Managed Care Plans
If you don’t recognize the term “Managed Care Plans” you’ll certainly recognize HMO, PPO, and POS. These are all types of managed care plans, and they’re responsible for delivering high-quality medical care at reduced costs. Managed care plan professionals are the gatekeepers to primary care physicians, prescription drugs, behavioral health services, and more. Below, we’ve listed Memphis’ experts in this industry, the local players who work every day to facilitate wellness in our community. When it comes to navigating the labyrinthine health insurance system, these POWER PLAYERS are your indispensable map and compass.
Vice President, Federal and Community Relations, BlueCross BlueShield of Tennessee; Executive Director, BlueCross BlueShield of Tennessee Health Foundation and Community Trust. Former Senior Staff Member to U.S. Senator Jim Sasser of Tennessee. Former Chairman, Greater Memphis Chamber. Chairman, Shelby Farms Park Conservancy. Board Member, WKNO-TV. Serves on the Health Industry Council for District Eight of the Federal Reserve.
David R. Elliott
CEO, Baptist Health Services Group; Vice President of Managed Care for Baptist Memorial Health Care. M.B.A., University of Memphis. Past President, Tennessee Chapter, Healthcare Financial Management Association. Board Member, Leadership Memphis class of 2010, Leadership Academy Masters alumnus. Board Chair, Mid-South chapter, American Red Cross; Chairman, Employee Campaign for the Kemmons Wilson Family Center for Good Grief and Baptist Trinity Hospice House.
CEO, Health Choice, LLC. M.D., New Jersey Medical; M.B.A., Jacksonville University. Former Chief Medical Officer at Methodist Hospital Germantown; former Chief Patient Care Officer for Methodist Le Bonheur Healthcare. Licensed in Florida, Georgia, and Tennessee; Board Certified, Geriatric Medicine. Member, Memphis Medical Society; American College of Healthcare Executives. Fellow, American College of Physicians. Supports American Heart Association and the United Way.
John R. “J” Pegues
President and CEO, Coventry Health and Life Insurance Company of Tennessee, Coventry Health Care of Louisiana, Inc. B.A., M.B.A., Tulane University. Has been with company 2.5 years. Notable clients include Memphis Grizzlies and FedExForum, Gossett Motors, City of Bartlett, City of Horn Lake, City of Senatobia, Bank of Bartlett, and Better Business Bureau of the Mid-South. Supports Red Cross, Bingham Child Guidance Center, Jefferson (Louisiana) Business Council, and Tulane Association of BusinessAlumni.
Fulton L. Young Jr.
Regional Director, Windsor Medicare Extra. B.S., Mississippi State University. Office led Windsor in sales in Tennessee for the last Annual Enrollment period. One of Windsor’s top producing offices for the past four years. Named to the Million Dollar Round Table. Chartered Life Underwriter, The American College; Certified Employee Benefit Specialist, Wharton School; Registered Health Underwriter, The American College. Member, Greater Memphis Chamber and the Professional Council on Aging.