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SMCN established a 13-member Governing Board. Executive leaders serving as designees of providers bring financial, analytic, care management, contracting, policy, strategy, and operational expertise to Board discussions in addition toĭSRIP ACO Full Participation Plan (Attachment A) representing their designated providers’ perspectives. These physician leaders provide clinical integration and quality improvement expertise and will inform our provider and beneficiary engagement strategies for the Medicaid ACO. Providers on the SMCN Governing Board include physician leaders who deliver care to Medicaid patients within the ACO. Providers play a prominent leadership role throughout the governance structure. Governance Structure: The Steward Medicaid Care Network (SMCN) Governing Board meets all Medicaid requirements set forth in Section 2.1.A of the Primary Care ACO contract, and will ensure the ACO program achieves its goals. Elizabeth’s Medical Center in Brighton, Norwood Hospital in Norwood, Carney Hospital in Dorchester, Good Samaritan Medical Center in Brockton, Nashoba Valley Medical Center in Ayer, Morton Hospital in Taunton and New England Sinai Hospital in Stoughton. In addition, Steward’s nine Massachusetts hospitals across ten campuses will participate as Affiliated Hospitals: Saint Anne’s Hospital in Fall River, Holy Family Hospital in Methuen and Haverhill, St. Many practices have been engaged and supportive in early planning and development of our ACO program, helping to ensure we are positioned for success with respect to health outcomes, quality, and total cost of care management.Īs a Primary Care ACO, Steward Health Choice members will have access to any provider in MassHealth’s full network for specialty care and hospital services. Affiliates include nine community health center sites, Cape Cod Health Network, nearly one hundred providers in central Massachusetts, and a multitude of independent primary care provider affiliates across eastern Massachusetts, with several large pediatric practices in the Fall River, North Shore, Methuen, and Newburyport communities. In addition to these employed providers, our network features diverse affiliates with significant experience in delivering healthcare to Medicaid patients. Among the largest groups in Steward’s Massachusetts network is Steward Medical Group (SMG), our physician-led, multispecialty practice organization of employed physicians. Steward’s network in Massachusetts also includes specialists, who closely coordinate care for Steward Health Choice members with their PCPs. Steward’s network of employed and affiliated PCPs form the core of our nationally-recognized model of integrated health care delivery. ACO Composition: Steward’s Primary Care ACO, Steward Health Choice, includes primary care providers (PCPs) from across the Commonwealth, including the northern, southern, central, and Boston regions.
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