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2012 Top-Rated Nonprofit

Network Health

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Nonprofit Overview

Causes: Group Health Practices, Health

Mission: Since 1997, we have been committed to our mission of improving the health and well-being of our members and their diverse communities. Today, as a Tufts Health Plan affiliate, we provide access to high-quality, comprehensive health care coverage to more than 215,000 residents who qualify for MassHealth, Commonwealth Care, and the Medical Security Program in more than 300 cities and towns across Massachusetts. Our mission: Our health plan improves the health and well-being of our members and their diverse communities. Our vision: Network Health is the plan of choice for MassHealth and Commonwealth Care members and providers. We are nationally recognized for our innovative programs and partnerships. Our core values: Our members come first. Their health care needs guide all our decision-making. Our partners are key to our success. We partner with members, health care professionals, and community groups to advance excellence in care and service. Our employees are our greatest asset. We respect the worth of each employee. Our work environment promotes creativity, teamwork, professional growth, and a bias to action. Our integrity is absolute. We are good stewards of our resources while being socially responsive to the needs of the diverse communities we serve. Our services are driven by quality. We strive for continuous improvement and innovation in all that we do.

Results: We offer an integrated care model, providing a team of in-house medical, behavioral health, social care, and pharmacy professionals to coordinate member care, and partner with more than 20,000 primary care providers, specialists, hospitals, and community organizations across Massachusetts. We earned National Committee for Quality Assurance (NCQA) “Excellent” Health Plan Accreditation, NCQA’s highest accreditation rating, for our Network Health Together plan. Since 2010, we have been ranked a top-10 Medicaid health plan nationally, according to NCQA's Medicaid Health Insurance Plan Rankings. Additionally, we are nationally recognized for our innovative programs, garnering a Case In Point Platinum Award for Best Overall Case/Care Management Program from Dorland Health, and for having the Top Leadership Team among health plans nationally from HealthLeaders Media.

Programs: Operating as a nonprofit, we are one of six organizations contracted by the Commonwealth of Massachusetts to serve a portion of our state’s Medicaid and Medical Security Program population. We offer three health plans: Network Health Together® (our MassHealth plan), Network Health Forward® (our Commonwealth Care plan), and Network Health Extend™ (our Medical Security plan).

Community Stories

5 Stories from Volunteers, Donors & Supporters

Professional with expertise in this field

Rating: 4

NWH customer services is very professional and they help the patients and providers above and beyond their duties

Professional with expertise in this field

Rating: 5

I have worked closely with Network Health over the past year and have witnessed firsthand how deeply this organization cares about its members and health care issues in general. This is a group of people dedicated to ensuring everyone in Massachusetts not only has affordable health care coverage, but access to care as well. They are passionate and smart and have made a tremendous impact in our state.

Professional with expertise in this field

Rating: 5

I have been working in collaboration with Patricia Ortiz, Adelin Nunez and
Thalia A. Cordon. I will say they have been extremely helpful and far exceeded my expectation. they are very supportive of the community and collaborate as much as possible. Network Health Thank you for being a great partner.

Professional with expertise in this field

Rating: 5

On behalf of SSTAR we are greatly appreciative of all the hard work and effort Network Health has offered us in asisting our patients and providing them with helpful information that has made it easier for them to understand their health coverage as well as locating providers for every need.


Professional with expertise in this field

Rating: 5

I am a clinical social worker at a community mental health center. Many of my clients have multiple physical problems along with mental health issues. They often receive scattered and haphazard health care from numerous providers. Recently, one of my clients told me about his experience with his insurance provider, Network Health. He said he receives regular telephone support from a nurse who phones him and discusses how he is feeling, makes suggestions about ways he can help himself feel better, reminds him about appointments, checks on any issues he has with his medications and coordinates the care he receives. He told me that he now feels more secure because someone is not only coordinating his care but is "checking in" with him and is concerned about how he is doing. This kind of follow up and coordination of care is good for everyone, but it is essential for those who are challenged by having both physical and mental health problems.