New Mexico Health Connections (NMHC) is committed to providing the highest quality of care to its members, and driving improvements in quality more broadly in the community. The vision of NMHC, as a non-profit Consumer Operated and Oriented Plan (CO-OP), is to bring a life improving revolution in health to New Mexicans through partnerships with our members, providers, and communities.
NMHC is a non-profit Consumer Operated and Oriented Plan (CO-OP) that serves New Mexicans starting in 2014. Created by the Affordable Care Act (ACA), CO-OP plans give consumers and small businesses more options for health insurance, providing required ACA essential health benefits (EHBs) and other federal or state mandated benefits, while complying with regulations defined by state and federal law.
A key concept of the CO-OP program is to drive implementation of integrated care and payment models producing improved health outcomes while “bending the cost curve,” if not actually lowering aggregate costs. NMHC understands the importance of building programs that will influence our members’ health behaviors, resulting in positive, sustainable health outcomes. In partnership with our members, provider network and communities, we seek to ensure a clinically integrated approach to improving health care quality and access to care statewide.
This handbook is an important part of your Contractual Agreement with NMHC and is intended to provide NMHC network practitioners, their staff, and the larger health care delivery system the information, tools, and guidance needed to facilitate care and services for NMHC members.