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
Mike joined MHA in 2005 as executive vice president for home infusion/home health. Since 2007, he has served as president of MHA. Mike has more than 20 years of experience working on the provider side in the alternate care marketplace. This includes extensive background in home infusion, respiratory, home medical equipment (HME), pharmacy benefits management (PBM), mail order, and specialty pharmacy.
Under his direction, MHA has broadened its footprint in the home infusion, mail order, clinic, and distributor class of trades, as well as further developed the MHA Long-Term Care Pharmacy Network. Prior to joining MHA, Mike served as executive vice president of sales for Scrip Solutions, LLC, a holding of MIM Corporation (which has since merged with Chronimed and become BioScrip). During his four years as executive vice president, he was responsible for the development and execution of strategic sales planning for the PBM, mail order, and specialty pharmacy business units. The national sales force and account management teams reported directly to him.
Previously at BioScrip, he served as president of specialty pharmacy, which included the infusion and specialty biotech drug divisions. Mike joined BioScrip in 2001 as president of the infusion division.
Mike earned his BS in industrial relations from LeMoyne College.
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.
Raymond E. Schwartz, RPh, Advisor to the CEO
Raymond served as president of MHA until 2006. As an MHA veteran with more than 15 years experience, he continues to advise the CEO on MHA strategy.
Previously, Raymond served for 15 years as the director of pharmacy in an acute care hospital. During that time, he was actively involved in the formation of the New Jersey Hospital Association (NJHA) pharmacy group purchasing program. He headed NJHA for five years before joining MHA. In addition to pharmaceuticals, Mr. Schwartz has developed contracts for communications, fuel oil, and medical and surgical products.
Raymond earned an MBA from Fairleigh Dickinson University and a BA/BS in pharmacy from Rutgers University.
Pegeen Butterfield, Senior Vice President, Trade Relations
Pegeen Butterfield joined MHA in January 2009 after spending 9 years working for Medco Health Solutions. In her most recent position at Medco, Pegeen worked directly with the executive management team focusing on strategic partnerships, leveraging prescription data and developing employer solutions for onsite pharmacy and medical clinics. Previous roles at Medco included provider relations and strategic alliances within Medco's retail network division focusing on retail specialty pharmacy strategy, and development of a Long Term Care Network for Medicare Part D. Pegeen's background also includes extensive medical insurance experience in medical policy, utilization management and case management, including creation of a care management subsidiary of Blue Cross Blue Shield. Pegeen began her career as a nurse with a focus on rehabilitation medicine specializing in traumatic brain injury. In her current role at MHA, as Senior Vice President, Trade Relations Pegeen has executive responsibility for all contracting functions as well as all wholesaler business partnerships. Pegeen holds a BSN in nursing from Indiana University and CRRN Certified Rehabilitation Registered Nurse.
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.