Accountable Care Organization

Programs & Services | MaineHealth Accountable Care Organization

To inquire about any of the services listed below, please email us

Behavioral HealthCare Program

  • Maintain information on areas of expertise to facilitate provider selection
  • Assistance of resolution with payer issues
  • Resource connection for effective referral and case management

Additional information about the Behavioral HealthCare Program may be found at www.bhcp.org

Care Management

  • Support for patients with chronic conditions in primary care (St. Mary’s, private practices, MBH Behavioral Health Home)
  • Centralized Transitions of Care for ED and inpatient discharges
  • Alignment with care management and care coordination programs across the MH system

Data Operations and Analysis

  • Monitor for drivers in value-based care
  • Quality, cost and utilization reporting and analytics
  • Custom clinical and claims-based analytics
  • Care Management Program reporting

Network Development and Management

  • Monthly office manager forums with featured payer presentations
  • Escalated provider/payer issues assistance
  • Onboarding new practices
  • Distribution of shared saving successes
  • Participant contracting to be ACO members
  • Implementation and performance oversight of contracts

Partner Success

  • Client success managers
  • Deliver data insights and business intelligence to network participants to drive results
  • Partner with network stakeholders to inform strategic plans and actions tied to value-based care
  • Provide value-based care education

Value Operations

  • Payer and ACO collaboration
  • Value-based contract performance assessment and monitoring
  • Connection to payer tools, resources and best practices
  • Deliver actionable contract performance insights to ACO teams (quality, clinical documentation, and cost/utilization)

ACO Careers

Join us! The MaineHealth Accountable Care Organization is hiring. Click to view and apply for open positions.