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The vision and experience of MHA leaders.

Senior management at MHA average more than 20 years in healthcare in both the provider and GPO industries. Working together, they have shaped a vision of MHA as a highly differentiated and diversified healthcare services company. Today, they are executing successfully on that vision and continuing to shape it to address emerging and anticipated industry needs.

Douglas A. Present, Chief Executive Officer 

Douglas Present is currently the CEO of Managed Health Care Associates, Inc. (MHA).  MHA is the largest Group Purchasing Organization in the country focused on alternate site/non-acute settings with over $4 billion in pharmaceutical sales to these providers.  A portfolio company of Diamond Castle Holdings, LLC, MHA has grown to be the largest purchasing group in the country serving Long Term Care and Home Infusion Pharmacies, as well as several other classes of trade.  In 2006, MHA founded the MHA Long Term Care Network, Inc. to negotiate reimbursement for MHA pharmacies with the new Prescription Drug Plans (PDPs) under the Medicare Part D program. It is estimated that 35% of all Part D claims in the U.S. for services occurring in a Long Term Care setting now flow through the MHA Network. 

Before joining MHA, Doug was Senior Vice President of Medsite, Inc., a pharmaceutical services and e-marketing company, where he ran the Medsite Rewards program, the nation’s leading physician incentive-fulfillment program for the pharmaceutical industry.  Medsite was eventually acquired by WebMD in 2006. 

Earlier in his career, Doug founded a physician-focused, managed care consulting firm as well as a group purchasing organization for private practice physicians. Both companies were subsequently acquired by ProMedCo, a physician management company. After the acquisition, he served as President and COO of ProMedCo’s New York subsidiary. 

Doug graduated with a BA from Syracuse University in 1986 and with an MBA from The Wharton School at the University of Pennsylvania in 1990.  He then spent three years in the New York health care consulting practice of Deloitte & Touche.  In addition to his current role at MHA, Doug has a faculty appointment at the Wharton Business School where he teaches a course on health care services to MBA students in Wharton’s health care program.  

Doug sits on the Board of Directors of APS Healthcare, one of the country’s leading specialty healthcare companies focused on behavioral health.  Former Board of Director positions include American Radiology Services, one of the nation’s largest providers of radiology services in both the in-patient and out-patient settings and MDeverywhere, a leading billing and revenue maximization company servicing private practice physicians. 

Doug is also involved with several charitable organizations.  He sits on the Board of Directors of Project Morry, a non-profit, year round youth development organization anchored by a summer camp experience, as well as the Board of a non-profit organization dedicated to funding research and education for patients with inflammatory bowel disease.  

Doug was a Finalist for the 2007 New Jersey Ernst & Young Entrepreneur of the Year award.  He lives in Maplewood NJ with his wife and two children.  

Stephen J. Andrew, Chief Operating Officer & Chief Financial Officer 

Since 2001, Steve has overseen all the financial, operational, contracting, information technology, and business development functions for MHA.

Steve has more than 28 years experience in management, and has also consulted emerging businesses in all aspects of finance. He has worked in numerous industries, including biotechnology, government contracting, manufacturing, specialty retail, and wholesale/distribution. He began his career with Coopers & Lybrand (now PricewaterhouseCoopers), one of the leading accounting firms in the country.

Steve earned an MBA with a concentration in finance from Babson College, as well as an MS in taxation and BS in accounting from Bentley College.

Michael J. Sicilian, President 

Michael J. Sicilian is a senior healthcare executive with over 25 years of experience in the alternate site healthcare delivery industry. Mike has extensive sales and operations experience in the Home Infusion, Specialty Pharmacy, PBM, Mail Order, Respiratory and HME industries. In addition, Mike has a significant background in managed care contracting, pharmaceutical contracting, pharmacy network management, reimbursement, data analytics and revenue management.   Throughout his career Mike has served in executive leadership roles with nationally recognized health care providers including HNS, NMC Homecare, Fresenius Medical Care NA, Bioscrip and  his current role as President of Managed Healthcare Associates, Inc(MHA) a leading  health care service company focused on alternate site healthcare providers.

Mike initially joined MHA in 2005 as Executive Vice President of the Home Infusion/Home Health division and was promoted to the position of President in 2007. Under Mike’s leadership MHA has evolved from an alternate site GPO into a health care service company which concentrates on group purchasing, managed care network contracting, pharmaceutical data services, specialty pharmaceuticals,  reimbursement services, clinical software and industry advocacy.  In his role as President Mike has direct responsibility for all of the MHA Classes of Trade business lines, Trade Relations, and marketing.

Mike earned his BS in industrial relations from LeMoyne College.  He resides in NJ with his wife and two daughters.

Teresa DiCaro, RPh, Executive Vice President Long-Term Care 

Since 2001, Teresa has served as executive vice president for long-term care at MHA and is responsible for leading the long-term care strategic accounts team and supporting key members. Previously, she was vice president of the national account team responsible for supporting long-term care providers. Her responsibilities also included overseeing clinical education programs. Teresa joined MHA in 1992 as a national account manager.

Before coming to MHA, Teresa was the director of pharmacy for a home infusion company. Prior to that, she worked extensively in hospital and long-term care pharmacy. She began her career as a staff pharmacist for a long-term care provider.

Teresa earned a BS in pharmacy from St. John’s University.

Gloria P. Barr, Vice President and General Counsel

Gloria Barr has served as Vice President and General Counsel since joining the company in August 2009.  In this role she oversees the legal function for all aspects of the company’s affairs.  Prior to joining MHA, Gloria was Deputy General Counsel and Acting General Counsel at Catalent Pharma Solutions (formerly a division of Cardinal Health).  She has held roles of increasing responsibility in the law departments of Cardinal Health and Warner-Lambert Company (now part of Pfizer).  Gloria began her career as a Corporate Associate at the firm of Davis Polk & Wardwell.

Gloria received a BA from Vassar College and a JD from Georgetown University Law Center.

Diane Koontz, Senior Vice President, Alternate Site 

Diane M. Koontz is a healthcare executive with over 12 years of experience in the Group Purchasing industry representing Acute Care and Alternate Site markets. Diane started her healthcare career as an Account Executive with MedEcon, one of the largest GPOs specializing in Acute Care and IDNs. At MedEcon, Diane was responsible for the contracting, sales and marketing for the capital equipment program. In 1997, MHA acquired MedEcon and since that time Diane has held multiple positions within MHA, involving account management, outside sales and contract negotiations. In 2009, Diane was promoted to Senior Vice President, Alternate Site Division. In this current role Diane has direct responsibility for all aspects of sales and marketing to our Home Infusion, Home Medical, Mail Order, Doctors, and Clinic markets. Diane is based out of MHA's Richmond, Virginia office. She is a graduate of Virginia Commonwealth University.

Lou Livolsi, Senior Vice President, Long Term Care 

Lou Livolsi is a senior executive with over 14 years of sales and general management experience including 7 years in the healthcare services marketplace. Lou joined MHA in 2002 as a Long Term Care National Account Manager and over the past 7 years has assumed greater management responsibilities within MHA's Long Term Care business unit. Prior to joining MHA, Lou has held select sales and management positions. In his current role as Senior Vice President, Long Term Care, Lou is directly responsible for MHA's Long Term Care business unit which includes the LTC National Account Team, MHA's Managed Care Network, Consulting Software Division as well as business development initiatives. Lou earned an MBA from Westminster College as well as a BS in Life Sciences from Rowan University.

John Markes, Senior Vice President Finance and Operations 

John Markes brings the combined experience of over 15 years in healthcare and 11 years of banking to MHA. Prior to joining MHA, John was CFO and co-found of JR 2 Inc. an IPA management firm where he provided actuarial and financial oversight of risk contracts. Other healthcare employment has included finance and operations positions in a physician management company and an HMO. John was also a commercial lending officer with Key Bank. John holds a BS from the State University of New York at Albany.

Mike Motto, Senior Vice President, Trade Relations 

Mike, having joined MHA in 2011, currently leads the Trade Relations function.  As a senior lifesciences commercial leader, Mike has focused on building high performing teams and strategy in a variety of leadership roles for over 30 years.  Prior to joining MHA, he served as Managing Director at Maxcess Managed Markets, a Publicis Healthcare Communications Company and founded the managed markets practice at RCW Group, a McCann Healthcare Worldwide agency.  Mike built and led an integrated commercial group responsible for US product access and reimbursement as Vice President of the Managed Markets Group at Eisai Inc.  His responsibilities included commercial and government payer negotiations, pricing strategy development, retail, wholesale and specialty pharmacy relations; customer service and customer segment/portfolio strategy development.  Prior to joining Eisai, Mike spent 13 years with Novartis in roles of increasing responsibility which included head of US Managed Markets Customer Development, Regional Director of Account Management, National Account Manager and District Manager.  Mike also held various sales, sales management and marketing positions at Marion Merrell Dow.  Mike began his career in 1980 as a territory sales representative with Beecham Laboratories in Illinois.  A graduate of the Illinois State University, Mike holds a Bachelor of Science degree in Biology.