What they reported doing
- #1 primary $22.66MSOMOS COMMUNITY CARE TO PROVIDE COVID-19 VACCINES DIRECTLY TO ACCREDITED PRIMARY CARE PHYSICIANS IN SOMOS' HEALTH NETWORK WHO WILL VACCINATE UNDERSERVED NEW YORKERS. THE PROGRAM WILL INITIALLY COVER 75 PRACTICES IN THE BRONX, BROOKLYN, MANHATTAN AND QUEENS, AND WILL SCALE UP TO 100 PRACTICES AS SUPPLY ALLOWS. THE PROGRAM WILL LAUNCH IN THE COMING WEEKS AND NEW YORKERS WILL BE ABLE TO MAKE APPOINTMENTS DIRECTLY THROUGH SOMOS.SOMOS SPONSORED A POP-UP VACCINATION SITE AT THE NEW SETTLEMENT COMMUNITY CENTER IN THE BRONX, WHICH HOSTED TODAY'S ANNOUNCEMENT. THAT SITE WILL OPERATE THIS UPCOMING WEEKEND TO VACCINATE NEW YORKERS IN THE SURROUNDING COMMUNITY.
What they call their work
What they do
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Healthcare Delivery Networks and Coalitions 2 activities
- Establishing community care collaboration infrastructureEstablished the SOMOS Community Care Collaboration Hub as part of the New York 1115 Waiver Social Care Network to integrate clinical and social services for underserved populations.
- Reducing avoidable hospitalizations through preventive care and care coordinationReduces emergency room visits and hospital admissions by over 35% through coordinated, community-based interventions and proactive identification of care gaps across a network of providers.
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Medical Professional Education & Training 1 activity
- Building provider capacity through training and health information systemsOffers Continuing Medical Education, Cultural Competency, and Health Literacy training for providers and supports over 1,000 network practices in care management using RHIO and EMR systems.
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Mental Health Education and Awareness 1 activity
- Conducting behavioral health screenings and promoting mental well-beingConducts daily PHQ-9 and GAD-7 mental health screenings across 900 practices and offers mental health education, support groups, and psychosocial services to promote community well-being.
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Community Health Equity Initiatives 1 activity
- Conducting community health research and needs assessmentsDesigns and implements participatory research and multi-year communication campaigns informed by community needs, including the 'Invisible: State of Latino Health' and 'MisUnderstood: State of Chinese Health' studies.
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Medicaid Health Home Care Coordination 1 activity
- Delivering Health-Related Social Needs (HRSN) servicesProvides screening and personalized support to Medicaid members for access to healthy food, housing assistance, transportation to medical appointments, and other social services to address social determinants of health.
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Diabetes Self-Management & Prevention Programs 1 activity
- Implementing community-based chronic disease management programsOperates preventive care initiatives for diabetes, heart disease, asthma, and hypertension, including DASH diet support and tobacco cessation, supported by Community Health Workers to improve treatment adherence.
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Comprehensive Primary and Specialty Care Networks 1 activity
- Operating a physician-led network for Medicaid and Medicare beneficiariesFounded and manages a network of over 2,500 healthcare providers delivering primary and specialty care to more than 1 million Medicaid and Medicare beneficiaries, primarily in underserved immigrant communities across New York City and Nassau County.
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Direct Clinical Care Services 1 activity
- Providing culturally competent, language-concordant healthcare servicesDelivers comprehensive, compassionate, and culturally respectful care tailored to diverse populations through a multilingual provider network and culturally aligned outreach, including telehealth services and provider search tools.
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Community-Based Pandemic Testing and Vaccination 1 activity
- Providing emergency public health response during crisesOperated over 125 trilingual COVID-19 testing sites, deployed pop-up vaccination clinics, distributed over 200,000 masks during air quality crises, and provided PPE and health protocols in multiple languages during the pandemic.
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Health Insurance Enrollment Assistance 1 activity
- Supporting Medicaid enrollment and insurance accessAssists individuals in applying for Medicaid and other health insurance programs through trained navigators and Certified Application Counselors embedded in medical practices.
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Refugee and Immigrant Resettlement Services 1 activity
- Supporting immigrant and asylum seeker healthProvides immunizations, preventive care, and culturally responsive health services to asylum seekers and children in New York City, including multilingual outreach and education.
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Uncategorized 1 activity
- Operating value-based care models for Medicaid populationsManages Level-3 full-risk value-based payment contracts covering approximately 30,000 Medicaid members, aligning provider incentives with patient outcomes and cost efficiency.
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Who runs it
| Name | Title | Hours/wk | Compensation |
|---|---|---|---|
| MARIO PAREDES | CEO | 40 | $434K |
| MICHELLE YOLANDA MORAZAN | VP POLICY & STRAT DEVLOP. | 40 | $369K |
| LIDIA VIRGIL | COO | 40 | $357K |
| GLORIA WONG | VP OF OPERATIONS & EVP | 40 | $345K |
| ELIZABETH DIXON-WEBB | VP OF HUMAN RESOURCES | 40 | $278K |
| STEPHANIE DULUC | CHIEF OF STAFF | 40 | $276K |
| JOHN DIONISIO | CHIEF INFORMATION OFFICER | 40 | $231K |
| ANEL PLA | VP COMMUNICATIONS | 40 | $209K |
| CARLOS DOMINGO NUNEZ | MED. DIR. OF BUS. DEVELOP. | 40 | $189K |
| DEAN CARILLI | CHIEF COMPLIANCE OFFICER | 40 | $166K |
| YOMARIS PENA MD | CHIEF MEDICAL OFFICER | 40 | $159K |
| RAYMOND LEE | VP OF FINANCE | 40 | $60K |
- DAVID ZHANG MD — DIRECTOR
- FRANCISCO ROSARIO MD — DIRECTOR
- HENRY CHEN MD — PRESIDENT - DIRECTOR
- MING ZHU MD — DIRECTOR
- OSCAR FUKILMAN MD — SECRETARY - DIRECTOR
- RAMON TALLAJ MD — CHAIRMAN - DIRECTOR
- STEPHEN ROSENTHAL — DIRECTOR
- VICTOR PERALTA MD — DIRECTOR
Who they work with
- Catholic Charities Partner — Partner organization represented on the Social Care Network governance board
- Comunilife Partner — Partner organization represented on the Social Care Network governance board
- Delivery System Reform Incentive Payment (DSRIP) Program Government — Government program that funded SOMOS initiatives to reduce avoidable hospital use and advance value-based care.
- Dominican Medical Dental Community Outreach Society, Inc. Partner — Partner organization represented on the Social Care Network governance board
- Giving to the Children, Inc. Partner — Partner organization represented on the Social Care Network governance board
- Medicaid Government — Participates in the Medicaid redesign roadmap to deliver community-based, value-based care in New York.
- Medicaid Government — Primary payer and care affiliate for the population served by SOMOS network providers.
- New Settlement Community Center Partner — Collaborated to operate a pop-up vaccination site in the Bronx.
- New York 1115 Waiver Social Care Network Government — Established the SOMOS Community Care Collaboration Hub through the SCN ecosystem under the 1115 Waiver.
- New York City Government Government — Appointed Dr. Tallaj as Co-Chair of the NYC COVID-19 Recovery Roundtable and Health Equity Task Force to advise on post-pandemic recovery and healthcare equity.
- New York State Government — Partnered with New York State in the DSRIP and VBP programs and contributed to the design of the 1115 Waiver Amendment.
- New York State Government Government — Participated in a federal-state-local roundtable with Governor Kathy Hochul on mental health access.
- Nino De La Caridad Foundation Partner — Partner organization represented on the Social Care Network governance board
- Not specified Partner — Partners with high-quality service providers in local neighborhoods to offer culturally respectful and language-concordant care.
- Providing for Children Foundation Partner — Partner organization represented on the Social Care Network governance board
- RAIN Partner — Partner organization represented on the Social Care Network governance board
- RHIO Partner — Collaborates with RHIO to enable secure exchange of patient medical information among network providers.
- Regional Health Information Organization Partner — Collaborates on health information exchange to support provider connectivity and care coordination.
- SOMOS Innovation Partner — Partner organization represented on the Social Care Network governance board
- Tremont Helps Inc. Partner — Partner organization represented on the Social Care Network governance board
- U.S. Department of Health & Human Services Partner — Collaborated with Secretary Xavier Becerra to promote booster vaccinations and health equity in lower-income communities.
- U.S. Department of Health and Human Services Government — Engaged in a roundtable discussion with SOMOS leadership on mental health access in underserved communities.
- Walks of Light, WOL Corp. Partner — Partner organization represented on the Social Care Network governance board
- Washington Heights Pediatrics 2000 Partner — Hosted a national roundtable on mental health access with federal and state officials.
- community organizations Partner — Collaborates with community organizations to design and deliver responsive, culturally appropriate health programs.
How they approach the work
Named approaches extracted from this org’s sources. Where others share an approach, follow it to see the full set of orgs running it.
- Community-Partnered Co-Designmethodology: community-partnered_careBy collaborating with community-based organizations and public-private partners to co-design programs, the organization ensures cultural appropriateness and local relevance because community-led design increases program adoption and sustainability.
- Culturally Concordant Care Modelmethodology: culturally_concordant_careBy delivering linguistically and culturally respectful care, the organization improves patient trust, engagement, and health outcomes in immigrant and underserved communities because cultural alignment reduces barriers to access and strengthens therapeutic relationships.
- Data-Driven Intervention Designmethodology: data-driven_intervention_designBy using data analytics to identify priority health needs, the organization designs targeted, evidence-based interventions because precise need identification enables efficient resource allocation and higher impact programming.
- Integrated Social and Medical Care Modelmethodology: social_determinants_of_health_integrationBy integrating social determinants of health (SDOH) screening, navigation, and community-based social services into clinical care delivery, the organization improves long-term health outcomes because addressing root social causes enhances medical effectiveness and patient adherence.
- Value-Based Care with Equity Accountabilitymethodology: value-based_careBy implementing value-based and pay-for-performance payment models that tie reimbursement to quality, equity, and cost outcomes, the organization improves preventive care and chronic disease management because financial incentives align provider behavior with population health goals.