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In 2017, Tufts Health Plan signed contracts to form Medicaid (MassHealth) Accountable Care Organization (ACO) partnerships with four provider organizations: Atrius Health, Beth Israel Deaconess Care Organization, Cambridge Health Alliance, and Boston Children's Accountable Care Organization. Also in 2017, Tufts Health Plan entered the Rhode ...
The statute expanded MassHealth (Medicaid and SCHIP) coverage for children of low income parents and restores MassHealth benefits like dental care and eyeglasses. The legislation included a merger of the individual (non-group) insurance market into the small group market to allow individuals to get lower group insurance rates.
In 2015, Atrius Health's Pioneer ACO's quality scores were the highest among Pioneer ACO's in Massachusetts and the third-highest among Pioneer ACOs nationally. [ 10 ] Atrius Health has also earned Stage 7 recognition from HIMSS Analytics, the highest level possible nationally for the use of health information technology.
EOHHS is the largest secretariat in Massachusetts, and is responsible for the Medicaid program, child welfare, public health, disabilities, veterans’ affairs, and elder affairs. In total, EOHHS oversees 11 state agencies and the MassHealth Program. [1]
An accountable care organization (ACO) is a healthcare organization that ties provider reimbursements to quality metrics and reductions in the cost of care. ACOs in the United States are formed from a group of coordinated health-care practitioners. They use alternative payment models, normally, capitation. The organization is accountable to ...
Cambridge Health Alliance (CHA) is a healthcare provider in Cambridge, Somerville and Boston's metro-north communities in Massachusetts. CHA offers services including primary care, specialty care, and mental health/substance use services.
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The company has received praise for its innovative alternative quality contract (AQC) payment model. [10] [11] In 2007, then-CEO Cleve Killingsworth set a six-month deadline for the company to come up with a new payment plan to offer health care providers. [12]
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