WellSense and BILHPN have partnered together to care for MassHealth ACO Medicaid patients.
PCP practices are paid a monthly capitation and tiering payment.
The majority of care management services are provided by WellSense staff.
These files have general information about the BILHPN-WellSense partnership.
The below files will help you understand the WellSense PCP capitation and tiering payments. We have also included a tiering binder that will help practices to document their compliance if they are audited by MassHealth.
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