Dear Network Provider:

2012 will clearly be a watershed year in the life of Commonwealth Care Alliance, as we unequivocally transition out of our "start up" phase. It will be a year when we will develop new strategic relationships, when we will bring on new clinical and administrative staff, and when we will dramatically upgrade our technology and analytic capabilities to support our clinical work.

Furthermore, 2012 brings changes and new additions to our executive leadership team:

Lois Simon has assumed the title of President of Commonwealth Care Alliance. As many of you know, this corporate officer title has been associated with my role as Chief Executive Officer since our inception. I will remain as Chief Executive Officer and Lois and I will continue to partner together as we always have to lead the organization's work.

Nancy Roach has been promoted to the role of Chief Operating Officer. In her eight years of work with our organization, she has had a broad array of responsibilities including the management of Member Services, Provider Network Management, Enrollment, Marketing, and Outreach functions as well as the early phase of the Health Education and Training Department. We are so pleased that Nancy will serve our organization in this executive leadership capacity.

Jan Levinson has assumed the new role of Senior Vice President for Senior Care Options Program. Building on Jan's extensive experience in clinical program development and design of primary care models both inside and outside of the organization, Jan will lead the integration of Commonwealth Care Alliance's clinical and administrative SCO activities.

Finally, our Chief Financial Officer, Bob Fallon, left our organization in January to assume new professional responsibilities. Bob's contributions to Commonwealth Care Alliance have been key to our success throughout his tenure and we wish him well.

With Bob's departure, we are pleased to announce that Gene Wallace is now serving as our new CFO. Gene has extensive healthcare financial leadership experience, serving as the CFO of Beth Israel Hospital for twenty five years and more recently as the CFO for Harvard Vanguard and Atrius and Signature Healthcare. Gene is well known and well respected as a finance leader in the Massachusetts healthcare industry. We welcome him to Commonwealth Care Alliance.

Sincerely,

 

Robert J. Master, MD

Chief Executive Officer

New Program for Dually Eligible Adults

The Massachusetts Executive Office of Health and Human Services (EOHHS) has announced that it will develop a program to integrate care for MassHealth/Medicare beneficiaries aged between 21 and 64. The program is expected to procure contractors (Integrated Care Organizations) in Spring 2012 and commence operation in January 2013.

Commonwealth Care Alliance views this new program as an opportunity to build a care system that serves different adult populations with unique health care needs, such as those who are:

• Medically complex
• Developmentally disabled
• Severely physically disabled
• Severely and persistently mentally ill

Commonwealth Care Alliance will apply to become an Integrated Care Organization (ICO) that serves these high-risk populations.

Although the program will not begin until 2013, Commonwealth Care Alliance is working now to plan and develop it by:

• Collaborating with primary care providers who are involved in the care of people who are dually eligible for MassHealth and Medicare and are aged between 21 and 64
• Designing multidisciplinary primary care/care coordination models of care to meet unique member needs.
• Working with human services organizations that are currently serving adults with disabilities -- physical, developmental, and mental illness -- in order to design a program that coordinates community and home-based supports and services with primary medical and behavioral health care
• Recruiting new providers including specialists, hospitals, primary care physicians, and other community supports to meet the geographic needs of dually eligible members

We look forward to discussing this new program with you.

InformedRx: New Pharmacy Benefits Manager 

Listening Rounds 

Save the Date: SCO Program Clinical Conference 

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