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Fallon Total Care, the joint venture between Worcester-based Fallon Community Health Plan (FCHP) and Avon, Conn., organization Magellan Health Services, has been selected to participate in a three-year program to provide integrated services to members of both Medicare and Medicaid.
Massachusetts is one of the first states launching the program, which is offered by the Centers for Medicare & Medicaid's Federal Coordinated Health Care Office. The program will allow Fallon Total Care to serve residents in 10 counties across the state, including Worcester, Middlesex and Norfolk.
The goal of the program is to provide enrollees with comprehensive, integrated services that address all of their needs. According to Fallon Total Care, dual-eligible adults younger than 65 typically have complex care needs and the new venture integrates Magellan's expertise in behavioral health and FCHP's physical and clinical experience to create a new model of care for that population.
"Fallon Community Health Plan is very pleased to partner with Magellan to create Fallon Total Care, and to work together to support the unique health care needs of this important and vulnerable population," said Richard Burke, FCHP's president of senior care services and government programs and chairman of Fallon Total Care's board of managers. "… This opportunity further supports our mission and our unwavering commitment to increasing and improving access to quality-based, affordable health care."
Scott Markovich, Magellan's senior vice president for Medicaid strategy, said his company is looking forward to bringing its experience to Massachusetts.
"As one of the largest providers of behavioral health services for Medicaid members nationally, we've been at the forefront of serving this population, many of whom are dual eligible," he said. "We understand the importance of moving beyond the traditional care management system to integrate both medical and behavioral health care."
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