Neighborhood Health Plan Structure and Relationships

Diagram showing how 10 different entities are related.

(Commercial Accounts), (Medicaid), (Other State Agency Customers), (Statewide Network of Hospitals, Specialists, Long-term Care Facilities, Home Health Agencies, DME Vendors, BH and Pharmacy Providers, etc…) are each only attached to (NHP- A MA DOI-licensed HMO).

(NHP – A MA DOI-licensed HMO) is also connected with (CMA, Inc- Clinical Corporation), (CHC’s Primary Network), (HVMA Primary Care Network), (Multi-specialty and Medical Group Practice Network – HPHC), and (Teaching Hospital Primary Care Network).

(CMA, Inc- Clinical Corporation) is also attached with a dotted line to (CHC’s Primary Network) and (Teaching Hospital Primary Care Network).

The text at the bottom of the slide reads:

• CMA, Inc,, NHP’s affiliated clinical corporate entity, differentiates NHP from all other HMO’s in Massachusetts by:
  • Providing clinical resources to change the nature of the primary care delivery system for medically complex populations
  • For which the benefit designs and management rules for these targeted populations are changed in the NHP system

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