Mass General Brigham Health Plan (NHP)

Health care delivery: Mass General Brigham Health Plan promotes the General welfare of the people in the community by facilitating the delivery of comprehensive Health services on a prepaid basis to members at 2,136 primary care locations. Fully insured members include approximately 124,000 individuals covered by medicaid, small and large employer groups and low-income, high-risk individuals. During 2022, members incurred approximately 1.9 million ambulatory encounters and incurred approximately 45,000 hospital patient days. Mass General Brigham Health Plan offers members access to 8,292 primary cary physicians and over 50,000 specialty care providers. Since 2008 Mass General Brigham Health Plan has been accredited by the national committee for quality assurance (ncqa). Ncqa accreditation survey process includes on and off site evaluations of over 60 standards and performance measures conducted by a team of physicians and managed care experts. Every part of Mass General Brigham Health Plan healthcare delivery system was evaluated including physicians, hospitals, affiliated providers, and administrative services. Mass General Brigham Health Plan voluntarily pursued ncqa accreditation and will continue to strive for this recognition because we know our members deserve the highest quality care. In the latest Health Plan survey ratings, we achieved a 4.5 out of 5.0-star rating for both our commercial and medicaid plans, which is considered excellent.