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 Michigan Association of Health Plans 27th Annual Summer Conference Michigan Association of Health Plans Making the Michigan Marketplace Work 23rd Annual Summer Conference C GO RS in Healthc are RNMENT Performance Value Efficiency S PURCH July 27-29, 2008 S EA N H AS E ME VE SU OVIDERS N PR R O LT H P L A Crystal Mountain Resort Thompsonville, MI 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. Conference Program July 19-21, 2012 G r a n d Tr a v e r s e R e s o r t , A c m e , M I 27th Annual Summer Conference Michigan Association of Health Plans GO S N E PURCH AS E AS S E AS PURCH PURCH S GO GO GO Conference Program July 17-20,Program 2013 Conference Conference Program Conference Program G rConference a n d TrProgram averse Resor t, A cme, MI 7/8/12 10:12:20 AM MAHP program_12FINAL.indd 1 7/8/12 10:12:20 AM Michigan Association of Health Plans Michigan Association of Health Plans Michigan Association of Health Plans ShiftingGears GearsShifting to MeetGears to Meet Shifting Shifting Gearsto toMeet Meet Michigan’sUnique Unique Michigan’s Unique Michigan’s Michigan’s Unique Health Care Needs Health Health Care Needs Health Care Needs Care Needs C 2011 Conference Program Michigan Association PR V GO GO GO G O E S N RS C O OVIDERS H EA NMENT ER LT H P L A Conference Program Conference Program Conference Program Conference Program July 17-20, 2013 July 17-20, 2013 July 17-20, 2013 July 17-20, 2013 Trvaevr e e eRseosr o ce m eM , IM I G rG arnadn d Tr a s res R t ,r tA, cAm Tr, e a ,v e G r a n d Tr a v e r s e R e sG o rr ta, nAdc m MrIs e R e s o r t , A c m e , M I Conference Program MAHP program_7.9.13.indd 1 MAHP program_7.9.13.indd 1 MAHP program_7.9.13.indd 1 MAHP program_7.9.13.indd 1 7/9/13 11:05 AM 7/9/13 11:05 AM 7/9/13 11:05 AM 7/9/13 11:05 AM 1/30/15 12:11 PM Michigan Association Michigan Association Michigan Association Michigan of Health Plans Association ofof Health Plans of Health Plans Health Plans of Health Plans Michigan Association of Health Plans Michigan Association of Health Plans 26th Annual Summer Conference 26th Annual Summer Conference 26th Annual Summer Conference 26th Annual Summer Conference PUTTING PEOPLE FIRST PUTTING PEOPLE FIRST 23rd Annual Summer Conference PUTTING PEOPLE FIRST PUTTING PEOPLE H EA LT A P L A LHTEH P L H A LT P L A H AS 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. Crystal Mountain Resort Thompsonville, MI EA S NS 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. H N July 26-28, 2009 Crystal Mountain Resort Thompsonville, MI ID ROV ERS OVPIDERS OVIDERS PR PURCH PR RS RS O O RS Boyne Mountain Resort, Boyne Falls, MI July 26-28, 2009 PROGRAM C O RNMENT R NVMEE N T VE RNMENT VE S C July 16-19, 2011 RS MAHP program2011good.indd 1 7/9/13 11:0 24th Annual Summer Conference Annual Summer Conference 24th Annual26th Summer Conference Conference Program MAHP program_7.9.13.indd 1 N MAHP program_12FINAL.indd 1 PURCH AS E P U RPCUHR C H A AS S E E GO GO GO N S P U R C HN S AS E N S E E AS PURCH A SH PURC EA S PURCH N Conference Program G r a n d Tr a v e r s e R e s o r t , A c m e , M I G r a n d Tr a v e r s e R e s o r t , A c m e , M I ME FIRST O 26th Annual Summer Conference 26th Annual Summer Conference PUTTING PEOPLE FIRST PUTTING PEOPLE FIRST in Healthc are Efficiency Performance Value Efficiency July 27-29, 2008 Conference Program 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. MAHP program2011good.indd 1 MAHP program2011good.indd 1 MAHP program2011good.indd 1 7/8/12 10:12:20 AM Michigan Association July 16-19, 2011 Boyne Mountain Resort, Boyne Falls, MI 2011 2011 2011 2011 2011 Crystal Mountain Resort Thompsonville, MI 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. July 16-19, 2011 Boyne Mountain Resort, Boyne Falls, MI PROGRAM Crystal Mountain Resort Thompsonville, MI Value PROGRAM N S July 27-29, 2008 LT H P L A July 16-19, 2011 July 16-19, 2011 July 16-19, 2011 July 16-19, 2011 Boyne Mountain Resort, Boyne Mountain Resort, Boyne Mountain Resort, Boyne Falls, Boyne Falls, MIMIMIBoyne Mountain Resort, Boyne Falls, Boyne Falls, MI in Healthcare PROGRAM RNMENT PR RO OG GR RA AM P M PROGRAM GO mission of the Michigan The mission of the Michigan Association of HealthThe Plans is to provide leadershipAssociation of Health Plans is to provide leadership for promotion and advocacy The mission of the Michigan Association of Health Plans is the to provide leadership for the promotion and advocacy of high quality, aff ordable, accessible health care of high quality, affordable, accessible health care The mission ofand theMichigan. 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July 19-21, 2012 July 19-21, 2012 SU E LT H P L A N AS EA RS ME ERS M SU N ERS M PURCH H SU GO Thompsonville, MI Crystal Mountain Thompsonville, MI Resort Thompsonville, MI Value Efficiency S N S R RNMENT SU N I DE R S July27-29, 27-29,2008 2008July 27-29, 2008 July Mountain Resort Crystal July Mountain 27-29,Resort 2008Crystal Crystal Mountain Resort Thompsonville, MI LT H P L A VE N E EA RS ROV H ME RS SU ME AS O N SU PURCH N C ininHealthc Healthcare are Performance Performance Value Efficiency NMENT P Performance Value Efficiency Performance Value Efficiency RS PUTTING PEOPLE FIRST 23rd Annual Summer Conference G r a n d Tr a v e r s e R e s o r t , A c m e , M I 7/8/12 10:12:20 AM MAHP program_12FINAL.indd 1 Michigan Association LT H P L A ANNIVERSARY 24thAnnual AnnualSummer SummerConference Conference 24th Annual Summer Conference 24th 24th Annual Summer Conference Michigan Association of Health Plans July 19-21, 2012 G r a n d Tr a v e r s e R e s o r t , A c m e , M I MAHP program_12FINAL.indd 1 EA OVIDERS Conference Program Michigan Association MichiganAssociation Association Michigan Michigan Association of Health Plans of Health HealthPlans Plans of of Health Plans 7/8/12 10:12:20 AM ConferenceProgram Program Conference Conference Program Conference Program July 19-21, 2012 RS EA H R VE 7/8/12 10:12:20 AM 7/8/12 10:12:20 AM Performance H ME Conference Program VE RS 7/8/12 10:12:20 AM The mission of the Michigan Association of Health Plans is to provide leadership The mission of the Michigan Association of Health Plans isof tothe provide leadership The mission Michigan Association of Health Plans is to provide leadership mission and of the Michigan ofaffordable, Health Plans is to provide leadership for theThe promotion advocacy ofAssociation high quality, accessible health care for the promotion and advocacy of high quality, affordable, accessible health care for the promotion and advocacy of high quality, affordable, accessible health care the promotion and advocacy of high quality, affordable, accessible health care for thefor citizens of Michigan. for the citizens of Michigan. for the citizens of Michigan. for the citizens of Michigan. RS LT H P L A RS OVIDERS MAHP program_12FINAL.indd 1 PR July 19-21, 2012 Crystal Mountain Resort Crystal Mountain Resort Crystal Mountain Thompsonville, MI Resort Thompsonville, MI Thompsonville, MI Thompsonville, MI ME PR MAHP program_12FINAL.indd 1 RNMENT Conference Program SU RNMENT MAHP program_12FINAL.indd 1 MAHP program_12FINAL.indd 1 VE O N EA RS H ME VE SU RS OVIDERS Crystal Mountain Resort Thompsonville, MI July 26-28, 26-28,2009 2009 July July 26-28, 2009 July 26-28, 2009 Crystal Mountain Resort C N PR LT H P L A July 26-28, 2009 July 19-21, 2012 July 19-21, 2012 Making the Michigan Marketplace Work O EA ID E R S C SU C H H EA LT H P L A EA L T HH P L A EA LT H P L A a v eer,s2012 e IR e s o r t , A c m e , M I 19-21, G r a n d Tr a v e r s e RG ersaonr d t July , Tr Ac m M G r a n d Tr a v e r s e R e s o r t , A c m e , M I Conference Program G r a n d Tr a v e r s e R e s o r t , A c m e , M I Michigan Association of Health Plans Making the Michigan Marketplace Work OV PR Conference Program 27th Annual Summer Conference Michigan Association of Health Plans H RNMENT The mission of the Michigan Association of Health Plans is to provide leadership Conference Program Conference for the promotion and advocacyProgram of high quality, affordable, accessible health care for the citizens of Michigan. th 27th Annual Summer Conference RS VE 23rd Annual Summer Conference 23rd Annual Summer Conference Annual Summer Conference Shifting Gears to Meet Making the 23rd Michigan 23rd Annual Summer Conference Michigan’s Unique Marketplace Health are Care Needs are Work in Healthc in Healthc O N 30 OVIDERS RS S O RS OVIDERS PR C ME PR R RS RNMENT VE MEN T RN VE RNMENT VE C RS ME SU N S R ME RS ME SU N P OVIDERS PR ID ROV ERS SU O Making the Michigan Marketplace Work SU O O N C C N C N Making the Michigan Makingthe theMichigan Michigan Making Making the Michigan Marketplace Marketplace Marketplace Marketplace Work Work Work Work S Michigan Association of Health Plans Michigan Association of Health Plans 24th Annual Summer Conference Conference Program Michigan Association Michigan Association 27th Annual Summer Conference Michigan Association of Health Association Plans of Health Plans ofMichigan Health Plans Michigan Association of Health Plans of Health Plans 7/8/12 10:12:20 AM Michigan Association of Health Plans 27th Annual Summer Conference 27th Annual Summer Conference 27th Annual Summer Conference Michigan Association of Health Plans 27th Annual Summer Conference Michigan Association of Health Plans N MAHP program_12FINAL.indd 1 Conference Program 1/30/151/30/15 12:11 PM 12:11 12:11 PM PM 1/30/15 MAHP program2011good.indd 1 1/30/15 12:11 PM MAHP program2011good.indd 1 1/30/15 12:11 PM MAHP program2011good.indd 1 1/30/15 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. 1-14 2015 Resource and Senior Management Directory 2015 Resource and Senior Management Directory 1-15 Team Up With the hms.com ©2015 HMS 1-16 2015 Resource and Senior Management Directory 2015 Resource and Senior Management Directory 1-17 1-18 2015 Resource and Senior Management Directory 2015 Resource and Senior Management Directory 1-19 1-20 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! 1-22 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. 1-24 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 1-26 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 1-27 SPHAnalytics.com 1-28 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 1-29 Overpayment Identification Services by experienced, innovative leaders Recover up to 3% of your DRG and APC paid claims www.varis1.com 1-30 2015 Resource and Senior Management Directory 2015 Resource and Senior Management Directory 1-31 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. 1-32 2015 Resource and Senior Management Directory 2015 Resource and Senior Management Directory 1-33 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 1-34 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 1-35 1-36 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 1-37 1-38 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 1-39 1-40 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 1-42 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 1-43 C M Y CM MY CY CMY K 1-44 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 A Telemedicine Solutions Company Setting The Standard in Telemedicine Setting the Standard in Quality, Price, and Exceptional Customer Care by specializing in Diabetic, Diaper & Incontinence, Ostomy, Wound Care products. Easy to Use, Convenient and Customizable Clinical Grade Medical Devices Virtual Rounds Virtual House Calls Patient Data with instant Vitals & Detailed Results J&B is Women Owned and Certified, Fully Accredited and provides to clients exclusively through Fed Ex across the U.S.A. Uploadable to HIPPA and HITECH Compliant CloudBased Software Schedule a Demo Today 1-855-2-VIDEODOC healthnetconnect.com Powered by: J & B Medical Supply, USA 1-800-737-0045 www.jandbmedical.com