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Managed Care Organizations and Accountable Care Partnership Plans

(Separate provider contract and network)

This is part of the MassHealth Provider Handbook.

Table of Contents

Managed Care Organizations (MCOs)

MCOs are health plans run by health insurance companies that provide care through their own provider network that includes PCPs, specialists, behavioral health providers, and hospitals. Care coordinators are employed by the MCO.

Accountable Care Partnership Plans (ACPPs)

An Accountable Care Partnership is a provider-led health plan that holds participating providers financially accountable for both cost and quality of care for members. In this type of ACO, a network of PCPs works with just one MCO to create a full network that includes PCPs, specialists, behavioral health providers, and hospitals. PCPs plan and coordinate care to meet the needs of the member.

For more information about ACOs and the Payment & Care Delivery Innovation initiative, please visit the PCDI for Providers web page.

Date published: July 29, 2022

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