Join For Free

X

Oops! You need to be logged in to use this form.

ONECare Population Health Academy – Join For Free

Already a member of the OPEN MINDS network? Click here to

Log in

"*" indicates required fields

Name*
Address*
Consent*
This field is hidden when viewing the form
This field is hidden when viewing the form
MM slash DD slash YYYY
This field is hidden when viewing the form
This field is hidden when viewing the form

The Shifting Opportunities For Value-Based Contracting In The Behavioral Health Market – Implications For CCBHC Programs, CMHCs & FQHCs: A Discussion With Mike Rhoades

,

|

Mike Rhoades, Chief Executive Officer, Alera Health & Monica E. Oss, Chief Executive Officer, OPEN MINDS discuss the federal impact on behavior health providers

Monica Oss and Mike Rhoades discuss the impact of the One Big Beautiful Bill on behavioral health services. The conversation covers Medicaid qualification requirements and providers’ approaches to serving clients with increased needs and complexity. Both challenges and new strategies in the behavioral health sector are examined, including considerations for Certified Community Behavioral Health Clinics. The discussion also addresses the role of Clinically Integrated Networks as a method to diversify revenue streams. 

Mike Rhoades, Chief Executive Officer, Alera Health

Mike oversees the development and coordination of governance, technology, analytics, and alternative payment model contracting across 13 ONEcare networks, which collectively serve more than 3 million patients—focused on improving outcomes and reducing avoidable costs. Prior to founding Alera Health, he served as Vice President of Population Health at Community Care of North Carolina and Chief Operating Officer at RHA Health Services.

Alera Health assembles and manages integrated systems of care (AKA ONEcareTM networks) for patients with primary and secondary behavioral health issues. Leveraging their Care Optimization SuiteTM (COS), ONEcare providers receive “care alerts” that improve disease detection, anticipate crisis, and enhance patient engagement. ONEcare networks have improved timely access by 10X and reduced unnecessary inpatient utilization by up to 50%. For more from Alera Health, visit: https://onecareacademy.org/

Key Discussion Topics Include:

  • One Big Beautiful Bill: Impact on BH providers
  • Challenges qualifying for Medicaid services: Providers may find increased services for uninsured population
  • Increased acuity of people receiving Medicaid: Similar trends after COVID pandemic are anticipated driving up MLR
  • Clinically Integrated Networks (CIN): Definition of a CIN and why it’s a solution to revenue diversification
  • Certified Community Behavior Health Clinics: Clarifying strategy on how CCBHCs can participate in a CIN without impacting their prospective payment model
  • Population Health: The value CINs bring to providing integrated care and reducing the total cost of care

Additional Topics Covered:

  • The ONEcare Cafe at the Technology & Analytics Institute

Watch The Full Interview To Gain Valuable Industry Insights

Download Transcript