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wbjournal.com | Book of Lists 2019 | Worcester Business Journal 29 WOMEN I N B U S I N E S S O U T S T A N D I N G WBJ Worcester Business Journal WOMEN B U S I N E S S O U T S T A N D I N G WBJ n W O M E N O U T S T A N D I N G WBJ WOMEN I N B U S I N E S S O U T S T A N D I N G WBJ Worcester Business Journal For sponsorship and advertising opportunities in this special issue, contact your account manager or Mark Murray at mmurray@wbjournal.com or 508-755-8004 ext. 227. Worcester Business Journal is looking to recognize the achievements of strong, talented and remarkable women who are making their mark on the Central Massachusetts business community Here is your chance to nominate a deserving business woman that you know, and have her accomplishments recognized and celebrated! Submit a nomination today! CALL FOR NOMINATIONS! Corporate Sponsor NOMINATION DEADLINE: Friday, August 2, 2019 To submit your nomination visit www.wbjournal.com/womeninbusiness Presenting Sponsors Supporting Sponsor Marsh & McLennan Agency H E A L T H C A R E F O C U S 11 10 Chestnut St., Worcester 01608 855-508-3390 • www.fchp.org/365care Partnership Plan March 2018 Fallon Health & Reliant Medical Group Gardner-Fitchburg, Framingham, Southbridge and Worcester president & CEO, Fallon Health 12 Tufts Health Together with CHA 705 Mount Auburn St., Watertown 02472 888-257-1985 • tuftshealthplan.com 28,468 Partnership Plan 2018 Tufts Health Public Plans & Cambridge Health Alliance Boston, Lynn, Malden, Revere, Somerville, Waltham and Woburn Jean Yang president, Tufts Health Public Plans 13 BMC HealthNet Plan Mercy Alliance 529 Main St., Suite 500, Charlestown 02129 888-566-0010 • www.bmchp.org 27,999 Partnership Plan 2018 BMC HealthNet Plan & Mercy Health ACO Holyoke, Northampton, Springfield and Westfield Lynn Bowman COO, BMC HealthNet Plan 14 BMC HealthNet Plan Signature Alliance 529 Main St., Suite 500, Charlestown 02129 888-566-0010 • www.bmchp.org 17,662 Partnership Plan 2018 BMC HealthNet Plan & Signature Healthcare Brockton, Plymouth, Quincy and Taunton Lynn Bowman COO, BMC HealthNet Plan 15 BMC HealthNet Plan Southcoast Alliance 529 Main St., Suite 500, Charlestown 02129 888-566-0010 • www.bmchp.org 16,211 Partnership Plan 2018 BMC HealthNet Plan & Southcoast Health Attleboro, Fall River, Falmouth, New Bedford, Plymouth, Taunton and Wareham Lynn Bowman COO, BMC HealthNet Plan 16 Berkshire Fallon Health Collaborative 10 Chestnut St., Worcester 01608 855-203-4660 • www.fchp.org/Berkshires 15,630 Partnership Plan 2018 Fallon Health & Health Collaborative of the Berkshires Adams and Pittsfield Richard P. Burke president & CEO, Fallon Health 17 Lahey Health ACO 41 Mall Road, Burlington 01805 781-744-5100 • laheyhealth.org 11,000 (f) MCO- administered ACO 2018 N/A Dependent upon MCO network affiliation (g) Richard Nesto chief medical officer & interim CEO (h) Source: Commonwealth of Mass. Executive Office of Health and Human Services, MassHealth Enrollment Guide revision September 2018 and individual ACOs. Notes: Enrollees are assigned a general service area depending on place of residence. Gardner - Fitchburg area is considered one region according to the state. (a) Participated in a MassHealth ACO pilot as of Dec. 2016, prior to official launch in March 2018 (b) Boston ACO participated in a MassHealth ACO pilot as of Dec. 2016, prior to official launch in March 2018. (c) Boston Children's ACO (Children's Hospital Integrated Care Organization) participated in a MassHealth ACO pilot as of Dec. 2016, prior to official launch in March 2018. (d) Succeeded Maura McCaffrey upon her resignation in July 2018 (e) Prior to Jan. 1, 2019, AllWays Health Partners was known as Neighborhood Health Plan. (f) Approximate (g) Lahey Health utilizes MassHealth's two MCO networks, following MCO service area restrictions accordingly; BMC Health Net MCO is statewide, while Tufts Health Together MCO covers all regions except Southeastern Mass. (h) Serving as interim CEO since Oct. 1, 2017 upon Howard Grant's retirement. - Compiled by: Heide Martin, hmartin@nebusinessmedia.com organizations (ACOs) Ranked by number of members as of April 2019 Name of ACO No. of members/ type of plan/ date initiated Partnering organizations/ service area Top executive 1 Steward Health Choice P.O. Box 610186, Newton Highlands 02461 855-860-4949 • www.stewardhealthchoice.org 122,208 Primary Care ACO Dec. 2016 (a) N/A Statewide Ruben King-Shaw Jr. president & CEO 2 Community Care Cooperative (C3) 1 Federal St., Boston 02110 866-676-9226 • www.communitycarecooperative.org 121,001 Primary Care ACO Dec. 2016 (a) N/A Statewide Christina Severin president & CEO 3 BMC HealthNet Plan Community Alliance 529 Main St., Suite 500, Charlestown 02129 888-566-0010 • www.bmchp.org 113,368 Partnership Plan March 2018 (b) BMC HealthNet Plan & Boston ACO Attleboro, Boston, Brockton, Fall River, Falmouth, Greenfield, Holyoke, Lynn, Malden, New Bedford, Northampton, Plymouth, Quincy, Revere, Somerville, Springfield, Taunton, Waltham, Wareham, Westfield and Woburn Lynn Bowman COO, BMC HealthNet Plan 4 Partners HealthCare Choice 399 Revolution Drive, Somerville 02145 800-231-2722 • www.partners.org 106,499 Primary Care ACO Dec. 2016 (a) N/A Statewide Anne Klibanski interim president & CEO, Partners Healthcare System 5 Tufts Health Together with Boston Children's ACO 705 Mount Auburn St., Watertown 02472 888-257-1985 • tuftshealthplan.com 96,934 Partnership Plan March 2018 (c) Tufts Health Public Plans & Boston Children's ACO Attleboro, Barnstable, Beverly, Boston, Brockton, Fall River, Falmouth, Framingham, Haverhill, Holyoke, Lawrence, Lowell, Lynn, Malden, New Bedford, Northampton, Orleans, Plymouth, Quincy, Revere, Salem, Somerville, Southbridge, Springfield, Taunton, Waltham, Wareham, Westfield, Woburn and Worcester Jean Yang president, Tufts Health Public Plans 6 Wellforce Care Plan 10 Chestnut St., Worcester 01608 855-508-4715 • www.fchp.org/wellforce 51,437 Partnership Plan March 2018 Fallon Health & Wellforce Attleboro, Barnstable, Beverly, Boston, Brockton, Falmouth, Framingham, Haverhill, Lawrence, Lowell, Lynn, Malden, Orleans, Plymouth, Quincy, Revere, Salem, Somerville, Waltham, Wareham and Woburn Richard P. Burke president & CEO, Fallon Health 7 BeHealthy Partnership 1 Monarch Place, Suite 1500, Springfield 01144 413-788-0123 • behealthypartnership.org 37,864 Partnership Plan March 2018 Health New England & Baystate Health Care Alliance Holyoke, Northampton, Springfield and Westfield Jody Gross (d) interim president & CEO, Health New England 8 Tufts Health Together with BIDCO 705 Mount Auburn St., Watertown 02472 888-257-1985 • tuftshealthplan.com 36,689 Partnership Plan March 2018 Tufts Health Public Plans & Beth Israel Deaconess Care Organization Attleboro, Barnstable, Beverly, Boston, Brockton, Falmouth, Framingham, Haverhill, Lowell, Lynn, Malden, Orleans, Plymouth, Quincy, Revere, Salem, Somerville, Waltham, Wareham and Woburn Jean Yang president, Tufts Health Public Plans 9 My Care Family 399 Revolution Drive, Somerville 02145 800-462-5449 • mycarefamily.org 31,948 Partnership Plan March 2018 AllWays Health Partners & Merrimack Valley ACO (e) Haverhill, Lawrence and Lowell David Segal president & CEO, AllWays Health Partners 10 Tufts Health Together with Atrius Health 705 Mount Auburn St., Watertown 02472 888-257-1985 • tuftshealthplan.com 31,472 Partnership Plan March 2018 Tufts Health Public Plans & Atrius Health Attleboro, Beverly, Boston, Brockton, Falmouth, Framingham, Gardner-Fitchburg, Lawrence, Lowell, Lynn, Malden, Plymouth, Quincy, Revere, Salem, Somerville, Waltham, Wareham and Woburn Jean Yang president, Tufts Health Public Plans 11 Fallon 365 Care 10 Chestnut St., Worcester 01608 855-508-3390 • www.fchp.org/365care 30,615 Partnership Plan March 2018 Fallon Health & Reliant Medical Group Gardner-Fitchburg, Framingham, Southbridge and Worcester Richard P. Burke president & CEO, Fallon Health 12 Tufts Health Together with CHA 705 Mount Auburn St., Watertown 02472 888-257-1985 • tuftshealthplan.com 28,468 Partnership Plan 2018 Tufts Health Public Plans & Cambridge Health Alliance Boston, Lynn, Malden, Revere, Somerville, Waltham and Woburn Jean Yang president, Tufts Health Public Plans 13 BMC HealthNet Plan Mercy Alliance 529 Main St., Suite 500, Charlestown 02129 888-566-0010 • www.bmchp.org 27,999 Partnership Plan 2018 BMC HealthNet Plan & Mercy Health ACO Holyoke, Northampton, Springfield and Westfield Lynn Bowman COO, BMC HealthNet Plan 14 BMC HealthNet Plan Signature Alliance 529 Main St., Suite 500, Charlestown 02129 888-566-0010 • www.bmchp.org 17,662 Partnership Plan 2018 BMC HealthNet Plan & Signature Healthcare Brockton, Plymouth, Quincy and Taunton Lynn Bowman COO, BMC HealthNet Plan 15 BMC HealthNet Plan Southcoast Alliance 529 Main St., Suite 500, Charlestown 02129 888-566-0010 • www.bmchp.org 16,211 Partnership Plan 2018 BMC HealthNet Plan & Southcoast Health Attleboro, Fall River, Falmouth, New Bedford, Plymouth, Taunton and Wareham Lynn Bowman COO, BMC HealthNet Plan 16 Berkshire Fallon Health Collaborative 10 Chestnut St., Worcester 01608 855-203-4660 • www.fchp.org/Berkshires 15,630 Partnership Plan 2018 Fallon Health & Health Collaborative of the Berkshires Adams and Pittsfield Richard P. Burke president & CEO, Fallon Health 17 Lahey Health ACO 11,000 (f) MCO- N/A Richard Nesto Source: Kaiser Family Foundation (fiscal 2017) New England Medicaid spending Total Medicaid spending Massachusetts $17,279,249,433 Connecticut $7,965,883,608 Maine $2,682,578,876 Rhode Island $2,637,463,899 New Hampshire $2,072,300,235 Vermont $1,600,887,027