Edward M. Duke


E.M. Duke & Associates provides the most advanced and effective managed care negotiation and
strategy development in Nevada and the western states.
Mickey Duke’s broad executive health care leadership provides an extremely strong base of
experience for his clients and employers. Since 2002, the company has provided managed care
services and market studies to local, regional and national clients, helping hospitals and
physicians negotiate managed care contracts with payers (including HMOs, PPOs,
governmental third party payers, and self-funded / self-insured payers).

Larry Preston


Mr. Preston has been actively involved in healthcare for over 30 years. Mr. Preston has
experience in small specialty hospitals to large university hospitals, as well as corporate owned
hospitals and community based hospitals. Mr. Preston has extensive management experience in
physician offices, physician recruitment as well as start up healthcare companies.
Mr. Preston has been active in state and local organizations that have earned him leadership
positions within the Healthcare Financial Management Association. Mr. Preston is a Certified
Manager of Patient Accounts (CMPA), a Certified Managed Care Professional (CMCP) and a
Fellow from the Healthcare Financial Management Association (FHFMA). Mr. Preston is also a
member of the Medical Group Management Association. Mr. Preston has testified on healthcare
issues before the Nevada State legislature and the Clark County Commissioners.
Mr. Preston has his Bachelor of Science degree in Accounting from San Jose State University
(1979) and his Masters of Business Administration from Golden Gate University (1985). Mr.
Preston has taught healthcare classes for the University of Nevada, Las Vegas and masters level
courses at St. Francis University in the Las Vegas campus.
Mr. Preston has been involved with several charities over the years, especially the Nevada
Childhood Cancer Foundation and the American Cancer Society in Las Vegas.

Ernest Libman  

50 years of healthcare experience
MHA, University of Minnesota


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