named programs · 4 · from sources
What they call their work
FIDA-IDD Plan
Managed care program for individuals with intellectual and developmental disabilities who are dually eligible for Medicare and Medicaid, providing integrated health and long-term support services
Life Plan
Person-centered planning process that coordinates care across healthcare providers, service providers, and care managers to support quality outcomes for individuals with IDD
Medication Management for IDD Population
Clinical pharmacy program offering Comprehensive Medication Therapy Reviews (CMTRs) to address medication-related risks specific to individuals with IDD
Trauma Informed Care
Training and support initiative for providers to recognize and respond to trauma in individuals with intellectual and developmental disabilities
activities · 11 groups
What they do
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Union and Association Benefit Funds 3 activities
- Covers influenza vaccinationsCovers the cost of influenza vaccinations for members regardless of location.
- Ensures continuity of care during disastersAllows members to receive care from out-of-network providers and fill prescriptions at network or out-of-network pharmacies during declared disasters, with cost coverage or reimbursement.
- Ensures hospital discharge coverageCovers hospital stays through discharge for members whose participation ends during hospitalization, even if new coverage has already begun.
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Eating Disorder Recovery Support 1 activity
- Conducts provider education webinars on clinical and care coordination topicsHosts webinars for providers on Medicaid eligibility, trauma-informed care, person-centered planning, medication management, winter wellness, and behavioral strategies for individuals with intellectual and developmental disabilities, often in collaboration with partners like Care Design NY.
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Healthcare Provider Directories and Clinical Support Services 1 activity
- Facilitates dental care access and schedulingConnects members with local dentists, assists in scheduling routine and new dental appointments, provides transportation support, and offers desensitization visits for members with dental anxiety.
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Palliative and End-of-Life Care Education 1 activity
- Offers educational webinars and resources for members and providersProduces and delivers educational webinars and materials on topics including Medicaid redeterminations, seasonal health, hypertension management, emotional wellness, online privacy, winter self-care, updated benefits, travel training, and voting rights, developed in collaboration with clinical leadership.
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Healthcare Compliance and Ethics Programs 1 activity
- Operates 24/7 multilingual compliance hotlineOperates a 24/7 toll-free compliance hotline with multilingual support and anonymous reporting options, managed by a third-party vendor, to report compliance issues.
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Telehealth and Urgent Care Access 1 activity
- Provides 24/7 telehealth accessOffers 24/7 telehealth services enabling members to consult with emergency room doctors as needed.
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Language Access Services 1 activity
- Provides language and communication access servicesProvides free interpreter services, translated written materials, qualified sign language interpreters, and alternative format materials (e.g., large print, audio, accessible electronic formats) for members with limited English proficiency or disabilities.
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Developmental Disability Service Coordination 1 activity
- Provides person-centered health care servicesOffers person-centered health care services designed to support individuals with intellectual and developmental disabilities in pursuing self-directed lives, including care coordination and clinical support.
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Comprehensive Eye Care Access 1 activity
- Provides preventive eye health education and supportOffers education on preventive measures for sight-threatening eye diseases and supports members in scheduling eye exams through Care Teams.
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Medicare Counseling and Assistance 1 activity
- Supports care transitions for Medicare plan changesProvides care managers to assist members in reviewing Medicare health and prescription drug plan options and transitioning to new coverage.
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Uncategorized 1 activity
- Supports providers with billing, claims, and clinical inquiriesOffers a dedicated provider support team and provider portal to assist with billing, claims, eligibility verification, authorizations, benefit information, and general inquiries.
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financials · form 990 · fy2024
revenue
Total revenue$305.30M
Contributions & grants$00%
Program service revenue$305.30M100%
Investment income$3K0%
Other revenue$0
expenses
Total expenses$359.73M
Program expenses93%
Admin / overhead7%
Fundraising0%
Salaries & benefits$12.63M
Grants paid out$0
Largest expense lineCompensation
balance sheet
Total assets$77.30M
Cash$12.87M
Investments$9.80M
Liabilities$187.93M
Net assets$-110.63M
Liquid reserves0.8 mo
3 years on record · 2020–2024 · YoY revenue -9.3%
leadership · form 990 part vii · fy2024
Who runs it
paid leadership · 7
| Name | Title | Hours/wk | Compensation |
|---|---|---|---|
| KERRY ANN DELANEY-MASAWI | CHIEF EXECUTIVE OFFICER | 45 | $601K |
| CHRISTOPHER MASI | CHIEF FINANCIAL OFFICER | 45 | $349K |
| KARLEEN HAINES | CHIEF OF COMMUNITY RELATIONS & OUTREACH | 45 | $257K |
| TRACY CORRARO | VP OF ANALYTICS | 45 | $245K |
| DIANE MARRONE | CHIEF OF CARE COORDINATION | 45 | $220K |
| NATALIA MCGARRY | ASSISTANT VP OF HEALTH CARE MANAGEMENT | 45 | $220K |
| PREMILA KUMAR | VP OF QUALITY PROGRAMS & INITIATIVES | 45 | $218K |
board members · 9
- ALDEN KAPLAN — DIRECTOR AND TREASURER (EFF. 03/13/2024)
- ARTHUR WEBB — DIRECTOR
- DR TIMOTHY SULLIVAN — DIRECTOR
- HOWARD GOLD — DIRECTOR
- HOWARD JURIST — DIRECTOR AND SECRETARY
- KEVIN CONROY — DIRECTOR
- MARTIN BOORSTEIN — DIRECTOR EMERITUS (EFF. 03/13/2024)
- MICHAEL MASCARI — CHAIRMAN OF THE BOARD
- STEVEN LOGAN — DIRECTOR
relationships · 28
Who they work with
- AHRC Nassau Partner — Features presenter from AHRC Nassau in a wellness education session focused on winter self-care.
- American Academy of Ophthalmology Partner — References American Academy of Ophthalmology as a source for eye health information.
- American Dental Association Partner — Provides oral health information resources linked and referenced by Partners Health Plan.
- Brown & Weinraub Partner — Engages policy expert from Brown & Weinraub to present on Medicaid policy changes and federal budget impacts.
- CDC Government — References CDC as a source for influenza information.
- Care Design NY Partner — Collaborates with Care Design NY on provider webinars and care management initiatives for individuals with intellectual and developmental disabilities.
- Center for Disease Control and Prevention Government — References CDC resources for vision health information.
- Compliance Resource Center Partner — Third-party vendor that staffs the compliance hotline and manages online reporting for Partners Health Plan.
- Health Insurance Information, Counseling and Assistance Program (HIICAP) Partner — Provides counseling and assistance to members making decisions about Medicare coverage after leaving the FIDA-IDD Plan.
- HealthSmart Partner — Collaborates with HealthSmart to operate a provider portal for claims, eligibility, and benefit information.
- Independent Consumer Advocacy Network (ICAN) Partner — Ombudsman program established by the State of New York to provide free, confidential assistance to PHP Care Complete FIDA-IDD Plan participants.
- Independent Consumer Advocacy Network (ICAN) Partner — Provides free information and assistance to members with issues related to their FIDA-IDD Plan.
- Independent Consumer Advocacy Network (ICAN) Partner — Provides ombudsman services for PHP FIDA-IDD plan participants.
- Livanta Government — Serves as New York's Quality Improvement Organization, handling quality-related concerns for PHP members.
- Medicare Government — Processes disenrollment requests and facilitates enrollment in alternative Medicare plans.
- Medicare Government — Provides Medicare-related support and information to PHP members.
- NY Health Insurance Information, Counseling, and Assistance Program (HIICAP) Government — Provides health insurance counseling and assistance to PHP members.
- NY Sheriff’s Association Partner — Uses programs and toolkits approved by the NY Sheriff’s Association to support interactions between individuals with I/DD and law enforcement.
- National Autism Association Partner — Uses programs and toolkits approved by the National Autism Association to support community safety for individuals with autism.
- National Institute of Dental and Craniofacial Research Partner — Source of oral health resources, including ID/DD-specific information, referenced and linked by Partners Health Plan.
- National Institutes of Health Partner — Utilizes the NIH Emotional Wellness Toolkit in self-care education programming for members.
- New York Medicaid Choice Government — Handles disenrollment requests and provides information on alternative Medicaid and Medicare coverage options.
- New York Medicaid Choice Government — Supports PHP members with Medicaid enrollment and plan choice information.
- New York State Department of Health Government — State agency that contracts with Partners Health Plan to provide Medicaid benefits through the FIDA-IDD Demonstration.
- OPWDD Government — Coordinates with OPWDD to ensure continuity of services and supports for members through New York State Medicaid.
- Social Security Government — Provides Social Security-related services relevant to PHP members.
- U.S. Department of Health and Human Services Government — Federal agency with which Partners Health Plan complies regarding civil rights laws and to which grievances can be reported.
- YAI Partner — Collaborates on delivering travel training education for individuals with intellectual and developmental disabilities.
strategies · 3
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.
- Desensitization to Reduce Healthcare Anxietymethodology: desensitization_for_healthcare_anxietyBy conducting desensitization visits to familiarize members with dental environments and procedures, the organization reduces treatment avoidance and improves oral health outcomes, because gradual exposure mitigates anxiety related to healthcare settings among vulnerable populations.
- Integrated Care Coordination for Dual Eligibles with I/DDmethodology: integrated_care_for_dual_eligiblesBy contracting under the FIDA-IDD Demonstration program to deliver integrated medical, behavioral, and long-term services, the organization improves continuity and outcomes for dual-eligible individuals with I/DD, because coordinated care across providers and systems prevents fragmentation and ensures holistic support.
- Person-Centered Care for Individuals with I/DDmethodology: person_centered_careBy using person-centered and trauma-informed approaches, the organization improves health outcomes and quality of life for individuals with intellectual and developmental disabilities, because tailoring care to individual needs and histories increases engagement, reduces agitation, and supports self-direction in service delivery.