Worcester Business Journal

Book of Lists 2019

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28 Worcester Business Journal | Book of Lists 2019 | wbjournal.com F O C U S H E A L T H C A R E MassHealth accountable care 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 MassHealth – the state's Medicaid program – turned to a new system of care last year with what are called account- able care organizations. Each ACO brings together a health- care provider and an insurer to better coordinate care and keep costs down. In Central Massachusetts, the new system has paired Reliant Medical Group and Fallon Health in a new organization called Fallon 365 Care. It also brought Fallon to new areas of the state through Health Collaborative of the Berkshires to cover the westernmost edge of the state and with Wellforce, which over- sees Lowell General Hospital and Tufts Medical Center in Boston. MassHealth has created a community partners program in which accountable care organi- zations work with agencies to handle more significant cases, such as behavioral health. In Central Massachusetts, a net- work called the Central Community Health Partnership has been assembled for behav- ioral health needs that consists of Open Sky Community Services, AdCare, LUK Inc., and Venture Community Services. The Central Community Health Partnership is paired with nine of the state's 17 ACOs. There's a long-term services and supports team to help those with physical or intellectual dis- abilities. That team includes Open Sky, LUK Inc., and Venture Community Services, along with two others, Elder Services of Worcester Area and the Center for Living & Working in Worcester. - Grant Welker ACOs creating partnerships Michael Nickey, vice president of state programs, Fallon Health

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