Session Info: Direct Contracting

Bio: Doug is the founder/president of High Performance Providers, a boutique consulting firm that works with World-class surgeons looking to direct contract with self-funded health plans. He also is a consultant to Coral.io, a platform that holds the largest library of direct contracts in the United States and provides the infrastructure necessary for purchasers to access over 1.8m bundles of care across over 10k locations in 42 states.

High Performance Providers only represents surgeons that deliver better health outcome for a lower/bundled price. Doug works closely with self-funded health plans, their third-party administrators (TPAs), benefit consultants and the high performance networks they seek, often times saving health plans 40-60% of spend.

As an experienced and successful entrepreneur who has built and sold several healthcare, technology and human capital related businesses throughout his career, Doug knows how to deliver results.

He is a past recipient of many awards including Entrepreneur of the Year, Healthcare Hero, Innovative Business Leader, Top 40 under 40, “most influential” in employment and a ‘who’s who’ in healthcare. He is the past president of the Vegas Chamber of Commerce’s Business Council and has been a board member of SHRM, Entrepreneur’s Organization, UNLV School of Medicine and the Las Vegas Medical District.

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Dennis Tuminia,

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Craig Schmidt,

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Phillip Holowka,

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Jeffrey Morella,

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Gabrielle Morella,

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David Wiesner,

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Michael Clark,

Michael co-founded SGIA Medicare Consulting in 2007 when he recognized the need to help Medicare-eligible people and employers, navigate the complexities of Medicare, for the best benefits and lowest cost health plans. He and his expert team make Medicare simple which provides a higher quality of living without the worry of an ever-changing world of Medicare.

Michael is a graduate of Loma Linda University and has held executive level positions with major health insurance carriers throughout his career, in both commercial and Medicare marketplaces. He managed both regional and national divisions of health insurance companies, expanding his expertise in sales, marketing, distribution, account management, product development and underwriting.

Michael believes in the importance of a personalized approach, which is the driving force behind SGIA’s unique business model. Through partnerships with corporations and communities, they develop customized, comprehensive Medicare assistance programs. These programs result in considerable cost savings and valuable HR administrative resources.

We believe it is an honor and privilege to serve the corporate clients and individuals by making Medicare simple.

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Jennifer Johnson

As Vice President of Sales and Marketing for Southern Scripts, Jennifer brings
more than 20 years of experience in the pharmacy benefit management
industry, having worked in a multitude of capacities in the PBM space. Her
experience includes sales, service, and operational roles at every level, having
created and deployed many first-of-its-kind programs and services in the
pharmacy benefits space.
Prior to working in the PBM space, Jennifer began her healthcare career in medical
management service provision, including chronic and catastrophic disease management,
utilization management, and predictive modeling data analytics.
Jennifer’s unique medical and pharmacy industry knowledge and experience, customerfocused
client support strategies, and pharmacy benefit management operational knowledge
synergizes in creating comprehensive strategies for the self-funded marketplace.

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Scott A. Moore, Esq,
Scott A. Moore, Esq. has been in the emergency medical services field for nearly 30 years. Scott has held various executive positions at several ambulance services in Massachusetts. Scott is a licensed attorney, specializing in Human Resources, employment and labor law, employee benefits, ambulance service reimbursement, and corporate compliance…

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Michael Thompson is the President and CEO of the National Alliance of Healthcare Purchaser Coalitions (National Alliance).  The National Alliance  is the only nonprofit, purchaser-led organization with a national and regional structure dedicated to driving health, equity and healthcare value across the country.  Collectively, it represents over 45 million Americans, spending over $300 billion…

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Adam Russo, Esq,

Adam V. Russo, Esq. is the Co-Founder and Chief Executive Officer of The Phia Group, LLC; an experienced provider of health care cost containment techniques offering comprehensive claims recovery, plan document and consulting services designed to control health care costs and protect plan assets. The Phia Group’s overall mission is to reduce the cost of health care through its recovery strategies, innovative technologies, and legal expertise.

Attorney Russo is also the founder and managing partner of The Law Offices of Russo & Minchoff, a full-service law firm with offices in Boston and Canton, MA. Attorney Russo’s practice is devoted to representing employers, plan fiduciaries, third-party administrators and carriers in employee benefit matters throughout the United States.  He is a frequent speaker and author on employee benefit topics at webinars, conferences and seminars across the country.

Attorney Russo obtained a Juris Doctorate degree from Suffolk University Law School and a Master’s Degree in Finance from the Frank Sawyer School of Management at Suffolk University in Boston, Massachusetts.  He also acquired an undergraduate degree from Suffolk University, where he double majored in Political Science and Public Relations. He was recognized by Suffolk University with the 2005 Outstanding Alumni Achievement Award.

Attorney Russo was the 2019 Chairman of the Board of Directors for the Self-Insurance Institute of America, Inc. (SIIA). He currently serves on the Board of the Massachusetts Association of Health Underwriters (MAHU), the Board of Trustees at the Inly School in Scituate, Massachusetts, and on the Board of Directors at the Boys & Girls Club of Metro South, Massachusetts.  Attorney Russo is admitted to the Massachusetts Bar, the U.S. Court of Appeals for the First Circuit and the Supreme Court of the United States.

Adam and his wife Kelly have four wonderful children – Soli, Maeve, Shae and Samuel.  In addition to spending time with his family, Adam enjoys watching his beloved Cleveland Indians baseball team.