Mike Rhoades Email & Phone Number

Wilmington, NC, US

Alera Health builds and manages high performance integrated systems of care (ISOCs) that streamline access to coordinated behavioral health, primary care, and social services. Alera Health is a “soup to nuts” population health manager supporting more than 3M patients suffering from behavioral health and medical conditions.

Facilitated deal generation, screening, due dilligence, and valuation. Helped coordinate our membership of 75 acreditated investors in reviewing over 50 potential investments each year resulting in an average of 3-6 investments with an annual turnover of $3-5M.

Teaching Digital Health and Population Health Management. Topics include Population Health, mHealth, Telemedicine, Analytics and Risk Segmentation, Data Aggregation and Security, and Organizational Governance.

New York, NY, US

• International Consulting Firm supporting Fortune 500 firms through complex financial, transition, and technology transitions.Organized and led 7 person team of senior healthcare subject matter experts advising IDN’s.
• Negotiated the formation of a 75,000 life Clinically Integrated Network spanning 6 hospitals and 140 physicians which successfully negotiated a $748M narrow network contract.
• Created and led development of 330,000 life regional Post Acute Care narrow network which supplied advanced care coordination and clinical oversight to LTACH, Skilled Nursing, and Home Health providers via video, HIE.
• Developed payment adjudication and audit protocols for program integrity vendor to automate and improve claims surveillance systems realizing $28M in Y1. Project involved EHR data extraction and aggregation, analysis.
• Renegotiated TPA/CMO contracts for 15,000+ life self-insured employers, improving care management resulting in 18% PMPM savings.

Garner, North Carolina, US

• Largest multi-payer clinically integrated At-Risk/Shared Savings network in the USA with over 5,000 MD’s, 100 Hospitals, and 2M enrolled patients. Assembled portfolio of CCNC population health knowledge and negotiated.
• Planned, developed, and negotiated with health systems and independent practitioners in the creation of regional and statewide integrated delivery networks. Led executive and board discussions resulting in a regional.
• Organized leaders from the long term care industry and NC DHHS around a statewide quality alliance wherein CCNC provides the NC-HIE, Transitional Care resources, and Advanced Care Planning support necessary to.
• Led team to develop platform technology solution to warehouse and distribute multiple discrete clinical and claims data sources for integration within analytics interface. Established data governance and aggregation.
• Developed market acceleration strategy for NC-HIE in coordination with a clinically integrated LTC network initiative.
• P&L experience as in-house consultant for several small (10,000+ attributed lives) and large (80,000+ lives) partner ACO's. Extensive experience in chronic population health management including BH, LTC, and Palliative.

Asheville, US

• $220M multi-specialty health care system including 2 sub-acute 16-bed facilities, 15 outpatient clinics, 2 pharmacies, 12 licensed treatment programs, and 400+ clinical staff providing services to 25,000 patients.
• Founded Behavioral Health and Integrated Care Division—grew annual revenue from $0 to $40M in 6 years through 9 acquisitions and organic growth to include 2 sub-acute hospitals and 15 outpatient clinics. Over 70% of.
• Built robust chronic disease management protocols and care management infrastructure leverage targeted “high-touch” care management, medication reconciliation, and innovative telemedicine access, saving $1.8M in.
• Led expansion of health care services into Georgia Medicaid, securing initial $10M contract for Long Term Care.
• Strategically positioned RHA into a dominant market position in 8 geographic areas aligned with regional health systems to maximize the intrinsic value of the company. Successfully negotiated and managed at-risk.
• Coordinated, led RHA lobbyists in campaign that successfully preserved $800M in North Carolina funding for long term care despite the state's $2B fiscal deficit that year.

Provided consultation to the Secretary of DHHS on strategic and operational policy and its potential impact on the health care industry. Designed and implemented executive dashboard tools to track clinical outcomes and expenditures in the NC Medicaid program managed by Community Care of NC.

• Health care company operating 3 outpatient allied health clinics in Eastern NC with $5M turnover and 30 employees.Created vision and developed business plan and growth strategy for successful start-up health care.
• Grew company from $0 to $5M in annual revenue by providing school-based health clinics. Responsible for all infrastructure development including payer negotiations, claims adjudication, compliance, and credentialing..
• Founding member of NC Provider Council, industry trade and advocacy organization successful in influencing public policy to expand integrated care model. Led state rate setting committee.
• Successfully positioned and negotiated the sale of the company at 15X the original investment.

Master Of Business Administration (Mba), International Business

Bachelor Of Arts (B.A.), Psychology