Brian Ingraham has a broad background which includes a variety of administrative/executive experiences as both a payer and provider, operating both inside & outside of local government as well as open and closed systems of care, associated with Medicaid waiver environments.
Currently, Mr. Ingraham is the CEO of an as yet unnamed consolidated entity comprised of Smoky Mountain Center, a Local Management Entity/Managed Care Organization in North Carolina and the previous catchment area of another MCO which merged with Smoky, Western Highlands Network. Under the State’s 1915b/c Medicaid Waiver, Smoky (AKA consolidated entity), operates a regional pre paid health plan, & is responsible for managing all forms of payment for services to individuals needing assistance as a result of problems associated with mental illness, substance abuse, intellectual or developmental disabilities.
Mr Ingraham’s public service career began at a local county department of social services and continued for many years in upstate NY as a county MH Commissioner, a CEO of a nonprofit substance abuse recovery agency and as a member of a group of like minded individuals in NY who attempted to craft a statewide approach to public sector managed care through a Special Needs Plan.
After ignoring his mother’s counsel, that fools jump in where angels fear to tread, he moved to North Carolina as the state initiated MH Reform, to work with the states first Local Management Entity to go live under the 1915b/c waiver, Piedmont Behavioral Health. As the Director of Operations at PBH he was responsible for the organizational transformation of an area program with mixed provider/payer roles to a public managed care organization. Since coming to Smoky initially in 2007 to attempt the creation of a multi region Management Entity, he then concentrated his efforts on preparing the organization for its role as a public manager of care for a 15 county region, going live on the 1915b/c waiver on July 1st 2012. Since that time he oversaw the acquisition/merger of a failing MCO, Western Highlands Network, with Smoky effective 10/1/13. The new consolidated entity created by this merger is responsible for 23 counties in western NC and has a capitation of roughly $350m.