|
FACT SHEET MISSION
Neighborhood Health Plan of Rhode Island, an innovative health plan in partnership with Community Health Centers, is a catalyst for improved access and better health in Rhode Island, especially for vulnerable populations. YEAR FOUNDED
1993 HISTORY
Neighborhood Health Plan of Rhode Island was founded in 1993 by 13-community health centers in response to the initiation of RIte Care, the Rhode Island Medicaid managed care program. Neighborhood Health Plan of Rhode Island is a 501c3 organization with a 15-member board. MODEL / PRODUCTS OFFERED
Network model. Serve three Medicaid populations: 1) Low and moderate income families; 2) Children with special health care needs; 3) All children in the RI foster care system; 4) Dually eligible adults (Medicaid/Medicare); and 5) Medicaid-only adults. ENROLLMENT
73,500. 24% of our members speak Spanish as their primary language. Neighborhood insures: - 36% of all children in Providence
- 35% of all children in “Core” cities
- 19% of all children in Rhode Island
PROVIDER NETWORK
- Nearly 700 Primary Care Practitioners – 42% of Neighborhood’s members receive their primary care on one of the 21 Community Health Centers in the State
More than 1700 Specialists All hospitals in the stateMARKETS SERVED
Rhode Island STAFF
214 BOARD OF DIRECTORS - CHAIRMAN
Raymond Lavoie - Executive Director, Blackstone Valley Community Healthcare, Inc. SENIOR LEADERSHIP
Chief Executive Officer - Mark E. Reynolds
Chief Financial Officer - T. Clark Phillip, Jr.
Chief Operating Officer - Nancy Coburn
Chief Medical Officer - L. McTyeire Johnston, M.D. FINANCIALS
A 501c3, Neighborhood Health Plan of Rhode Island reported income on a statutory basis of $10.7 million on revenues of $187.6 million in 2007. ACCREDITATION
In 2001, Neighborhood became the first community health center based health plan in the country to be rated “Excellent” by the National Committee for Quality Assurance (NCQA). It has retained this “Excellent” designation since that time. AWARDS and HONORS - Hablamos Juntos grant (One of two health plans selected by The Robert Wood Johnson Foundation to address racial and ethnic health disparities through medical interpreter reimbursements, standards and training)
- Center for Health Care Strategies grants (Funding to assess how to incorporate adults with developmental disabilities into Medicaid managed care, to improve access to preventive care services for adolescents, and to help reduce health disparities among pregnant Hispanic women)
- Centers for Disease Control grant (Beating Asthma - community based asthma education program)
- Founding member of the Association of Community Affiliated Plans – group of independent, non profit community based plans dedicated to improving the viability of Medicaid Managed Care (1999)
- Business Partner of the Year – Rhode Island Parent Information Network (2004)
- Partner of the Year - Providence Center (2004)
- Community Partner Award Winner - Adoption RI (2004)
- Named “One of the top ten Medicaid health plans in America” by NCQA (2004)
- Meritorious Award Winner – Rhode Island Public Health Association (2005)
- Community Award - Hispanic United Development Organization (2005)
- Named #3 Medicaid health plan in America by US News & World Report / NCQA (2005)
- Award of Excellence – Rhode Island Foster Parent Association (2006)
- Innovation of the Year Award Winner: Video Conference Medical Interpreting – Providence Business News (2006)
- Named #1 Medicaid health plan in America according to a joint ranking by US News & World Report and the National Committee for Quality Assurance (2006)
- Business Partner of the Year, Rhode Island Latino Political Action Committee (2007)
- Named #2 Medicaid health plan in America by US News & World Report / NCQA (2007)
|
