Managed Healthcare Executive - February 2009 - (Page 2) EDITORIAL ADVISORY BOARD DISEASE/CARE MANAGEMENT JOEL V. BRILL, MD Dr. Brill is chief medical of cer of Predictive Health LLC, which performs predictive modeling analysis and implements care management solutions. J.D. KLEINKE J.D. Kleinke is a medical economist, author and health IT entrepreneur. Kleinke was a founding executive of HCIA Inc., a healthcare information company. VOLUME 19 | NUMBER 2 EDITORIAL EDITOR IN CHIEF Julie Miller (440) 891-2723 julie.miller@advanstar.com SENIOR EDITOR Tracey L. Walker (440) 891-2732 twalker@advanstar.com ART DIRECTOR Laura Chadwick (440) 891-2738 lchadwick@advanstar.com WASHINGTON BUREAU CHIEF Jill Wechsler EXECUTIVE EDITORIAL DIRECTOR OF PRIMARY CARE Tara Stultz SENIOR ART DIRECTOR Peter Seltzer PUBLISHING DIRECTOR OF CUSTOM PROGRAMS Scott Handschuch (201) 690-5545 shandschuch@advanstar.com PAULA M. SAUER RON ZANT Paula Sauer is vice president of care management at Medical Mutual of Ohio. She has made contributions in medical review, network management and health promotion. Ron Zant is a practice management consultant with CPA rm VangerLugt, Mulder, DeVries and Elders. With 20 years’ experience, he has expertise in administration, managedcare contracting and pay for performance. MARKETING SERVICES REPRINTS Dave Beroisa (440) 891-2704 fax (440) 826-2865 dberoisa@advanstar.com DIRECT MAIL LISTS Tamara Phillips (440) 891-2773 fax (440) 891-2740 tphillips@advanstar.com PERMISSIONS/INTERNATIONAL LICENSING Barry Gilbert (440) 891-2707 bgilbert@advanstar.com AL LEWIS Al Lewis is executive director of the Bostonbased Disease Management Purchasing Consortium LLC, which assists health plans with their disease management outsourcing strategies, vendor selection/evaluation and contracting. He also is past president of the Disease Management Association of America. PHARMACY PERRY COHEN, PHARMD Dr. Cohen is a president of The Pharmacy Group LLC in Glastonbury, Conn., where he is responsible for administration and marketing of a healthcare consulting company that provides services to companies to grow revenue and improve the nancial performance of their products and services. EMPLOYERS SEAN SULLIVAN Sean Sullivan is president and CEO of the Institute for Health and Productivity Management. Sullivan was president and CEO of the National Business Coalition on Health from October 1992 until September 1997. RUSTY HAILEY, PHARMD, DPH, MBA, FAMCP HEALTH PLANS/PAYERS DOUGLAS L. CHAET Doug Chaet is senior vice president of contracting and provider networks for Independence Blue Cross in Philadelphia. He is also founder and chairman of the American Association of Integrated Healthcare Delivery Systems. Dr. Hailey is chief pharmacy of cer and senior vice president of pharmacy services at Coventry Health Care and executive vice president of Coventry Prescription Management Services. Dr. Hailey also serves as a member of the board for Coventry Prescription Management Services, Inc. and as past president of the Academy of Managed Care Pharmacy. CENTRALIZED CONTENT GROUP CHIEF EDITOR James Sweeney CLINICAL MANAGING EDITOR Maude Campbell SENIOR EDITORS Heide Aungst, Jeff Bendix, David Bennett, Barb Bower, Amanda Brower CLASSIFIEDS CLASSIFIEDS Carla Kastanis (800) 225-4569 x 2711 (440) 891-2711 RECRUITMENT Scott Eigenbrod (800) 225-4569 x 2671 (440) 891-2671 PETER M. PENNA, PHARMD DANIEL J. HILFERTY Peter M. Penna is founding partner of Formulary Resources LLC, which assists MCOs and others in formulary processes. He formerly was vice president of managed pharmacy for CIGNA Healthcare. Daniel J. Hilferty is president and CEO of AmeriHealth Mercy and its sister organization, Keystone Mercy Health Plan. AmeriHealth Mercy and its af liates comprise the largest family of Medicaid managed care plans in the country, touching the lives of more than 2 million members. PHARMACY BENEFIT MANAGERS DAVID CALABRESE, RPH, MHP David Calabrese is chief clinical of cer with MedMetrics Health Partners Inc., a PBM company in Worcester, Mass. Af liated with the University of Massachusetts Medical School, MedMetrics is one of only a handful of “non-pro t” PBMs in the country. MULTIMEDIA PRODUCER/REPORTER AUDIENCE DEVELOPMENT Leigh Brattain ASSOCIATE MULTIMEDIA PRODUCER AUDIENCE DEVELOPMENT MANAGER Dustin Lee Tracy White (218) 740-6540 PRODUCTION PRODUCTION DIRECTOR Rosy Bradley PRODUCTION MANAGER Sheila M. Markes Advanstar Communications 131 West First Street Duluth, MN 55802 (218) 723-9493 fax (218) 740-6381 All color separations and proofs produced by Advanstar’s Scanning and Digital Prepress departments AUDIENCE DEVELOPMENT DIRECTOR Ronda Hughes (218) 740-6526 SUBSCRIPTION SERVICES (888) 527-7008 Send editorial materials to: Managed Healthcare Executive 24950 Country Club Blvd. #200 North Olmsted, OH 44070 INTERNATIONAL BRUCE POLLACK, MBA Bruce Pollack is president of the Academy for International Health Studies, which arranges foreign trade/study missions for senior U.S. healthcare executives. He is also a principal in the consulting rm Global Health Advisors LLC, specializing in business development, strategy and planning. TECHNOLOGY RANDY KILLIAN Randy Killian is executive vice president of the Medical Director’s Institute in Glen Allen, Va. He has more than 30 years of healthcare experience throughout the continuum of care. INDEPENDENT THOUGHT LEADERS DON HALL Don Hall is principal of DeltaSigma LLC, a consulting practice specializing in Medicaid and Medicare Special Needs Plans. He has more than 30 years of experience and most recently served as president and CEO of a non-pro t, provider-sponsored health plan. DENNIS SCHMULAND, MD Dennis Schmuland, MD, health plan industry solutions director for Microsoft Corp. is responsible for its strategy and solutions for the health plan industry. PRESIDENT & CHIEF EXECUTIVE OFFICER Joe Loggia EXECUTIVE VICE PRESIDENT, FINANCE & CHIEF FINANCIAL OFFICER Ted Alpert EXECUTIVE VICE PRESIDENTS Steve Morris Daniel M. Phillips EXECUTIVE VICE PRESIDENT, CORPORATE DEVELOPMENT Eric I. Lisman VICE PRESIDENT, MEDIA OPERATIONS Francis Heid VICE PRESIDENT, GENERAL COUNSEL Ward D. Hewins VICE PRESIDENT, ELECTRONIC MEDIA GROUP Mike Alic EXECUTIVE VICE PRESIDENT Georgiann DeCenzo VICE PRESIDENT, HUMAN RESOURCES Nancy Nugent VICE PRESIDENT, TREASURER & CONTROLLER Shelbie O’Brien VICE PRESIDENT, INFORMATION TECHNOLOGY J. Vaughn VICE PRESIDENT OF MODERNMEDICINE.COM Steve Merahn, MD CHIEF MEDICAL AND COMPLIANCE OFFICER John C. Marlow, MD Managed Healthcare Executive’s Editorial Advisory Board contributes article ideas, commentary and analysis from the front lines of managed care. MANAGED HEALTHCARE EXECUTIVE (ISSN 15339300) is published monthly by Advanstar Communications Inc., 131 W First St., Duluth MN 55802-2065. Subscription rates: 1 year $89.25, 2 years $131.25 in the United States & Possessions; 1 year $110.25, 2 years $157.50 in Canada and Mexico; 1 year $173.25, 2 years $267.75 in all other countries. For air-expedited service, include an additional $78.75 per order annually. 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