South Carolina Medicaid Update and Outlook

Joshua Baker

Joshua D. Baker is the director of the South Carolina Department of Health and Human Services (SCDHHS), having most recently served as the Agency’s director of operations. He was appointed by Governor Henry D. McMaster on November 9, 2017.

Prior to joining SCDHHS, he served as Governor Nikki R. Haley’s deputy chief of staff for budget and policy, and was the primary author of the FY 2015-2016 and 2016-2017 Executive Budgets. 

Director Baker holds an International Master of Business Administration from the University of South Carolina and undergraduate degrees in business economics from the University of South Carolina and clinical laboratory science from the George Washington University.

SC DOI Update and Status of the Health Insurance Market

Ray Farmer

Ray Farmer has served as Director for the South Carolina Department of Insurance since former Governor Nikki Haley appointed him on November 13, 2012.  Mr. Farmer brings more than forty years of experience in the insurance industry to his leadership role.

Mr. Farmer served as the Deputy Insurance Commissioner of the Enforcement Division for the Georgia Department of Insurance and more recently Vice President for the American Insurance Association.  Mr. Farmer is a member of the State Bar of Georgia and a member of the Tort and Insurance Practice section as well as the Workers’ Compensation section.


In 2014, he was named the Industry Person of the Year from the Independent Agents and Brokers of South Carolina.  In 2017, Mr. Farmer received The Order of the Palmetto from Governor Haley, the state’s highest civilian honor awarded to citizens of South Carolina for extraordinary lifetime service and achievements of national or statewide significance. In 2018, Mr. Farmer oversaw the passing of the Data Security Law – a law that is the first in the nation to require insurance companies to have a comprehensive and secure plan to protect consumer data.  Mr. Farmer also has the honor of being elected to serve as the Vice President for the National Association of Insurance Commissioners.

Mr. Farmer is a native of Atlanta and he and his wife, Gayle, have two children and five grandchildren.

Continuing the Pursuit of Value in Medicaid

Bryan Amick, PharmD,MBA,MS

Reimbursement Strategies High Cost- Low Volume Drugs

Renwyck Elder

Ren received a Bachelor of Science degree in Pharmacy from the University of New Mexico, and a Masters of Business Administration degree from the University of Phoenix.

Organization Affiliations

  • Board of Manager — Digital Health Dialog
  • Board of Directors — PCMA
  • Board Member — More Than A Mission

2017 2005—2009, 2012—2016 2017— Current

Renwyck (Ren) Elder currently serves as a Senior Vice President of Pharmacy Services at Molina Healthcare. Ren is responsible for leading all enterprise pharmacy operations and strategies at Molina.

Ren is the founder and President of AffectRx. AffectRx is a healthcare consulting/advisory company offering unique insights to assist in creation and optimization of mission-critical strategies, products and services. The services are extended to pharmacy benefit management (PBMs), Health Plans, Private Equity, Investment, Biopharmaceutical and Diagnostic Companies. Ren’s specialties include strategy development, new revenue stream identification, contract negotiations, merger/acquisition, P&L amplification, change- management, and sales and marketing.

Previously he served as President, Enterprise Pharmacy at Aetna, where he was responsible for $15.5 B in top line annual revenue, and end-to-end business operations. Prior to joining Aetna, Ren served as President of Anthem Pharmacy, where he was responsible for a $17 B top line revenue business. In this role, he led the integration of the Anthem and WellPoint. Pharmacy

Leading Disruptive Change

Jeff Kiser

Jeff Kiser is the Market Head of Sales & Service for Aetna.  In this capacity, Jeff is responsible for all new business sales and account management activities in the Carolinas.  Jeff has over 25-years of health executive experience including leadership roles with WakeMed Health & Hospitals where he served as Director of Managed Care Contracting / Corporate & Community Health and with UnitedHealthcare where he served as Director of Network Management for North Carolina.  Jeff is an Eagle Scout and is also very active in the community where he has served on boards for the Greater Raleigh Chamber of Commerce, Leadership Raleigh Alumni Association and the YMCA. Jeff holds a B.S. in Business Management from Virginia Tech and a Masters in Health Administration from the Medical College of Virginia.

Disease Management Update: Colorectal Cancer: Screening Saves Lives

Mark Mayhew, PhD

Matthew (Matt) Eyles is President & Chief Executive Officer of America’s Health Insurance Plans (AHIP), the national trade association representing health insurance providers. Matt leads the association toward fulfilling its mission and vision: expanding access to affordable health care coverage to all Americans, through a competitive marketplace that fosters choice, quality, and innovation. He joined AHIP in 2015 and led its Policy & Regulatory Affairs team, and he was Chief Operating Officer before his appointment as President & CEO.

Matt has more than two decades of health care experience in the private sector and in government. He has led teams at Fortune 200 health care companies in diverse roles—including public policy, government affairs, advocacy and corporate communications—with both a U.S. and global focus. Before joining AHIP, Matt held senior executive positions at Coventry Health Care, Inc. (now an Aetna company) and Wyeth (now a subsidiary of Pfizer, Inc.). Through his work at Avalere Health, he has been a consultant to some of the largest global and U.S. health care companies and organizations. Matt began his career at the Congressional Budget Office (CBO) where he worked on many issues, including health care, budget policy, and regulatory policy.

Matt is on the Board of Directors of the National Health Council and was previously on the Board of the Network for Excellence in Health Innovation (NEHI). He has undergraduate degrees from The George Washington University in Political Science and History, as well as a graduate degree in Public Policy from the University of Rochester (NY).