Eleanor Health, Point32Health Develop Value-Based Care Model for Medicaid Enrollees

Addiction treatment provider Eleanor Health Inc. revealed Thursday it has partnered with Point32Health to better support the behavioral and physical needs of its Medicaid members.

Waltham, Massachusetts-based Eleanor Health collaborated with Point32Health to develop a value-based program built on population health that provides comprehensive care to members of Point32Health’s beneficiaries covered by Tufts Health Plan’s Medicaid business.

Canton, Massachusetts-based Point32Health was born out of a merger of health plan providers Tufts Health Plan and Harvard Pilgrim Health Care. That deal was announced in January.


Eleanor Health was founded around a value-based care model. It’s purpose-built to demonstrate that its value-based care approach improves key industry metrics. The model Eleanor developed with Point32Health’s Tufts Health Plan is similarly geared toward improving things such as health outcomes, quality and cost reduction, according to a news release from the organizations.

The new model includes access to medications for substance use disorder, psychiatry and mental health care, group and individual therapy, nurse care management and peer support.

On top of the population health model, Eleanor Health will provide care for members’ other physical and behavioral health conditions, including coordination of community resources to address identified barriers related to social determinants of health.


“Over the last year, the COVID-19 pandemic has exacerbated alcohol and drug misuse, as well as depression and other mental health issues,” Corbin Petro, CEO and co-founder of Eleanor Health, said in the release. “Eleanor provides a comprehensive, patient-centric program designed to support the highest-risk, highest-cost members. Point32Health works hand in hand with the provider community to offer their members high-quality addiction treatment to support their overall wellness.”

Petro also cited statistics that show that opioid overdose deaths were two times higher and the overall overdose death rate was 30% higher in Massachusetts than the national average in 2019.

Tufts Health Plan Medicaid members can receive in-person services at Eleanor Health clinics or anywhere in the state via the Eleanor telehealth platform.

Point32Health and Eleanor Health developed the partnership through Point32Health’s Center for Clinical Innovation, which looks for emerging technologies and programs that could improve health plan members’ health and experience.

“One of our goals is to provide our members with access to quality, evidence-based care,” Jill Borrelli, vice president of behavioral health at Point32Health, said in the release. “We are very excited to work with Eleanor Health. Their whole person approach destigmatizes substance use disorder and has demonstrated impressive outcomes.”

Eleanor Health’s value-based care focus in addiction treatment landed it $20 million through an oversubscribed Series B financing round announced in May.

Another value-based addiction treatment provider, Nashville, Tennessee-based Wayspring, landed a $75 million investment in September.

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