FOR IMMEDIATE RELEASE
May 16, 2011
Network Health Appoints Vice President of Network Management
(Medford, Mass.) — Network Health, a Massachusetts health plan that provides high-quality health care coverage to more than 170,000 Massachusetts residents with low and moderate incomes, announced today that it has appointed Woburn resident Paul Burke as vice president of network management. Burke most recently served as Network Health senior director of network management, and previously served as the health plan’s director of contracting.
Burke oversees Network Health’s network management, including developing and managing Network Health’s provider network, which includes hospitals, ancillary service providers, physicians, and behavioral health providers. Burke also provides leadership and operational oversight for the health plan’s network growth strategy; oversees credentialing and provider enrollment strategies; and directs ongoing provider support and provider education programs for facilities, physicians, and administrative staff.
“Paul’s contracting and network management expertise played a critical role in Network Health’s nearly statewide expansion,” said Christina Severin, Network Health president. “Paul’s leadership will be invaluable, as Network Health expands its provider engagement and transformational contracting initiatives to support accountable care organization development in an evolving health care landscape.”
Burke has more than 15 years of experience in health care contracting and network management. Prior to Network Health, Burke served as director of network management and contracting at Boston Medical Center HealthNet Plan. He has also held leadership positions in health care contracting and provider relations at Cape Cod Healthcare, Harvard Pilgrim Health Care, Delta Dental of Minnesota, UCare health plan, and Cigna HealthCare.
Burke earned a Bachelor of Arts in Human Development and Philosophy from Boston College. He currently serves as president of the HealthCare Administrative Solutions board of directors.
About Network Health
Since 1997, Network Health has provided Massachusetts residents with low and moderate incomes access to high-quality health care. Based in Medford, Mass., Network Health is a comprehensive health plan serving members through its Network Health Together® (MassHealth) and Network Health Forward ® (Commonwealth Care) plans.
Network Health provides Network Health Together members all the benefits of MassHealth, plus free EXTRAS. Network Health’s Commonwealth Care plan extends access to affordable health care for qualified Massachusetts residents 19 years old or older who earn at or below 300% of the federal poverty level, or up to $32,496 a year for an individual (up to $66,156 a year for a family of four). In addition to core health care benefits, Network Health offers Network Health Forward members free EXTRAS designed to encourage wellness.
To improve the health and well-being of its members and their diverse communities, Network Health offers fully integrated, in-house care management, providing a team of medical, behavioral health, social care, and pharmacy professionals who coordinate member care, and partners with 20,000 primary care providers, specialists, hospitals, and community organizations.
Network Health earned National Committee for Quality Assurance’s (NCQA) “Excellent” Health Plan Accreditation, NCQA’s highest accreditation rating, for its Network Health Together plan. Network Health is also ranked fifth among all Medicaid health plans nationally, according to NCQA’s Health Insurance Plan Rankings 2010 – 2011 – Medicaid. Additionally, Network Health is nationally recognized for its innovative programs and received a Case In Point Platinum Award for “Best Overall Case/Care Management Program” from Dorland Health. Network Health also has the Top Leadership Team among health plans nationally, according to HealthLeaders Media.
Individuals must be eligible for MassHealth to join Network Health Together, a MassHealth plan. To learn about MassHealth eligibility, Massachusetts residents can call the MassHealth Enrollment Center at 888-665-9993 (TTY: 888-665-9997), Monday through Friday, from 8:45 a.m. to 5 p.m. Once enrolled, MassHealth members can learn about their MassHealth health plan options by calling MassHealth customer service at 800-841-2900 (TTY: 800-497-4648), Monday through Friday, from 8 a.m. to 5 p.m.
To learn about Commonwealth Care health plan options, Massachusetts residents can call Commonwealth Care customer service at 877-MA-ENROLL or 877-623-6765 (TTY: 877-623-7773), Monday through Friday, from 8 a.m. to 5 p.m., or they can visit www.mahealthconnector.org.
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