: (810) 230-2009
Email: [email protected]
Meridian Health Plan
Christina Brandon
Phone: (313) 324-3732
Email: [email protected]
Molina Healthcare of Michigan, Inc.
Elyse Berry
Phone: (248) 925-1750
Email: [email protected]
3-14
2015 Resource and Senior Management Directory
Michigan Association of Health Plans
Public Relations
Aetna Better Health of Michigan
Diane Byrd-Johnson
Phone: (313) 465-1590
Email: [email protected]
Priority Health
Gene Cronin
Phone: (616) 464-8540
Email: [email protected]
Consumers Mutual Insurance of Michigan
David Eich
Phone: (517) 492-9020
Email: [email protected]
Total Health Care, Inc.
Randy A. Narowitz
Phone: (313) 871-7878
Email: [email protected]
Fidelis SecureCare of Michigan, Inc.
Charles “Chip” Tischer
Phone: (248) 729-8914
Email: [email protected]
Grand Valley Health Plan
Matt Witkowski
Phone: (616) 949-2410
Email: [email protected]
Harbor Health Plan
Carrie Harris-Muller
Phone: (313) 578-2234
Email: [email protected]
Health Alliance Plan
Susan Schwandt, APR
Phone: (248) 443-1076
Email: [email protected]
HealthPlus of Michigan, Inc.
Nancy Jenkins
Phone: (810) 230-2183
Email: [email protected]
McLaren Health Plan
Stacy Daul
Phone: (810) 733-9762
Email: [email protected]
Molina Healthcare of Michigan, Inc.
Heidi McGlinnen
Phone: (248) 925-1724
Email: [email protected]
2015 Resource and Senior Management Directory
3-15
Michigan Association of Health Plans
Quality Improvement Director
Aetna Better Health of Michigan
Rachel Godwin, RN
Phone: (313) 465-1535
Email: [email protected]
Physicians Health Plan
Linda Dickinson
Phone: (517) 364-8324
Email: [email protected]
Consumers Mutual Insurance of Michigan
Stacey Duncan-Jackson
Phone: (517) 492-9020
Email: stacey.duncanjackson@
consumersmutual.org
Priority Health
Bob VanEck
Phone: (616) 464-8204
Email: [email protected]
Harbor Health Plan
Denise Doede, RN
Phone: (248) 281-6619
Email: [email protected]
Health Alliance Plan
HAP Midwest Health Plan
Kimberly Weaver
Phone: (313) 586-6077
Email: [email protected]
HealthPlus of Michigan, Inc.
Margaret F. Kokoszka
Phone: (810) 230-2074
Email: [email protected]
Total Health Care, Inc.
Nancy Williams, RN
Phone: (313) 871-5263
Email: [email protected]
UnitedHealthcare Community Plan, Inc.
Mary Ellen Gies
Phone: (248) 331-4286
Email: [email protected]
Upper Peninsula Health Plan
Anne Levandoski, RN, BSN
Phone: (906) 225-7723
Email: [email protected]
McLaren Health Plan
Beth Caughlin, RN
Phone: (810) 733-9710
Email: [email protected]
Meridian Health Plan
Meghan Harris
Phone: (515) 802-3545
Email: [email protected]
Molina Healthcare of Michigan, Inc.
Hagy Wegener
Phone: (248) 729-0840
Email: [email protected]
Paramount Care of Michigan, Inc.
Margaret Ogilvie
Phone: (419) 887-2300
Email: [email protected]
3-16
2015 Resource and Senior Management Directory
Michigan Association of Health Plans
State Medicaid Liaison
Aetna Better Health of Michigan
Donna West, RN
Phone: (313) 465-1552
Email: [email protected]
Priority Health
Nancy Busch
Phone: (616) 464-8739
Email: [email protected]
Fidelis SecureCare of Michigan, Inc.
Marcie Johnson
Phone: (248) 729-8911
Email: [email protected]
Total Health Care, Inc.
Karen Bunio
Phone: (313) 871-7827
Email: [email protected]
Grand Valley Health Plan
Kara Dunwoody
Phone: (616) 949-2410
Email: [email protected]
UnitedHealthcare Community Plan, Inc.
Michael J. Parr, Esq.
Phone: (248) 331-4413
Email: [email protected]
Harbor Health Plan
Ruth Evans
Phone: (313) 578-3761
Email: [email protected]
Upper Peninsula Health Plan
Melissa Holmquist
Phone: (906) 225-7157
Email: [email protected]
Health Alliance Plan
HAP Midwest Health Plan
Sudha Gadgil
Phone: (313) 586-6001
Email: [email protected]
McLaren Health Plan
Sue Bayer
Phone: (517) 913-2622
Email: [email protected]
Meridian Health Plan
Patricia Graham
Phone: (313) 324-1936
Email: [email protected]
Molina Healthcare of Michigan, Inc.
Pam Gourwitz
Phone: (248) 925-1701
Email: [email protected]
Physicians Health Plan
Mary Anne Sesti
Phone: (517) 364-8498
Email: [email protected]
2015 Resource and Senior Management Directory
3-17
Michigan Association of Health Plans
Resource and Senior
Management Directory
SECTION FOUR
2015 Resource and Senior Management Directory
MAHP Standing Committees
MAHP
Standing
Committees
4
Michigan Association of Health Plans
327 Seymour Avenue • Lansing, MI 48933 • 517-371-3181 • www.mahp.org
The 2015 MAHP Standing Committee
Leadership include the following MAHP
Members and MAHP Staff:
●
A
udit/Finance Committee
●
Bylaws Committee
Chair: Randy Narowitz, Total Health Care,
Inc.
MAHP staff: Christine Gray
Chair: Jon Cotton, Meridian Health Plan
MAHP staff: Rick Murdock
●
P
AC Committee
C
hair: VACANT
MAHP staff: Kirsten Fisk
P
ublic Relations Council
Chair: VACANT
Consultant: Martin-Waymire
MAHP staff: Christine Gray
●
●
G
overnment Programs Committee
●
L
egislative Committee
S
ummer Conference Committee
Chair: Joe Lentine, Sr., DENCAP Dental
Plans
Consultant: Diane Drago, Diversified Management Services
MAHP staff: Kirsten Fisk
M
edical Directors Committee
Exchange Policy Committee
Chair: Dave Bilardello, Priority Health
MAHP staff: Dominick Pallone
Chair: Janice Torosian, Meridian Health
Plan
MAHP staff: Cheryl Bupp
Chair: Rory Lafferty, Health Alliance Plan
MAHP staff: Christine Shearer
●
●
New Chair: Brian J. Kennedy, United
Healthcare Community Plan, Inc.
MAHP staff: Christine Shearer

P
harmacy Directors
Sub committee
Chair: Carrie Germain, HealthPlus of Michigan, Inc.
MAHP staff: Christine Shearer

Q
uality Improvement
Sub committee
Co-chairs: Linda Dickinson, Physicians
Health Plan and Kimberly Weaver,
Health Alliance Plan HAP Midwest
Health Plan
MAHP staff: Kirsten Fisk
2015 Resource and Senior Management Directory
4-1
Michigan Association of Health Plans
Resource and Senior
Management Directory
SECTION FIVE
MAHP
Foundation
MAHP Foundation
2015 Resource and Senior Management Directory
5
Michigan Association of Health Plans
The Michigan Association of Health Plans launched the MAHP Foundation in 1998, to promote
education, research, and collaborative initiatives to support health plan goals.
The MAHP Foundation sponsors several events each year. They include the MAHP Pinnacle Awards,
recognizing the innovative programs of MAHP members, and the annual Best Practices Forum, where
Pinnacle Award winners present their award winning programs to colleagues.
The Foundation has a long history of collaboration with the Michigan Department of Health and Human
Services (MDHHS). Currently, the Foundation is in the fourth year of a project with the MDHHS Cancer
Genomics Divisions to promote health plan policies that are consistent with national recommendations
for genetic counseling and testing.
The MAHP Foundation is a 501(c)3 nonprofit organization, making it easy for MAHP members and
friends to support the work of the Foundation through direct donations and support of its initiatives.
2015 Resource and Senior Management Directory
5-1
Michigan Association of Health Plans
MAHP Foundation Board Members
Richard Murdock, President
Michigan Association of Health Plans
[email protected]
Richard Nowakowski
Health Alliance Plan and 4 Star Program
[email protected]
Bobby Jones, Treasurer
CareSource Ohio
[email protected]
Thomas Stevenson, DO
Covisint
[email protected]
RoAnne Chaney
Michigan Disability Rights Coalition
[email protected]
Renee Canady, PhD, MPA
Michigan Public Health Institute
[email protected]
James Forshee, MD
Molina Healthcare of Michigan, Inc.
[email protected]
For more information on MAHP Foundation contact:
Lisa Farnum
Managing Director
MAHP Foundation
[email protected]
5-2
2015 Resource and Senior Management Directory
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