Boston Medical Center is a founding partner of the Boston Medical Center Health System, which is focused on creating a coordinated, equitable, value-based continuum of care to deliver world-class care to both patients and health plan members. BMC Health System includes BMC and five other major entities serving patients and health plan members across New England.
WellSense Health Plan
WellSense Health Plan is a nonprofit health insurance company and the largest Medicaid Managed care plan in Massachusetts, serving more than 740,000 members across New England through Medicare, Medicare, individual, and family plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense works closely with providers at BMC and our partner healthcare organizations, with a goal of ensuring that patients with WellSense insurance coverage receive well-coordinated, seamless care.
All members receive comprehensive coverage for hospital, primary, specialty, and behavioral healthcare, among other benefits and services. In addition, members in some WellSense plans receive extras, such as free car safety seats and bicycle helmets for kids, manual breast pumps, dental kits, access to a 24/7 nurse advice line, and reimbursements for WW® (formerly Weight Watchers) and qualified gym memberships.
WellSense operates eight accountable care organizations ACOs statewide:
- Boston Accountable Care Organization (in partnership with BMC)
- WellSense Boston Children's ACO
- WellSense Beth Israel Lahey Health Performance Network ACO
- WellSense Care Alliance (in partnership with Tufts Medicine Integrated Network)
- East Boston Neighborhood Health WellSense Alliance
- WellSense Mercy Alliance
- WellSense Signature Alliance,
- WellSense Southcoast Alliance
Boston Medical Center is a founder of Boston HealthNet, a network affiliation of the medical center, Boston University Chobanian & Avedisian School of Medicine, and 12 community health centers. Established in 1995, Boston HealthNet is an integrated health care delivery system whose partners provide outreach, prevention, primary care and specialty care, and dental services at sites located throughout Boston and in nearby communities.
Physicians at HealthNet locations provide a wide range of comprehensive health care services to adults and children, with a focus on disease prevention and health education. When you receive primary care at HealthNet sites, you have access to both individualized and culturally-sensitive care in your neighborhood and highly trained specialists and cutting-edge technology at BMC.
Boston Accountable Care Organization (ACO)
Boston Accountable Care Organization (BACO) is an accountable care organization (ACO), managing over 200K patients across Medicaid, Medicare, and commercial partnerships. BACO is comprised of five hospitals, 12 community health centers, and over 1500 physicians across Massachusetts.
ACOs provide a structure for a group of doctors, hospitals, and other health care providers who come together to give coordinated, high-quality care to their patients. By helping your specialists, primary care providers, and insurance company to communicate more closely, ACOs deliver care that meets your individual needs and preferences.
Boston University Medical Group
Boston University Medical Group represents over 880 physicians, non-physician clinicians, educators, and researchers across 18 clinical departments at Boston Medical Center. Their members are providers at BMC and have faculty appointments at Boston University Chobanian & Avedisian School of Medicine focusing on clinical care, research, and teaching.
Clearway Health partners with hospitals and health systems to build or strengthen their own specialty pharmacy program, improve access to care, and provide personalized support to vulnerable patients, families, providers, and care managers to eliminate barriers and ensure medications are received on time.