"The Big Picture" Newsletter
September 2007 Issue
COLORADO EDITION
Legislative Update
The Lewin Group, a prominent health care consulting firm, recently
released a report estimating that access proposals selected
for the legislature’s consideration by the Blue Ribbon Commission
for Health Care Reform could cost $1 billion. Three proposals, including
the commission’s proposal committee’s own draft proposal, would
require everyone in the state to buy health insurance. A third proposal
would create a single-payer health care system and the fourth would
reform Medicaid, expand public coverage, and create a large health
insurance purchasing pool The commission is required to submit
a report detailing the costs and benefits of each proposal to the legislature
by November 30.
The Division of Insurance (DOI) recently released a proposed
rule to implement small group rating reforms included in H.B.
1355 from last legislative session. The proposed rule reflects
the bill’s restrictions on the use of health status and claims
experience as rating factors in the small group market.
LOCAL SPOTLIGHT
Where We Are
3900 East Mexico Avenue #1100
Denver, CO 80210
Telephone: 303.782.1500
Fax: 303.782.1577
Who to Contact
Randy Savona
303.691.1005
Randy.Savona@CIGNA.com
Experienced Local Leadership
Daryl W. Edmonds, President
and General Manager
Daryl Edmonds joined CIGNA HealthCare, as president
and general manager of the Colorado health plan,
in 1997. Responsible for sales and operations,
Edmonds has led his management team into the 21st
century as one of the only managed care organizations
in the state to achieve profitability and maintain
steady growth for the past eight consecutive years. Edmonds
is President and Market Leader for Colorado, New
Mexico, Utah, Wyoming, Montana, Idaho, Alaska,
Washington and Oregon.
Edmonds, who has 19 years experience overseeing
health plans, is a graduate of Kansas State University
with a Bachelor of Science degree in business. He
is active in the Denver Metro Chamber of Commerce;
serves on the board of directors of the March of
Dimes as well as Cover Colorado and was a past board
member of Junior Achievement; was past president
of the Colorado Association of Health Plans; and
serves on the Business Council on Healthcare Competition.
Randy Savona, Vice President of Sales
Randy Savona began his career in Sales with UNUM
in Cranford, New Jersey. Over the past 27
years, he has had roles of increasing responsibility
in the employee benefits field; including Regional
Sales Manager for UNUM, New Jersey, as well as
Vice President of Disability Claims for UNUM in
Tarrytown, New York.
In 1999 Randy moved to Denver, Colorado as Regional
Sales Manager for Sun Life and joined CIGNA in
2003 as Regional Sales Manager for CIGNA Group
Insurance. In January of 2007 he assumed sales
leadership for CIGNA HealthCare as well.
Edward Fenstermacher, M.D. - Medical Director
for Mountain States Region
Edward Fenstermacher, M.D., is the medical director
for the mountain states region. Based in Denver,
Dr. Fenstermacher oversees member health care and
services and continues to build upon CIGNA’s
commitment to improving transparency and empowering
members to be smart health care consumers. Previously
he served as a medical director for CIGNA HealthCare
in Arizona, overseeing inpatient utilization of the
health plan’s offerings and services. He
also served as chief medical officer for Maricopa
Integrated Health Care System in Arizona, and medical
director for Arizona Health Care Cost Containment
System, the state’s managed care Medicaid
agency.
Prior to entering the health benefits industry,
Dr. Fenstermacher was a plastic surgeon specializing
in hand and reconstructive surgeries. He served
as chief of surgery at Desert Samaritan Hospital
in Mesa, Arizona, and had successful clinical practices
in Arizona and Wyoming. Dr. Fenstermacher
also devoted a significant amount of time during
his professional clinical career to performing
pro bono reconstructive surgeries in Australia,
Africa, South America and other impoverished areas
around the world.
Dr.
Fenstermacher received his M.D. from the University
of Colorado’s School of Medicine in Denver.
He earned a master’s degree in business administration
and health services administration from Arizona
State University in Tempe.
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