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Speakers
In keeping with the forum’s theme, “A Revolutionary Passion for Savings”, The Phia Group will present the latest cost containment strategies and services available to the health insurance industry today. All attendees will discover efficient and innovative ways to prosper in the ever changing health care environment. The Phia Group will have leading industry experts discuss revolutionary cost saving techniques that plan administrators can implement immediately.
Click on the speaker names below to learn more.
Stacy Borans, MD | Ernest A. Clevenger, III | Mike Dendy, MBA / MHA | Michael W. Ferguson | Glenn S. McLellan
Fred Newman | Ron E. Peck, Esq. | John Powers | Adam V. Russo, Esq. | Robert P. Ziomek, Jr.
Stacy Borans, MD
Dr. Borans is the Chief Medical Officer and Founder of Advanced Medical Strategies (AMS). Advanced Medical Strategies was founded with the purpose of combining clinical expertise and experience with financial sensitivity and understanding to give clients high-level cost containment insight and guidance.
Dr. Borans has worked with Managing General Underwriters, Third Party Administrators, stop loss carriers and managed care plans to assess both clinical and financial questions on catastrophic claims. She has assisted in cost projection analysis for underwriting risk, reviewed medical necessity and experimental concerns as well as directed educational seminars for claims professionals. Dr. Borans is currently the outsourced medical director for several companies within the stop-loss industry.
Ernest A. Clevenger, III
Mr. Clevenger is President of CareHere, LLC, a Brentwood-based company CareHere provides onsite medical clinic and pharmacy management for public and private employers.
CareHere online systems including appointment scheduler, electronic medical records, patient lab reporting, and more, enable over 250,000 appointments annually. Physicians are recruited from the local area. CareHere operates 90 clinics in 20 states.
Mr. Clevenger has held other positions including: • Chairman, Self-Insurance Institute of America, Inc. (SIIA) • Chairman, Workgroup for Electronic Data Interface (WEDI), the organization named in HIPAA to advise United States DHHS Secretary on selecting electronic healthcare transaction standards. • Co-Founder of EBM Solutions, a provider of evidence-based medical guidelines • President, Nashville Rotary Club. • President, MyHealthGuide, publisher of the weekly email MyHealthGuide Newsletter for the Self-Funded Community.
Board positions include: • Faith Family Medical Clinic (dedicated to serving the uninsured working population of Middle Tennessee) • Lodge Manufacturing Corporation (cast iron cookware firm based on South Pittsburg, TN) • Calmetto Management Group (association managers) • Nations University (on-line university serving over 3,800 students worldwide).
Mr. Clevenger's education includes and an MBA from Vanderbilt University, a BA in Mathematics from David Lipscomb University, and a FLMI from the Fellow Life Management Institute.
Mike Dendy, MBA / MHA
Mike Dendy is a Principal and serves as CEO/President of Advanced Medical Pricing Solutions (AMPS) a healthcare cost containment company based in Phoenix, Arizona. Mike accepted the position to be AMPS’ Chief Executive Officer in February 2005 and executed the turnaround of the once bankrupt company over the next 24 months. Mike also serves as Chairman of MDM Covenant Insurance Group based in Nashville, Tennessee and provides consulting on group benefits services for the agency.
Previously, Mike served as Chairman and CEO of HPS Paradigm Administrators Inc., a health insurance administrative services firm (TPA) serving corporate and government employer groups, from 1997 until its sale in 2004.
Mike serves on the Advisory Board for the Robinson College of Healthcare Administration at Georgia State University and is the former Board Chairman for the National Safe Care Campaign. Mike is a frequent speaker on healthcare issues and the future of healthcare delivery at many of the national healthcare associations including SPBA, SIIA, and TABA.
Michael W. Ferguson
Michael W. Ferguson serves as chief operating of the Self-Insurance Institute of America, Inc. (SIIA), responsible for the association’s day-to-day operations as well as serving as a federal lobbyist. Mr. Ferguson has been with the association for more than 15 years in various positions ranging from government relations, event planning and membership services.
He is widely considered to be an expert on self-insurance matters related to group health plans, workers’ compensation programs and captive insurance companies.
Prior to joining SIIA, he was a corporate communications specialist for Rockwell International at the company’s world headquarters. Mr. Ferguson holds a bachelor’s degree in political science from California State University, Long Beach and is member of the American Society of Association Executives.
Glenn S. McLellan
Glenn S. McLellan, is president of McLellan Consulting Services providing professional insight to a wide range of companies, including third party administrators (TPAs), insurers, managing general underwriters, managed care organizations and large employers. With the exception of a 21-month period in which he was Executive Vice President of one of his former clients, CenBen USA, Glenn has spent 22 years as president of McLellan Consulting Services (MCS). In his role at CenBen USA, Glenn was responsible for managing all national sales, account management and marketing efforts for CenBen USA’s TPA subsidiaries.
Specific areas of expertise for Glenn include marketing and sales strategies; product design and implementation; project management; operational review and enhancement; customer reporting and analysis; vendor selection and contracting; and quality improvement.
Glenn has served over 200 clients, including: Sun Life of Canada, Pacific Life & Annuity, Medical Excess Insurance Services/AIG, City of Las Vegas, Professional Benefit Administrators, Wells Fargo TPA, Trisurant, EBMS, United Medical Resources, Claim Management Services, Silver Legacy & Eldorado Casinos, Volusia County, Washoe County, Coresource, Intermountain Administrators/Allegiance, The Parker Group and Delta Health Systems.
Fred Newman
Fred Newman is the founder and CEO of Interface EAP and Coordinated Health Solutions. In the mid-1980s he was the CFO of a public company that owned and managed psychiatric hospitals. It was in this position that he saw the need for a behavioral healthcare company with a proactive approach for addressing the impact mental health has on medical costs, productivity, and other labor costs.
Fred recently completed 4+ years on the board of the Texas Association of Benefit Administrators (TABA) and the Benefits Committee for the Self Insurance Institute of America (SIIA). He has presented programs on behavioral healthcare management to numerous groups including Benefit Management Forum & Expo, SPBA, TABA, WorldatWork, SIIA, URAC, Pharmacy Benefit Management Institute (PBMI), Health Action Council of Ohio, Midwest Business Group on Health, and Health Care Administrators Association (HCAA).
Ron E. Peck, Esq.
Ron Peck is an attorney with The Phia Group, LLC, and has been a member of The Phia Group’s team for almost four years. As an attorney with The Phia Group, Ron has been an innovative force in the drafting of improved benefit plan provisions, handled complex subrogation and third party recovery disputes, and spearheaded efforts to combat the steadily increasing costs of healthcare.
Ron has lectured at and participated in many industry gatherings such as NASP’s Litigation Skills Conference, HCAA, SIIA, and TABA. Ron is also frequently called upon to educate plan administrators and stop-loss carriers regarding changing laws and strategies. Ron’s theories regarding benefit plan administration and healthcare have been published in many industry periodicals, and have received much acclaim. Prior to joining The Phia Group, Ron was a member of a major pharmaceutical company’s in-house legal team, a general practitioner’s law office, and served as a judicial clerk. Ron is also currently of-counsel with The Law Offices of Russo & Minchoff.
Ron obtained his Juris Doctorate from Rutgers University School of Law and earned his Bachelor of Science degree in Policy Analysis and Management from Cornell University. Ron is also a Certified Subrogation Recovery Professional (“CSRP”).
John Powers
John with EVP Premier Healthcare Exchange, Inc. (PHX), is one of the most visible spokesmen for the fraud investigative industry. He frequently interviewed by national media including A & E’s Investigative Reports, Dateline NBC and the New York Times. He has lectured on fraud across the nation, as well as at international conferences on four continents. John is the coauthor of Surveillance Risk Management 101 and the author of Greenhorn Traveler. He is widely known as one of the most successful investigators in the industry having conducted investigations in all 50 states and over 60 countries internationally.
He is a board member of the North American Training Group, a firm that specializes in continuing education for the insurance industry. Prior to PHX, Powers served as an officer for a Midwestern based insurance company as well as serving as President of the insurance fraud investigative division for Kroll, one of the world’s leading risk consulting firms.
Adam V. Russo, Esq.
Adam V. Russo, Esq. is the co-founder and visionary of The Phia Group, LLC, an innovative cost containment leader in the health insurance industry located in Braintree, MA. In addition, Attorney Russo is the founder and managing partner of The Law Offices of Russo & Minchoff, a full-service law firm with offices in Boston and Braintree, MA.
Attorney Russo’s practice is devoted to representing employers, plan fiduciaries, third-party administrators and carriers in employment and employee benefits matters throughout the United States. Attorney Russo is a frequent speaker and author on health care and employee benefits topics at conferences and seminars across the country. Attorney Russo’s industry leading blog, www.passionforsubro.com is regularly updated with news and information relevant to the entire healthcare industry.
Attorney Russo obtained a Juris Doctorate degree from Suffolk University Law School and a Masters Degree in Finance from the Frank Sawyer School of Management at Suffolk University in Boston, Massachusetts. Attorney Russo also acquired an undergraduate degree from Suffolk University, where he double majored in Political Science and Public Relations.
Attorney Russo was recognized by Suffolk University with the 2005 Outstanding Alumni Achievement Award. He is the Co-Chair for the 2010 Health Track Subrogation Litigation: Skills and Management Conference, advisor to the Board of Directors at the Texas Association of Benefit Administrators (TABA) and was named to the National Association of Subrogation Professionals (NASP) Legislative Task Force. Attorney Russo is admitted to the Massachusetts Bar and the U.S. Court of Appeals for the First Circuit.
Robert P. Ziomek, Jr.
Robert Ziomek is Principal for Axia Strategies. Bob’s entire 26-year professional career has been in the health care industry. Prior to joining Axia Strategies, Bob spent fourteen years as the Senior Vice President of Sales and co-founder of United Resource Networks, the transplant network division of United Health Group (UHG). Bob’s focus was on designing transplant benefit management solutions on behalf of reinsurance/stop-loss carriers, indemnity insurers, health plans and large corporations. Before joining UHG, Bob held senior sales executive positions with Tokos Medical, CIGNA Health Plans and Johnson & Johnson.
Bob earned his Bachelor of Arts degree in English from Boston College in 1980. He has also written and published various articles on the Centers of Excellence marketplace and is recognized in the industry for his extensive knowledge within this area of managed health care.