What they reported doing
- #1 primary $158.17MESSENTIAL PLAN - THE ESSENTIAL PLAN COVERS ESSENTIAL HEALTH BENEFITS, INCLUDING INPATIENT AND OUTPATIENT CARE, PHYSICIAN SERVICES, DIAGNOSTIC SERVICES AND PRESCRIPTION DRUGS AMONG OTHERS, WITH NO ANNUAL DEDUCTIBLE AND LOW OUT-OF-POCKET COSTS. PREVENTIVE CARE, SUCH AS ROUTINE OFFICE VISITS AND RECOMMENDED SCREENINGS ARE FREE. THE ESSENTIAL PLAN IS ADMINISTERED UNDER AN AGREEMENT BETWEEN AFFINITY HEALTH PLAN AND NYSDOH AND EXTENDS THROUGH DECEMBER 31, 2020.
- #2 $119.13MHARP PROGRAM - HARP IS AN ADDENDUM TO THE MEDICAID CONTRACT STATED ABOVE AND IS SUBJECT TO THE SAME CONTRACT TERMS. HARP PLANS PROVIDE ENHANCED CARE MANAGEMENT FOR MEMBERS TO HELP THEM COORDINATE ALL THEIR PHYSICAL HEALTH, BEHAVIORAL HEALTH, SUBSTANCE USE DISORDER, AND NONMEDICAL SUPPORT NEEDS. HARP PARTICIPANTS MUST BE 21 OR OLDER, INSURED ONLY BY MEDICAID, AND BE ELIGIBLE FOR MEDICAID MANAGED CARE.
What they call their work
What they do
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Medicaid Health Home Care Coordination 1 activity
- Delivering care management services for Medicaid membersProvides enhanced care management through the HARP program for Medicaid members aged 21 or older, coordinating physical health, behavioral health, substance use disorder treatment, and nonmedical needs.
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General Operating Support Grants 1 activity
- Funding community-based programs through one-time grantsProvides one-time grants ranging from $25,000 to $1 million to eligible nonprofit 501(c)(3) organizations and those with nonprofit fiscal sponsors operating within a 10-county service area in New York State, focusing on direct service delivery in mental health, food insecurity, re-entry for formerly incarcerated individuals, and consumer health education and workforce advancement.
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Union and Association Benefit Funds 1 activity
- Providing comprehensive health coverage through The Essential PlanOffers health insurance coverage via The Essential Plan, including inpatient and outpatient care, physician services, diagnostics, and prescription drugs, with no annual deductible and free preventive care.
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Who runs it
| Name | Title | Hours/wk | Compensation |
|---|---|---|---|
| CLARA MERCEDES HANSEN | EXECUTIVE DIRECTOR | 40 | $456K |
| RACHEL AMALFITANO | CFO/CONSULTANT | 10 | $144K |
| JOHN SARDELIS | FORMER TRUSTEE | 0 | $25K |
| PALOMA IZQUIERDO-HERNANDEZ | CHAIR | 1 | $25K |
| JUDITH FAIRWEATHER | TRUSTEE | 1 | $24K |
| NANETTE FALKENBERG | TRUSTEE | 1 | $24K |
| LYNN SHERMAN | TREASURER | 1 | $23K |
| YVETTE WALKER MD | TRUSTEE | 1 | $22K |
| VERONA GREENLAND | TRUSTEE | 1 | $17K |
| LINDA MULLER | SECRETARY | 1 | $16K |
| BRIAN MCINDOE | TRUSTEE | 1 | $15K |
Who they work with
- Foundant Partner — Hosts the online grant management portal used for application submission and management.
- IDX A ZeroFox Company Partner — Provider of complimentary personal identity and privacy protection services offered to affected members following the data breach.
- NYSDOH Government — Administers The Essential Plan under an agreement with NYSDOH.
- New York Attorney General Charities Bureau Government — Required reviewer of grantee lists as part of the grantmaking oversight process.
- TMG Health Partner — Former third-party vendor that provided claims processing services to Affinity Health Plan prior to 2019.
- local organizations Partner — Collaborates with community-based organizations in the Bronx, Kings, Nassau, New York, Orange, Queens, Richmond, Rockland, Suffolk, and Westchester counties.
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.
- Collaborative Funding Partnerships for Long-Term Impactmethodology: collaborative grantmakingBy forming collaborative funding partnerships with community-based organizations, we achieve better long-term outcomes for underserved populations because shared goals and joint accountability strengthen program sustainability and community ownership.
- Integrated Care Model for High-Need Populationsmethodology: integrated care managementBy integrating physical health, behavioral health, and social support services under a coordinated care model, we improve health outcomes for high-need Medicaid beneficiaries because addressing medical and social needs concurrently reduces fragmentation and improves care adherence.
- Low-Barrier Access to Health Coveragemethodology: low-barrier health coverageBy eliminating annual deductibles and providing free preventive care, we increase access to essential health services and promote early intervention among low-income populations because financial barriers are a primary deterrent to care-seeking behavior.
- Targeted Grantmaking to Underserved Communitiesmethodology: targeted grantmakingBy directing grants to community-based organizations in historically underserved geographic areas, we improve local health and well-being because proximity and community trust enable more effective, culturally responsive interventions.