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Why We Exist

We all know healthcare is broken. Health insurance is even more broken. The industry is full of "the same old" and more recently... "disrupters".

Neither of them are offering real, sustainable solutions. While both are busy demonizing either, we are focused on making a difference and direct real, meaningful strategy.


About Our Founder

Madeline Smith is the Founder and CEO of MADDRS, LLC (pronounced “matters”). She has a Doctorate in Business Administration from Columbia Southern University. Her dissertation research examined the role of corporate social responsibility on brand equity in B2B insurance service firms. She is an undergraduate business instructor at the University of the People. After more than 7 years working in nonprofit administration and strategic planning as VP of Development and Marketing, she felt a desire to try to make an impact in the insurance, healthcare, and risk management industry. Her work has been almost exclusively in the self-funded arena where she worked for a captive owner and brokerage agency where she oversaw operations, underwriting, and marketing & sales as the Chief Growth Officer. After 4 years, she started her own consulting firm where she works with brokers, consultants & general agents to build and offer unique, competitive products and programs to their clients. Madeline also has experience working with hospitals and provider networks to build and market direct-to-employer products. She has consulted for a variety of entities looking to join or build captive products in the benefits space. She represents a few non-health clients as well who she helped take their unique, patented insurance products to market. Madeline works to stand out in the industry, being able to bring together like-minded entities to offer phenomenally different products with an ability to see the big picture all while effectively managing the minutia.  She is known by her colleagues and clients to be a truth-teller at all costs with an emphasis on making a difference and promoting only programs she can stand 100% behind. It’s important to her that her work feels as much like a mission as it did when she worked in the nonprofit sector because she believes that’s what the insurance industry of today’s world needs. In the rare moments where she's not working, she is probably RVing with her husband and 3 sons somewhere.

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Bob Calvisi

Bob has over 30 years’ experience in the self-funded market space with extensive administration, sales and consulting experience.
Management experience as an executive officer of two third party administration firms that included rebuilding the sales strategy of an established firm, doing a startup benefits operations, consulting with a hospital system owned entity and developing a three hospital owned regional network. In these positions he developed agent and consultant relationships and provided educational and presentation support. His sales team established the first state of Texas self-funded Multiple Employer Trust.
His hands on approach included overseeing new business submissions, developing vendor and stop-loss underwriting relationships, arranging managed care networks for mid-size and large employer groups. He is highly regarded in the stop-loss community for presenting easy to underwrite submissions, educating underwriting on the vendor and health system values that benefit the employer group and the carrier success.
He continues to look for innovative solutions to benefit employer health plans such as transparent pharmacy programs, direct provider contracts, domestic medical tourism and funding options within the stop-loss market place.

Matt Downs

Matt Downs is a Risk Architect and Self-Funding Consultant with MADDRS, LLC. Matt has his BBA from Western Michigan University with a focus in Finance and Commercial Law. After 8 years in the financial markets as a Floor Trader at the Chicago Board Options Exchange (CBOE), he transitioned into a new role as Co-Founder of a payroll and benefits company. In this position, he built the company up to 250 clients and after 4 years sold his equity stake. As the owner of Downs Consulting, Matt builds self-funded high-performing group health plans and has developed a substantial broker network created through his prospecting, networking, and his far-reaching relationships. Matt was drawn to self-funding after spending many years of his career as a risk manager where he was then introduced into the employee benefits world. He found a love for the self-funding aspect as it is risk-managing within the insurance realm. His experience with Pharmacy Benefit Managers, unique program carve-outs and substantial relationships in the broker, stop loss, and TPA marketplace make him a strong asset to the team, clients and partners of MADDRS. When Matt isn’t working, you can find him boating, golfing and spending time with his 14 year old son and 12 year old daughter.

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