Full-Risk & Managed-Care Contracting
Build, negotiate, and operate full-risk Medicaid and Medicare contracts with payers — drawn from running them at scale for 150,000+ lives, and from negotiating them for centers across the country.
Integrated Health Associates LLC helps community health centers, health plans, and provider organizations grow with the discipline of value-based care and the heart of mission-driven medicine.
Forty-five years building one of the Pacific Northwest's largest community health networks — and a CHC-owned health plan that carries full risk for 250,000+ lives. Now bringing that experience to centers ready to scale their mission.
“After more than 45 years in the community health center movement, my work now is simple: to help centers who have a need in the areas where my experience can be of real use.”
Carlos Olivares spent more than four and a half decades in community health, most of it as Chief Executive Officer of the Yakima Valley Farm Workers Clinic — an organization he helped grow from roughly 150 employees and a handful of sites into one of the largest community health networks in the Pacific Northwest.
He is widely recognized as an early architect of full-risk and value-based contracting in the safety-net setting. His was one of the first organizations in the country to enter full-risk contracts with the insurance companies managing Medicaid and Medicare lives — more than 150,000 lives at full risk — and he continues to lead negotiations of this kind, not only for his own health center but for many others across the country.
He also founded one of the first managed-care companies owned and operated by community health centers. Twenty-five years on, it still serves more than 250,000 patients, taking full contractual risk for those lives with the State of Washington. Earlier, he led one of the first CHCs in the country to build and successfully operate a central-fill / mail-order pharmacy, and has since helped other centers craft the same strategy — along with the workflow and productivity redesign that lifts provider output and generates sustainable revenue.
A Pepperdine University graduate who began his career in California health administration, Carlos now brings that operating experience to health centers and healthcare organizations ready to grow without losing the mission.
We work alongside leadership teams and boards to make the unglamorous machinery of healthcare work better: contracts, operations, pharmacy, and growth.
Build, negotiate, and operate full-risk Medicaid and Medicare contracts with payers — drawn from running them at scale for 150,000+ lives, and from negotiating them for centers across the country.
Stand up provider-led managed-care organizations owned and operated by community health centers — modeled on a plan that has served 250,000+ patients at full risk for 25 years.
Design and build central-fill and mail-order pharmacy systems — guided by one of the first CHCs in the country to build and successfully operate one.
Redesign clinical and operational workflow to lift provider productivity and generate the revenue that keeps a community health center sustainable.
Stand up and optimize 340B programs, pharmacy automation, and revenue strategies that fund the mission responsibly.
Coach CEOs and governing boards through succession, growth decisions, and the hard tradeoffs of mission-driven leadership.
Every engagement is staffed with people who have actually run health centers, payer contracts, and pharmacy programs. Meet the principal — and the bench we bring in as each project requires.
Four decades in community health leadership; pioneer of value-based contracting and analytics-driven transformation in the safety net.
Longtime Chief Dental Officer of Yakima Valley Farm Workers Clinic, where he grew the program from two clinics and six chairs to eleven sites and 110+ operatories across two states. Founder and director of the CODA-accredited Northwest Dental Residency.
A special education leader with nearly two decades in K–12 education and the AI integration specialist behind TSD's workflow and efficiency work. She holds a Master's degree in Educational Leadership and is a graduate of Harvard Business School's Women of Color in Leadership program. She designs AI-powered workflows that make organizations measurably more efficient and productive — always data-driven and built around compliance. Her work pairs deep operational experience with practical, responsible AI, turning everyday processes into systems that save time and hold up to scrutiny.
[Add bio: a pharmacy director or 340B specialist who can stand up and audit covered-entity programs.]
[Add bio: a CFO-level advisor for payer contracting, risk modeling, and revenue cycle.]
[Add bio: a clinical leader who can integrate behavioral health and primary care across sites.]
[Add bio: an informatics or quality leader who builds dashboards and HRSA-grade reporting.]
[Add bio: a leader in workforce development, training pipelines, and community services.]
// Carlos, Dr. Koday, and Sandra Birley are confirmed. The remaining five cards are editable placeholders — replace the bracketed names and copy as you add consultants.
We start inside your data and your day-to-day — contracts, finances, clinical flow — to find what's actually slowing the mission down.
We build the contract, the program, or the operating model with you, sized to your community and your balance sheet — not a template.
We stay through implementation, coaching your team and your board until the change is steady, measured, and yours to keep.
Whether you're negotiating your first risk contract, opening a new site, or planning for succession — we'd like to hear what you're building.