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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).

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