Janice Fagen

Janice Fagen is one of the most experienced Medicaid and managed care executives in the United States. Over a career spanning more than 25 years, she has led health plan operations, shaped state regulatory relationships, and driven quality and financial outcomes across some of the country’s largest Medicaid programs.

She currently serves as Senior Strategic Advisor at Sellers Dorsey, a national Medicaid consulting firm, where she works with managed care organizations, state agencies, and healthcare solution providers on procurement strategy, RFP development, operational assessments, and program planning.

Janice contributes expert perspectives to Lifeline on topics at the intersection of Medicaid policy, aging-in-place care models, remote patient monitoring, and the use of technology to support vulnerable populations living at home. Her background in state regulatory relationships and managed care operations gives her a unique vantage point on how connected health solutions can be integrated into Medicaid and value-based care frameworks.

Her career includes senior leadership roles at Blue Cross and Blue Shield of Texas, UniCare and Wellpoint (now Anthem), Cigna, WellCare of Texas, and Gorman Health Group, as well as more than a decade in hospital administration at Memorial Hermann Healthcare System.

Janice contributes insight and analysis on topics including:

• Medicaid managed care policy and state procurement strategy
• Value-based care models and Medicaid program design
• Aging-in-place technology and remote patient monitoring in Medicaid
• Provider network development and contracting across commercial and government programs
• Social determinants of health and care delivery innovation
• State regulatory relations and Health and Human Services Commission engagement
• Healthcare operations: P and L, member engagement, medical management, quality programs
• RFP strategy, solicitation support, and managed care contract development

Janice is an active voice in national conversations on Medicaid policy, aging-in-place technology, and care delivery innovation. Her speaking engagements and panel participation include:

• Moderator, North Texas State of Reform Health Policy Conference (September 2021): Session titled Putting a Business Model Around the Social Determinants, focused on SDOH and care delivery approaches.
• Panelist, Medicaid Health Plans of America (MHPA) and Sellers Dorsey Webinar (April 2022): Preparing for the End of the Public Health Emergency, addressing Medicaid eligibility redeterminations and the impact on states, managed care organizations, and stakeholders.
• Panelist, Connected Health and Safety Association (MAMA): AI and Aging-in-Place: How Smart Technology is Redefining Senior Care, exploring remote patient monitoring and personal emergency response systems in healthcare delivery.