About Us

In 1999 several large progressive-thinking employers approached GM&A because they felt victimized by the increasingly hyper-expensive healthcare industry. They wanted to know if we could help arrest the growth of soaring medical expenditures. 

GM&A orchestrated a plan that drastically reduced employers' healthcare spending without changing benefits. Since that time, GM&A has reduced health care costs for those companies by millions of dollars annually.

GM&A is a leader in direct contracting between employers and healthcare providers.  Since GM&A consists of a team with years of experience in the field of healthcare, managed care and healthcare administration GM&A understands the financial operations of the healthcare industry. With this knowledge GM&A can successfully build custom networks that meet the needs of your health plan.  GM&A has over 100 years of combined experience in the area of healthcare administration, medicine, nursing, member services, quality improvement and medical insurance.

Michael Jenike, CEO

  Mr. Jenike has a Masters in Hospital Administration and over 30 years of experience in Health Care Administration. This includes the position of Chief Executive Officer in Acute Care Hospitals and Managed Care Organizations. His tenure in hospitals led not only to their financial success but to innovations in health care delivery.


Mr. Jenike has owned or managed Health Maintenance Organizations, Physician Hospital Organizations, Independent Physicians Associations and Preferred Provider Organizations. His experience includes providing consulting and management services for employee benefits and diverse insurance services for large and small employers in both the private and government sectors. Mr. Jenike's knowledge and robust negotiation skills aided in the development and management of health care insurance products that were beneficial to both the employers and their employees.

He is licensed as a General Lines Insurance Agent.


David Herbert MD, GM&A Medical Consultant, Former GM&A President of Medical Administration

 Dr. Herbert is Board Certified in Emergency Medicine and also Health Care Quality and Management. He has practiced Medicine for over 30 years. Dr. Herbert has served as the Chief of Staff in a Hospital and as a Hospital Board Member. He is experienced in General Medicine and Medical Utilization Review.


Dr. Herbert has also served as a professional consultant for the Texas Medical Board. He brings a wealth of experience in Hospital negotiations.

Dr. Herbert has played a major role in assuring GM&A's clients that their contracted rates are well below national network rates. As a fellow physician, he understands the needs of medical providers in the contracting process.

Dr. Herbert also plays a large role in the management of large medical claims and directing members to the most cost effective care. He holds a Texas Medical License and is an active member of the American Medical Association and Texas Medical Association.


Linda Ross DNP, MS, RN, Vice President of Operations

 Dr. Ross has over 30 years experience in nursing and healthcare/nursing administration. Prior to joining GM&A and the nursing faculty at the local university in the Fall of 2005 she was Administrator of a multi-specialty physician clinic.


Dr. Ross previously worked in various areas of hospital and nursing administration including risk management, utilization/case management, and quality improvement. She also served as clinical faculty for The Joint Commission for ten years teaching courses throughout the United States.

Dr. Ross is a licensed General Lines Insurance Agent and is also a Certified Professional in Healthcare Quality (CPHQ) and a Fellow of The American Board of Quality Assurance and Utilization Review Physicians (HCQM) with sub-specialty certification in risk management. She utilizes her diverse experience in the health care industry to assist self insured health plans reduce costs.

Dr. Ross analyzes proposals, works closely with utilization review companies to review health plan member's course of treatment plans and she assesses cumulative data to direct care for maximum plan efficiency.


Hurb VandenHoogen, Vice President of Corporate Accounts

 Mr. VandenHoogen has over 25 years experience in the hearing health care industry. He began his career in 1983 working for Beltone Electronics Canada. 


Mr. VandenHoogen was very successful at dispensing hearing aids and became Beltone's top 3rd sales consultant nationally. Due to his success and experience Philips Electronics contacted him to start and head up their hearing aid division and soon after due to their increased sales growth expanded into the United States market. 

In 1991 Mr. VandenHoogen was recruited by Starkey Labs., the world's largest hearing aid manufacturer and relocated to the United States where he spent almost 15 years working for Starkey Labs specializing in business development, sales and marketing.

In 2005 Mr. VandenHoogen started his own consulting company helping audiologists and doctors with marketing and business development to help grow their practices. Part of Mr. VandenHoogen's vision is to help large employers lower health care costs including hearing aids so decided in 2005 to join GM&A to train and learn their system of lowering overall health care costs without changing benefits. Mr. VandenHoogen has been working with GM&A in all aspects of marketing and business development.


Troy Jenike, Director of Insurance & Implementation Services

 Troy Jenike has 4 plus years of experience working in the Life and Health Insurance Industry. He attended the University of Texas @ San Antonio graduating with degrees in Business Management and Finance. Troy obtained his General Lines Insurance license and immediately began his career in the insurance industry with New York Life Insurance Company. Troy was able to use his interpersonal skills and self-motivation while working for New York Life to achieve two awards. After 2 years at New York Life Troy became the Director of Operations in a newly created construction company in the San Antonio, TX. area. He used this opportunity to develop his business acumen including compliance, payroll and human resources as well as refine his interpersonal skills. After two years of building the company Troy joined GM&A as the Director of Insurance and Implementation. He currently is involved in contract negotiations with healthcare providers and implementing serves for new clients. Troy is also knowledgeable in healthcare insurance as well as the implications of the Affordable Care Act on healthcare.


Angela Adams, Director of Contract Development

Angela Adams has over 13 years of experience working in the healthcare industry. When previously living in the Austin metro area, she served as a Customer Care and Re-Credentialing Specialist to the largest privately-held healthcare corporation in America. Acting in this capacity, allowed her to showcase her ability to take initiative, problem solve, and be a leader. Now living in the City of San Angelo, she previously served as GM&A’s Senior Claims Analyst for over 4 years. During this time she performed daily audits of medical claims for Independent TPA’s. She has played an essential role in GM&A maintaining a high standard of achieving organizational quality objectives. Ms. Adams now serves as GM&A’s Contract Development Manager where she often negotiates contractual agreements with healthcare providers on behalf of the clients served. She is knowledgeable in medical billing procedures, customer service, quality improvement, and health insurance.

For a Consultation and detailed Health Plan Analysis
Call Hurb VandenHoogen at (858) 775-9170
or email hvandenhoogen@gma-usa.com