Accountable Care Organization

Programs and Services

To inquire about any of the services listed below, please email us

Network Development and Management

  • Monthly office manager forums with featured Payer presentations
  • Escalated provider/payer issues assistance
  • Onboarding new practices
  • Distribution of shared saving successes
  • Participant contracting to be ACO members
  • Implementation and performance oversight of contracts

Contract Operations

  • Payer/ACO participant collaboration
  • Performance Assessment and Communication – quality, utilization and clinical documentation
  • Complex Care Management and Care Transition Interventions
  • Connection to tools, resources and best practices

Data Operations and Analysis

  • Monitor for drivers in value based care
  • Quality, Cost and Utilization Reporting and Analytics
  • Custom Clinical and Claims-Based Analytics
  • Care Management Program Reporting

Behavioral HealthCare Program

  • Maintain information on areas of expertise to facilitate provider selection
  • Assistance of resolution with payer issues
  • Resource connection for effective referral and case management

Value-based Insights and Initiatives (VBII)

  • Research and develop initiatives to exceed contract performance goals
  • Monitor policy developments and provide updates to ACO colleagues
  • Research and recommend evidence-based solutions to health system challenges

Additional information about the Behavioral HealthCare Program may be found at www.bhcp.org

ACO Careers

Join us! The MaineHealth Accountable Care Organization is hiring. Click to view and apply for open positions.