Health Insurance 4.0 – 2026

Health Insurance 4.o | The Unfiltered Sessions

Following the continued success of our 2024 and 2025 events, we’re excited to continue these conversations at Health Insurance 4.0, a half-day event for Michigan employers to learn, share, and celebrate the spirit of reinvention in this critical employee benefit. This year’s format will be more conversational, allowing for deeper, more meaningful connections.

Wednesday, October 14, 2026
8:30am – 12:00pm
Downtown Market in Grand Rapids, MI

See highlights from last year’s event

Industry Presenters & Panelists

Mike Hill

Mike Hill

Founder, CEO of Total Control Health Plans

Mike has been advising employers on health care cost reduction strategies for two decades.  An expert in self-funded medical plans, Mike has helped employers implement varied solutions focused on reducing the cost of health care, such as direct contracting, direct primary care, and others.

Total Control Health Plans is a  strategic partner and benefits agency that helps clients to rebuild a self-insured healthcare plan that empowers employees, champions health and reduces cost like never before possible.

Alex Roehling

Alex Roehling

Vice President of Finance and CFO, Holland Hospital

Alex is a seasoned healthcare executive with 15 years of industry experience. For the past five years, he has served as the Chief Financial Officer of Holland Hospital, one of the few remaining independent community hospitals in Michigan. In this role, Alex leads financial strategy, pharmacy operations, and community partnerships.

Alex is passionate about collaborating with local employers and healthcare partners to design innovative models that drive down costs and improve the health of the community.

Tommy Axford

Tommy Axford

Private Health Management

Tommy Axford is the Chief Commercial Officer at Private Health Management (PHM). In his role, he ensures healthcare solutions that reach the market make a real difference to individuals, families, and companies we serve. Tommy has spent the past four years defining and executing PHM’s go-to-market strategy—connecting employers, health plans and channel partners with world-class complex care management services.

Over his more than 25 years in the healthcare industry, he has worked with some of the largest employers in the United States developing healthcare solutions and strategies to meet the evolving needs of the clients he’s served. Tommy is a Fellow of the Society of Actuaries and a Member of the American Academy of Actuaries.

Christina Strogis

Christina Strogis

ERIC - The ERISA Industry Committee

Christina Strogis is the Director of Health Policy, Federal Affairs supporting ERIC’s Senior Vice President of Health Policy Melissa Bartlett and Senior Vice President of Retirement & Compensation Policy Andy Banducci on federal health and retirement policy development and advocacy.

Prior to joining ERIC, Christina served as a Legislative Assistant for Capitol Advocates, where she developed and strategized on multiple health care policy issues including the interoperability of electronic health records, opioid funding, prescription drug costs, and alternative payment models being tested by the Center for Medicare and Medicaid Innovation. She was also the Legislative and Communications Director of the Direct Primary Care Coalition, developing social media and digital content, including leading grassroots campaigns. Christina formerly worked in the Washington office of Citigroup Inc. focusing on trade and CFIUS reform.

Christina has previous Capitol Hill experience, interning for both Delaware Senators, Tom Carper (D-DE) and Christopher Coons (D-DE). While interning for Senator Carper, she archived the entire history of the Affordable Care Act and assisted the staff in its health policy research.

A graduate of Saint Joseph’s University, Christina received a B.A. in Political Science and a minor in Justice and Ethics in the Law.

Chris Moyer

Chris Moyer

Health Alliance Plan - President of ASR Health Benefits | HAP Senior Vice President of Markets

Chris Moyer serves as Senior Vice President of Markets for Health Alliance Plan by Henry Ford Health and President of Health Alliance TPA. In these roles, he leads enterprise growth strategy, driving membership, revenue, and market expansion across all lines of business while overseeing the strategic direction of Health Alliance Plan’s third-party administrator operations.

With more than 30 years of experience in the health benefits industry, Chris has extensive expertise in self-funded health plans, third-party administration, employer- sponsored benefits and business growth strategy. Before joining Health Alliance Plan,
he spent 15 years with Highmark Blue Cross Blue Shield, where he led HealthNow Administrative Services (HNAS), the organization’s third-party administrator division.Chris is an active industry leader and advocate, having served on the Board of Directors for the Greater Philadelphia Area Health Underwriters. He is also a member of the Self Insurance Institute of America and Health Care Administrators of America.

Chris holds a Bachelor of Arts in Mathematics with a minor in Actuarial Science from Temple University.

John Johnston

John Johnston

Co-Founder and CEO, PeopleIT

John Johnston is the co-founder and CEO of PEOPLEIT, a company that helps businesses collect, connect and use all their data for better business intelligence and AI. He is a husband, father, hiker, traveler, and a rugby and soccer fan. He is also a community advocate for Goodwill West Michigan, Holland Education Foundation, and Ready for School.
Having moved to the USA from Northern Ireland in 2004, John has made West Michigan home with his wife Abbey and their daughter Eddie Jo.

Agenda

 

8:30 am Doors Open
Check-in & Networking
8:45 am Welcome
8:45 – 9:20 am

Can we rely on DC to Solve the Healthcare Problem?

Christina Strogis, Director of Health Policy, Federal Affairs, The ERISA
Industry Committee

9:25 – 9:40 am

The Bad and the Ugly of the No Surprises Act

Chris Moyer, SVP of Markets, Health Alliance Plan

9:40 – 9:50 am Break
9:50 – 10:20 am

Your Personal Cancer A-Team

Tommy Axford, Chief Commercial Officer, Private Health Management

10:25 – 10:50 am

Should Employers Love or Hate 340b? Yes.

Alex Roehling, Executive Vice President and Chief Strategy Officer,
Holland Hospital

10:50 -11:00 am

Leveraging Your Data and AI – Can it crack the price transparency
lock?

John Johnston, CEO People IT

11:25 – 11:55 am Employer Panel 
12:00

Conclusion

Optional: After this event concludes, join us for lunch at one of the 21 food vendors and restaurants in the Downtown Market!

 

Why Health Insurance 4.0?

Since employers began providing health benefits to employees, the industry has gone through several periods of reinvention, each bringing about major benefits (and some unforeseen side effects) for employees. However, since the passage of the American Care Act, the industry has begun to accelerate in complexity with a financial burden that’s unsustainable for plan participants and employers alike.

Big healthcare is big business and like any business, it is looking to maximize margin within the constraints of the current system. However, without any real competition, these businesses are succeeding while employers and patients struggle to afford the cost.

The Evolution of Health Insurance

1.0 Ford Motor Company Sets the Precedent for Medical Coverage Among Major Employers

Henry Ford founded Henry Ford Health in 1915, advocating that a healthy workforce is paramount to his company’s success. Ford Motor Company was the first major employer to offer medical coverage, setting a significant precedent by providing quality care and promoting employee well-being for other companies to follow.
1.0 Ford Motor Company Sets the Precedent for Medical Coverage Among Major Employers

2.0 The Rise of the Common Deductible, All Things Covered Plan

As wage controls came into effect during World War II, the War Labor Board declared employer-paid health benefits exempt, driving demand for group insurance. Employers could now deduct their contributions toward employee health insurance as a business expense. This arrangement benefited both parties, as employees did not have to pay taxes on the value of their health insurance coverage.
By 1960, over 68 percent of the U.S. population was estimated to have a form of private health insurance. Insurance companies transitioned from community rating to experience rating to determine premiums for groups of people more or less likely to incur claims.
2.0 The Rise of the Common Deductible, All Things Covered Plan

3.0 Health Insurance After the Affordable Care Act

In 2010, the US passed a historic reform to ensure all individuals would have health insurance by 2014. In 2016, the individual mandate section of the ACA was eliminated, removing monetary penalties for large businesses that do not provide health insurance. Passage of the ACA in 2010 increased the complexity of our health insurance system significantly, exaggerating some misaligned incentives that have increased profits for major carriers / PBMs while passing unsustainable increases along to employers and employee rate payers.
3.0 Health Insurance After the Affordable Care Act

4.0 Data Driven Decision Making

There are more tools than ever before to help employers break free from the constraints of large insurance carriers - unlocking cost savings for employers and their team members. Solutions like direct contracting, stoploss insurance, captives, and alternative Rx strategies, employers across the country are using data to take control of their health insurance plans while providing great coverage for their employees.
4.0 Data Driven Decision Making

Event Summary

What: Health Insurance 4.0, a Summit for Michigan Employers

When: Wednesday, October 14, 2026 | 8:30 am – 12:00 pm

Where: 435 Ionia Ave SW, Grand Rapids, MI 49503

Who’s Invited: Michigan and Midwest Employers

Start a Conversation

Let’s have a conversation on our dime to see if a Total Control Health Plan will meet your business or organization’s goals.

Contact us to schedule a free consultation today.