Jay Warmuth has been at the leading edge of complex legal and regulatory matters in the health care and insurance sectors — and the intersection of the two — for more than a decade. His experience includes deep expertise in pharmacy benefit management services, as well as a thorough background in the Affordable Care Act and insurance mergers and acquisitions.
Before joining Faegre Baker Daniels, Jay was an executive at UnitedHealth Group, holding a variety of positions over his 13-year tenure, including:
General Counsel of OptumRx, providing pharmacy benefits management and pharmacy care services
General Counsel of UnitedHealthcare Employer & Individual, the company’s commercial health insurance business
Deputy General Counsel, UnitedHealthcare Mergers & Acquisitions, overseeing legal support for UnitedHealthcare’s M&A activity and other strategic transactions (joint ventures, affiliation agreements, etc.)
As in-house counsel at the nation’s largest health care services and health insurance company, Jay advised senior business leaders across a wide variety of complex matters in the pharmacy benefit management, health insurance and health care services industries, including:
Compliance program development and implementation
Customer and vendor contracts and negotiations
Litigation and pre-litigation strategies in both the private and government sectors
Strategic transactional matters, including mergers and acquisitions
State and federal regulatory matters
Jay has become a trusted advisor with in-house legal, compliance and regulatory leaders through his skill at identifying and implementing legal and business concepts — and his success as a collaborator focused on building and maintaining relationships.
When not working or simply spending time with his wife and twin boys, Jay enjoys golfing, the outdoors, traveling and reading (usually science fiction or fantasy). One of Jay's favorite places to be is Scooty Lake in Northern Minnesota, celebrating the Fourth of July each year with 100 of his closest family members ... and no cell service.
Services & Industries
Health Care Reform
Health Insurance Companies
Insurance Company Litigation
Insurance Industry Associations
Health Care Transactions
HIPAA Privacy & Security
Health Plan Regulation
University of Minnesota Law School J.D., cum laude (2000)Carleton College
B.A. in International Relations, cum laude (1997)
Mike Adelberg has 20 years of progressive experience with Medicare, Medicaid and the Health Insurance Exchanges that provide health care coverage to more than 100 million Americans. He is a thought leader in reforming the health care and health insurance oversight processes. Mike brings unique insights into the processes, policies and people behind the public programs that finance or subsidize health care coverage.
Before joining FaegreBD Consulting, Mike held several senior positions within the Centers for Medicare and Medicaid Services (CMS), including concurrently serving as the director of the Insurance Programs Group and the acting director of the Exchange Policy and Operations Group in the Center for Consumer Information and Insurance Oversight (CCIIO). In these roles, Mike was responsible for setting policy and implementing critical Health Insurance Exchange operations in multiple areas, including plan management, eligibility and enrollment, the small-business health options program (SHOP), and the Co-Op loans. While in CCIIO, Mike led a team of 125 staff and oversaw a $300 million annual operating budget.
Prior to that, Mike was the Director of Medicare Advantage Operations, where he supervised the annual cycle for review and award of Medicare Advantage contracts and led monitoring of Medicare Advantage contractors. His other senior roles at CMS included serving as the associate regional administrator for Medicare operations (Chicago Region) and the director of education and assistance programs.
Mike gained private sector experience while serving as vice president of public policy and government affairs with Universal American Corporation — a medium-sized health insurer focusing primarily on the senior market. Mike also was a senior manager and senior advisor with international consultant BearingPoint (now part of Deloitte) in McLean, Virginia, where he co-led a successful health policy and program evaluation practice.
In his spare time, Mike is an author and historian. He has authored three novels, two non-fiction books, seven scholarly journal articles or book chapters, and other publications.
Adjunct Instructor of History and English — Various Colleges, 1991-2000
Department of Health and Human Services, Washington, D.C. — Secretary’s Certificate for Distinguished Service (twice)
Center for Medicare and Medicaid Services, Baltimore, Maryland — Administrator’s Achievement Award (twice)
Council for Excellence in Government, Washington, D.C. — Fellow
Office of Personnel Management, Washington, D.C. — Presidential Management Fellow
Narrow Network Health Plans: New Approaches to Regulating Adequacy and Transparency Compliance Today, October 2015
After King v. Burwell, Viable Exchanges are ACA's Next Challenge Modern Healthcare, June 5, 2015
How Did We Get Here? A Brief History of Health Care Regulation in the United States Healthcare Compliance Today, July 2007
The Quiet Revolution in Healthcare Regulation The RPM Report, December 2006, pp. 43-45
Northern Illinois University
Master of Public Policy in Human Services, American Society for Public Policy Outstanding Student Award (1994)
Master of Arts in American History, Garden State Fellowship (1991)
B.S. in History and Political Science, cum laude (1989)
Mike Nader concentrates his practice in all facets of employee benefits. In addition to the traditional aspects, he works closely with employers to develop strategies to eliminate or minimize risk when denying or reducing benefits or responding to government inquiries. Mike spent several years as the Manager of Compensation and Benefits for a large corporation, which provided him with a greater understanding of the day-to-day issues (both internal and external) facing employers and service providers.
Mike also provides counsel to selling shareholders, employers, trustees, third-party administrators and fiduciary ESOP committees regarding the structure, installation, drafting and administration of ESOPs, as well as counsel on matters related to the governance, sale or acquisition of ESOP-owned companies. He is a member of The ESOP Association.
University of Notre Dame Law School — Adjunct Professor
The Best Lawyers in America — Employee Benefits Law, 2005-17, and ERISA Litigation, 2012-17
Gibson — Peak Performance Award, 2009 and 2010
Lex Mundi — Regional Vice Chair of Employee Benefits and Pensions Group, 2016, College of Mediators
American Bar Association
Mike speaks extensively on all aspects of ERISA, including health care reform. Recent engagements have included conferences by the American Conference Institute in New York City and Lex Mundi in Rome, Italy.