Network Health Appoints Director of Integrated Care Management

MEDFORD, Mass. — Network Health, a nonprofit health plan that provides access to high-quality, comprehensive health care coverage for more than 215,000 Massachusetts residents, announced today that it has appointed Pamela Cardaci to director of integrated care management.

In her new role, Cardaci will oversee all care management referral functions, including clinical population-based programs for medical, behavioral health, and social care management. Additionally, she will promote effective use and monitoring of health care resources.

“Pam is a natural fit to lead Network Health’s integrated care management team,” said Mary Jane McKendry, Network Health’s vice president of clinical affairs. “Her extensive health care expertise and results-driven approach to care management will continue to develop Network Health’s industry-leading integrated care management model and help improve member health outcomes.”   

Cardaci has more than 40 years’ experience in the health care industry. Prior to joining Network Health, she served as vice president, clinical oversight at New York County Health Services Review Organization/MedReview in New York, N.Y. She also served as senior director of utilization management at Fallon Community Health Plan in Worcester, Mass., clinical liaison to patient financial services at Children’s Hospital in Boston, and director of Health Plans, Inc./Care Management Services, Inc. in Westborough, Mass.

Cardaci earned her registered nursing degree from Mt. Auburn Hospital School of Nursing, and a bachelor’s degree in health care administration from Almeda University, online. She is a certified managed care nurse and a certified professional in utilization management. Additionally, she is a member of the National Association of Managed Care Nurses and the organization’s research institute.

About Network Health

Since 1997, Network Health has provided access to high-quality health care for Massachusetts residents with low and moderate incomes. Network Health is a nonprofit, comprehensive health plan serving members through Network Health Together® (MassHealth), Network Health Forward® (Commonwealth Care), Network Health Extend™ (Medical Security Program), and Network Health Choice (an individual and small-group plan).

To improve the health and wellness of its more than 215,000 members and the diverse communities it serves, Network Health offers fully integrated, in-house care management, providing a team of medical, behavioral health, social care, and pharmacy professionals who coordinate member care. Network Health partners with more than 20,000 primary care providers, specialists, hospitals, and community organizations statewide.

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Network Health earned the National Committee for Quality Assurance’s (NCQA) “Excellent” Health Plan Accreditation status, NCQA’s highest accreditation rating, for its Network Health Together plan. In 2012, NCQA’s Health Insurance Plan Rankings ranked Network Health as the third-highest Medicaid health plan in the United States. Since 2010, Network Health has ranked among the top 10 Medicaid health plans nationally, according to NCQA’s Health Insurance Plan Rankings — Medicaid.

Network Health is among 10 health plans nationally and the first health plan in New England to earn the NCQA Multicultural Health Care Distinction. Additionally, Network Health is nationally recognized for its innovative programs; it won the Dorland Health Case In Point Platinum Award for “Best Social Care Management Program” in 2013, “Best Integrated Case Management Program” in 2012, and “Best Overall Case/Care Management Program” in 2010. Network Health is also recognized for its top leadership team among health plans nationwide by HealthLeaders Media.

Network Health became a subsidiary of Tufts Health Plan in 2011. Tufts Health Plan is a nonprofit organization nationally recognized for its commitment to providing innovative, high-quality health care coverage to its more than 999,000 members. For 2012 – 2013, its HMO and POS programs are ranked second in the nation according to NCQA’s Health Insurance Plan Rankings — Private, and its Medicare Preferred HMO received a 4.5-star rating from the Center for Medicare and Medicaid Services (CMS) for 2013. With headquarters in Massachusetts, Tufts Health Plan also serves members in Rhode Island. For more information, visit www.tuftshealthplan.com.

For more information about Network Health, call 888-257-1985 or visit www.Network-Health.org. Follow Network Health on Facebook and @_NetworkHealth on Twitter.

To learn about health plan options, Massachusetts residents can call the Health Connector at