Hours: 8:00 AM - 8:00 PM 7 days a week
|
Sales: 1-800-711-1656
|
Members: 1-800-204-1002
|
TTY: 711
Care Improvement Plus

Executive Profiles

The Care Improvement Plus Executive Committee provides strategic oversight to the implementation of Care Improvement Plus in newly established regions.

Frederick C Dunlap
Chairman and Chief Executive Officer

Fred Dunlap brings an impressive record of successful health plan leadership to his role as Chairman and CEO of XLHealth. Prior to joining XLHealth, Dunlap served as owner and president of BWM Ventures, Inc., a management consulting firm concentrated on the health care services industry. In this position, Dunlap worked with private equity investors of several portfolio companies, serving in senior leadership capacities including roles as CEO, COO, and President. In addition, Dunlap previously served as COO of AMERIGROUP, a managed health care organization focused on the needs of low-income Americans. He has also served in executive level positions at UnitedHealth Group, as its CEO of Florida/Puerto Rico and previously as vice president of Specialty Companies. Dunlap is a graduate of Colgate University.

Paul A. Serini, Esq.
Executive Vice President

Paul Serini has more than 25 years experience in health care and law. His background includes private equity, venture capital and strategic investing, health care planning, Medicare sales, marketing, and compliance program development and Medicare policy, risk, provider network development and reimbursements. Prior to joining XLHealth, Serini was a principal and founder of Phoenix HealthCare Consulting, LLC, a Washington, DC based health care and policy consulting firm. Serini is a graduate of the Columbus School of Law, the Catholic University of America and the University of Maryland, where he graduated with honors. He is a frequent lecturer and speaker on a wide variety of business and health care topics and is an adjunct faculty member at Catholic University Law School in Washington, DC.

Robb A. Cohen, M.B.A.
Chief Government Affairs Officer

Robb Cohen has been overseeing government affairs efforts at XLHealth since its inception, and has been a key contributor to the development of Care Improvement Plus, the company's Medicare health plan and core business focus. He also is a leader in the strategy and development of XLHealth's disease management programs. Cohen has more than 18 years health care experience in both payer and provider organizations, as well as health care management consulting and health care investment banking. Prior to joining XLHealth, Cohen served as President of Pheonix Healthcare Consulting Inc. He also has expertise in health care and government payment systems and has served as a director of the Healthcare Financial Management Association. Cohen holds an M.B.A. in Finance and Healthcare Management from the Wharton School at the University of Pennsylvania.

Daniel J. Friedman
Chief Legal Officer

Daniel J. Friedman is a seasoned attorney and businessman who has served as in-house counsel in various industries. Prior to joining XLHealth, Friedman served as senior vice president, general counsel, and secretary of Railworks Corporation, where he was responsible for all legal matters related to the acquisition and execution of business for the company and its primary operating subsidiary, L.K. Comstock & Company, Inc. In addition, Friedman was a shareholder with the law firm Buchanan Ingersoll, PC, and prior thereto was associated with New York City law firm Baer Marks & Upham, LLP. Friedman earned his J.D., cum laude, from the Benjamin N. Cardozo School of Law in New York, N.Y., also serving as an editor of the Cardozo Law Review. Friedman holds a B.A. in Economics from the State University of New York in Binghamton, and is affiliated with the American Association of Corporate Counsel, the American Health Lawyers Association, and the American Bar Association.

Suresh Ramakrishnan
Chief Information Officer

Suresh Ramakrishnan has more than 14 years experience in information systems, software development and data warehousing applications, many of which were used with disease management information technology (IT) platforms. He leads XLHealth's development team and vendors in creating and defining the company's IT and reporting platform. He previously served as senior vice president of product development at Unibex. Ramakrishnan holds an M.S. in Engineering, Electronics and Telecommunication, and has completed advanced coursework in a variety of computer languages and applications.

Mete Sahin, C.P.A.
Chief Financial Officer

XLHealth's Chief Financial Officer, Mete Sahin, has over 15 years of experience in the health care finance industry and has held executive positions with a number of leading health care institutions. Previously, Sahin served as Chief Financial Officer for multiple UnitedHealth Group companies, overseeing finance, legal, underwriting, and actuarial functions for its dental, vision, and Medicaid companies. Sahin graduated from the University of Southern California with a B.S. in Business Administration and Finance and earned a master's degree in Management from University of Surrey in England. He is a Certified Public Accountant.

Laura Ciavola
Senior Vice President, Claims and System Integration

Laura Ciavola is a seasoned operations and information systems veteran, with over 25 years of experience with leadership positions with health service companies. As senior vice president of claims and system integration for XLHealth, she oversees claims processing operations for Care Improvement Plus, the company's special needs plan. Prior to joining XLHealth, Ciavola served as the senior vice president of operations for the Amerigroup Corporation, where she was responsible for the Lean Six Sigma program, performance improvement and IT and operations strategic planning. In addition, Ciavola previously served as chief information officer of Concentra, where she was responsible for technology strategy and implementation for each of four divisions and corporate operations. Ciavola holds a B.A. in economics and math from Stockton College and an M.B.A. from the Wharton School of the University of Pennsylvania with a concentration in operations and global strategic management.

Lee Spruiell
Senior Vice President, Field Operations

As senior vice president of field operations for XLHealth's Care Improvement Plus plan, Lee Spruiell oversees plan operations across all plan regions including sales, community relations, provider services, provider network development and marketing. Prior to joining XLHealth in 2005, Spruiell spent over 11 years with Aetna, holding a variety of positions including general manager for operations in South Texas and New Mexico, and vice president for health services delivery for Aetna's central region. He also worked for Coordinated Care Solutions in Houston, Texas, as senior vice president for operations in Texas, New Mexico, Arizona and Colorado. He has served on the boards of the San Antonio AIDS Foundation and the American Heart Association, San Antonio Chapter. Spruiell earned both his bachelor of science in health services administration and his master's of business administration from Auburn University and currently serves on the alumni association’s oversight committee for the health services administration undergraduate program.



This page was last updated on: 11/18/2010 12:32:46 PM
CIP Privacy Policy National Home Site Map Download Adobe Reader
Copyright © 2006 - 2012 Care Improvement Plus

Care Improvement Plus is a Medicare Advantage organization with a Medicare contract. The Care Improvement Plus contract with CMS is renewed annually and coverage availability beyond the end of the current contract year is not guaranteed. Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may change on January 1, 2013.

The benefit information provided herein is a brief summary, but not a comprehensive description of available benefits. For more information contact the plan. To be eligible for a Care Improvement Plus plan you must be a Medicare beneficiary living in Arkansas, Georgia, Missouri, South Carolina, Texas and select counties in Illinois, Iowa, Indiana, Maryland, New Mexico, New York, Wisconsin and have both Medicare Part A and Part B to enroll.

To be eligible for a Care Improvement Plus Chronic Conditions Special Needs Plan, you must have diabetes and/or heart failure. To be eligible for Care Improvement Plus Dual Advantage, you must be enrolled in state Medicaid and be a dual eligible beneficiary whom the State holds harmless for Part A and Part B cost sharing.

Members may enroll in the plan only during specific times of the year. Contact Care Improvement Plus for more information. If you have diabetes, heart failure, or Medicaid/Low Income Subsidy, you may qualify to enroll in a Care Improvement Plus Special Needs Plan ANYTIME of the year by exercising a “Special Election Period.

You must continue to pay your Medicare Part B premium. If you are a full benefit dual beneficiary and your Part B premium is paid for by the State, you will not be responsible for paying your Part B premium. Premiums, copays, coinsurance and deductibles may vary based on the level of help received. Limitations, copayments and restrictions may apply.

You may be able to get extra help to pay for your prescription drug premiums and costs. To see if you qualify for extra help, call:

  • 1–800–MEDICARE (1–800–633–4227). TTY users should call 1–877–486–2048, 24 hours a day/7 days a week;
  • The Social Security Office at 1–800–772–1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1–800–325–0778; or
  • Your State Medicaid Office.

People with limited incomes may qualify for extra help to pay their prescription drug costs. If eligible, Medicare could pay for 75% or more of your drug costs including monthly prescription drug premiums, annual deductibles, and coinsurance. Additionally, those who qualify will not be subject to the coverage gap or a late enrollment penalty. Many people are eligible for these savings and don’t even know it. For more information about this extra help, contact your local Social Security office, or call Social Security at 1–800–772–1213.TTY users should call 1–800–325–0778. You can also apply for extra help online at www.socialsecurity.gov/prescriptionhelp. If you qualify for extra help with your Medicare prescription drug coverage costs, Medicare will pay all or part of your plan premium. If Medicare pays only a part of this premium, we will bill you for the amount that Medicare doesn’t cover.

Premiums, copays, coinsurance, and deductibles may vary based on the level of help that beneficiaries may receive. Contact the plan for further details. Eligible beneficiaries must use network pharmacies to access their prescription drug benefit, except under nonroutine circumstances, and quantity and restrictions may apply. It may cost more to get care from out–of–network providers, except in an emergency. If there isn’t a network provider available for you to see, you can go to an out–of–network provider but still pay the in–network amounts except for members who live in our Maryland service areas. Those members can only use doctors, specialists, or hospitals in–network. The health providers in our network can change at any time.