Michael P. Martin Email and Phone Number

Strategically lead and manage home health network operations across multiple states, driving recruitment, contract management, credentialing, and provider data management. Responsibilities also include budget management, network related vendor contract negotiation and relationship management, and co-leading development and enhancement of tango's provider portal. Developed a comprehensive provider scorecard and executed value-based agreements to support innovative risk programs and quality initiatives. Launched a national data sharing program and successfully onboarded providers to tango's referral management platform.

Directed all aspects of the home health network, overseeing recruitment, contract management, credentialing, and provider data management. Successfully implemented a credentialing and contract management platform, improving efficiency. Redesigned provider agreements and co-designed a provider data integration model. Achieved network expansion to new markets and optimized provider contracts, positioning the company for continued growth.

A comprehensive consulting firm dedicated to supporting healthcare providers in optimizing their operations and achieving sustainable growth. With expertise in centralizing back-office supportive services, enhancing marketing strategies, and facilitating strategic mergers and acquisitions, we empower healthcare organizations to thrive in a rapidly evolving industry.

Led a team of Contract Managers across 13 states, optimizing network adequacy and reducing operational expenses. Renegotiated contracts, aligning payment models, generating $3M in annual cost savings. Collaborated with payers and physicians to reduce out-of-network spend and improve the provider and patient experience.

Oversaw budgeting and business development initiatives for VillageCare Rehabilitation and Nursing Center (VCRN), a sub-acute rehabilitation center, and VillageCare Adult Day Treatment (ADTP), a pioneering day treatment program. Developed a strategy to promote an integrated approach to post-discharge support, offering comprehensive services such as nursing, social work, psychiatric care, nutrition, recreation, and medication management.Engaged with community board members, hospital systems, community-based organizations (CBOs), and private clinics to source new business and develop revenue streams.Directed an account management staff responsible for building relationships in hospital systems throughout the New York City area, resulting in a 15% weekly increase in referrals.Created a comprehensive strategic initiative to rebrand VCRN, enhancing its community presence and increasing community engagement.

Managed strategic projects generating over $1M in annual revenue. Developed analytics to strengthen VillageCare's value proposition and relationships with hospital systems across the metropolitan area. Collaborated with various stakeholders to enhance VillageCare Rehabilitation and Nursing's (VCRN) Bundle Payment for Care Improvement (BPCI) program. Introduced and developed strategic care coordination plans and streamlined patient tracking post-discharge. Managed the Delivery System Reform Incentive Payment (DSRIP) program across all of VillageCare’s community programs and facilities. Leveraged DSRIP initiatives to increase visibility within Hospital Performing Provider Systems (PPS) by creating strategic plans to integrate patient care and social welfare programs.

Strategically co-architected a highly effective business development model, driving market penetration for VillageCareMAX insurance products, which continued despite a challenging period of overall decline in Managed Medicaid enrollment from 2015 to 2020 in New York City.Monitored and analyzed market trends, prepared and delivered regular "state of the business" reports, and led weekly meetings with the AVP of Business Development to update sales plans and forecasts.Implemented programs to create cross-functional collaboration between VillageCareMAX, a Managed Long-Term Care Plan (MLTCP), and VillageCare CHHA, a Certified Home Health Agency.Developed new client relationships across New York City through market analysis and meetings with targeted clinics, nursing homes, and hospitals, promoting the VillageCare business model.Consistently exceeded aggressive business development targets by 50-75% weekly.

Managed business relationships with 30 accounts across New York City and Nassau County, creating new lines of business and implementing effective customer service strategies for the agency.Oversaw employee utilization activities of the agency's paraprofessional field staff, implementing tracking sheets that significantly reduced unemployment charges year over year.Partnered with Managed Long-Term Care plans (MLTC) and Certified Home Health Agencies (CHHA) to develop marketing strategies within various communities in the Metropolitan area to promote service offerings.Conducted presentations at various community events on healthcare topics, including updates to Medicaid long-term care, the Affordable Care Act (ACA), and general home care policies.

Managed all operations, including budgeting, staff management, accounting, and business development activities, for a branch generating $1.5M in annual revenue.Implemented performance management policies for eight staff members and 300 contracted home health aides.Oversaw workforce planning, background checks, certification tracking, and training of contracted aides.Enhanced data collection of billable hours to ensure accurate utilization and revenue recognition.