Comparing MassHealth Managed Care Options for 2017 with Managed Care Options Starting March 1, PDF

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Managed Care Organizations (s) Accountable Care Partnership Plans (), Primary Care Accountable Care Organizations () BMC HealthNet Plan (175K) 3 Fallon Health (40K) All service areas 4 All service areas
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Managed Care Organizations (s) Accountable Care Partnership Plans (), Primary Care Accountable Care Organizations () BMC HealthNet Plan (175K) 3 Fallon Health (40K) All service areas 4 All service areas (Primary Care Providers now in BMC Health Net s will no longer be in BMC HealthNet ) Central Region & CarePlus Northern Four NEW BMC Accountable Care Partnership Plans () Community Alliance Mercy Alliance Signature Alliance Southcoast Alliance Attleboro, Boston, Brockton, Fall River, Falmouth, Greenfield, Holyoke, Lynn, Malden, New Bedford,, Northampton, Plymouth, Quincy, Revere, Somerville, Springfield, Taunton,Waltham, Wareham, Westfield, Woburn (21) Holyoke, Northampton, Springfield, Westfield (4 ) Brockton, Plymouth, Quincy, Taunton (4) Only Fallon options available in 2018 Attleboro, Fall River, Falmouth, New Bedford, Plymouth, Taunton Wareham (7) Fallon Health is no longer covering Athol or Gloucester in its ; it is covering certain new areas not previously covered by its 1 Neighborhood Health Plan closed to new enrollment in Oct Fallon, Health New England, and CeltiCare closed to new enrollment by Nov All 351 cities and towns are divided among 38 service areas. The number in parenthesis is the number of service areas. The town list for each service area is included in the MassHealth Enrollment Guide available at the MassHealthChoices.com website starting on p. 36: https://masshealthchoices.com/sites/default/files/documents/eh-mh%20(rev.% )%20entire%20guide%20(2)_web_ pdf 3 Number in parenthesis is enrollment by thousands as of March 2017 based on CHIA August 2017 Enrollment Trends Report 4 BMC Health Net Plan members with a primary care provider from Lahey Health will be in an -administered with the Lahey Health 1 Managed Care Organizations (s) Accountable Care Partnership Plans (), Primary Care Accountable Care Organizations () Health New England (64K) Western Region (except CarePlus) Three NEW Fallon Health Accountable Care Partnership Plans () Berkshire Fallon Adams, Pittsfield (2) Health Collaborative Fallon 365 Care (with Reliant Medical Group) Wellforce Care Plan (with Fallon and Wellforce) Gardner-Fitchburg, Framingham, Southbridge, Worcester (4) Only HNE Options available in 2018 One NEW Health New England Accountable Care Partnership Plan () Be Healthy Partnership (with Health New England and Baystate Health Care Alliance) Attleboro, Barnstable, Beverly, Boston, Brockton, Falmouth, Framingham, Haverhill, Lawrence, Lowell, Lynn, Malden, Orleans, Plymouth, Quincy, Revere, Salem, Somerville, Waltham, Wareham, Woburn (21) Adams, Greenfield & Pittsfield service areas that were covered by HNE are no longer covered by HNE in its Holyoke, Northampton, Springfield, Westfield (4) 2 Managed Care Organizations (s) Accountable Care Partnership Plans (), Primary Care Accountable Care Organizations () Neighborhood Health Plan (273K) Areas Only NHP Option available in 2018 NHP is no longer covering any cities or towns in Greater Boston, Southern, Central, or Western Regions Together (226K) Areas (exc Islands) One NEW Neighborhood Health Plan Accountable Care Partnership Plan () My Care Family (with NHP and Merrimack Haverhill, Lawrence, Lowell (3) Valley ) Together 5 Four NEW Together Accountable Care Partnership Plans () Together with Atrius Health Together with BIDCO (Beth Israel Adams, Athol, Beverly, Boston, Framingham, Gardner-Fitchburg, Gloucester, Greenfield, Haverhill, Holyoke, Lawrence, Lowell, Lynn, Malden, Northampton, Pittsfield, Quincy, Revere, Salem, Somerville, Southbridge, Springfield, Waltham, Westfield, Woburn, Worcester (26) (but now in Tufts will no longer be in Tufts ) Attleboro, Beverly, Boston, Brockton, Falmouth, Framingham, Gardner, Fitchburg, Lawrence, Lowell, Lynn, Malden, Plymouth, Quincy, Revere, Salem, Somerville, Waltham, Wareham, Woburn (20) Attleboro, Barnstable, Beverly, Boston, Brockton, Falmouth, Framingham, Haverhill, Lowell, Lynn, Malden, Orleans, Plymouth, Quincy, Revere, Salem, Somerville, Waltham, Wareham, Woburn 5 members with a primary care provider from Lahey Health will be in an -administered with the Lahey Health 3 Managed Care Organizations (s) Accountable Care Partnership Plans (), Primary Care Accountable Care Organizations () Deaconess Care Organization) (20) Celticare Health Plan (34K) Primary Care Clinician Plan (PCCP)(377K) Community Care Cooperative (C3) CarePlus only All service areas with s. Together with Boston Children s Together with CHA (Cambridge Health Alliance) Primary Care Clinician Plan Community Care Cooperative (C3) Attleboro, Barnstable, Beverly, Boston, Brockton, Fall River, Falmouth, Framingham, Haverhill, Holyoke, Lawrence, Lowell, Lynn, Malden, New Bedford, Orleans, Plymouth, Quincy, Revere, Salem, Somerville, Southbridge, Springfield, Taunton, Waltham, Wareham, Westfield, Woburn, Worcester (30) Boston, Lynn, Malden, Revere, Somerville, Waltham, Woburn (7) PCC Plan (s now in an will no longer be in PCCP).C3 was formed by the following 15 Community Health Centers: Brockton Neighborhood Health Center, Charles River Community Health Center, CHC of Cape Cod, CHC of Franklin County, Dimock Center, East Boston Neighborhood Health Center, Edward M. Kennedy Health Center, 4 Managed Care Organizations (s) Accountable Care Partnership Plans (), Primary Care Accountable Care Organizations () Family Health Center of Worcester, Fenway Health, Hilltown Community Health Center, Holyoke Health, Lynn CHC, North End Waterfront Health, North Shore Community Health, Uphams Corner Health Center Partners HealthCare Partners HealthCare Steward Health Choice Steward Health Choice The information in this table was prepared by Massachusetts Law Reform Institute (MLRI) based on the MassHealth Enrollment Guide: Your Choices Starting March 2018 https://masshealthchoices.com/sites/default/files/documents/eh-mh%20(rev.% )%20entire%20guide%20(2)_web_ pdf 5
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