Michael Hurst has been active in healthcare-related IT in many roles for over 30 years. A licensed psychologist, he was on the faculty of BU Medical School for 25 years; created on-line assessment and reporting programs for research and multi-hospital clinical use; and founded the Psychological and Biobehavioral Test Center. During that time he founded Hurst Associates Inc. (later acquired by Value Health Inc.) and created a DBMS driven clinical and administrative system for tracking and managing capitated care. He also founded Instream Corporation, one of the first Internet-based provider portal and transaction service companies. Subsequently he was the VP of Product Marketing of deNovis Inc., which acquired the InStream assets and created a language-based payer administrative system. He resumed consulting at Informatics Consulting Group which was hired by Harvard Pilgrim Health Care, who later hired him as a Senior Program and Projects Manager and then promoted him to Corporate PMO Manager, and then to Director. He has been the director for an Agile/Scrum transformation and the IT Strategy, a five year, 9 figure complete rebuilding of the HPHC claims administration system, which in 2011 began an iterative migration to the new platform and being completed in 2014. Throughout this trasnsformation and rebuild, HPHC has continued to be rated the Number One Health Plan in America by the National Committee on Quality Assurance and JP Powers.