Tufts Health Plan Medicare Preferred
In 2017, our HMO plans earned 5 out of a possible 5 Stars by the Center for Medicare and Medicaid Services. This rating combines the scores our plans received for the various medical and/or prescription drug services our plans offer.
Information for Healthcare Providers
To assist in determining copays, cost-share amounts, and other plan-specific information, we developed a Products Overview and Member ID Card Guide. Tufts Health Plan distributes its Provider Update* newsletter by email. In order to receive Provider Update, you must complete the online registration form. Click "Register Your Email" below to view the form.
HealthCare Administrative Solution
NOTE: In the Final Rule published in the Federal Register on April 15, 2010, CMS clarified that providers “who have met the fraud, waste, and abuse certification requirements through enrollment into the Medicare program or accreditation as a Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) are deemed to have met the training and educational requirements for fraud, waste, and abuse.”
New England Quality Care Alliance
Practice Quality Coordinators (PQCs) are assigned geographically to provide data, tools, and recommend best practices from around the network. PQCs support enhanced access to physician practices by increasing their office’s ability to reach out to patients to remind them of appointments, tests, and follow up scheduling.