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Founder and Chairman of Somos Community Care, Dr. Ramon Tallaj, the largest, nonprofit physician-led network in New York City.

Dr. Ramon Tallaj, the Founder and Chairman of Somos Community Care, is a leading figure in the healthcare industry. He is at the helm of the largest nonprofit physician-led network in New York City serving over one million patients. Under his guidance, Somos Community Care has been instrumental in providing support to patients who are navigating the complexities of Medicare and Medicaid coverage.

Somos Community Care, boasts 2,600 healthcare providers operating within the five boroughs of Manhattan. Dr. Tallaj’s vision for the organization goes beyond simply providing medical care. He recognizes the importance of addressing the practical challenges that patients face when it comes to Medicaid enrollment and re-certification. To tackle this issue head-on, he initiated an educational and training program within the network. This program encompasses 700 SOMOS healthcare clinics, ensuring a broad reach throughout the city.

One of the unique aspects of this program is the multilingual approach which offers cultural competency for patients. Somos recognizes the diversity of its community and the varying language needs. Dr. Tallaj initiated the program and has trained and certified clinicians to assist with outreach and answers any questions regarding new enrollment for Medicaid-eligible patients in three languages. 

The program’s objectives are clear and vital. Dr. Tallaj and his team aim to empower patients who may face numerous obstacles in navigating the Medicaid system. These challenges include internet access limitations, lack of IT abilities, language and cultural barriers, and a general lack of awareness about the re-registration process. 

Dr. Tallaj’s comments emphasize the importance of this initiative. He notes that last year, many Medicaid beneficiaries were automatically renewed, which simplified the process for patients. However, with the end of continuous enrollment, patients now need to revert to the old system. This entails re-certifying with their insurance company and providing proof of eligibility. These steps can be bewildering for many within the Somos network, and this is where the network’s healthcare providers come into play.

In Dr. Tallaj’s view, it is not sufficient to simply inform patients about the changes. It is crucial to work closely with each patient, ensuring they understand the new requirements and the implications for their continued access to healthcare. The relationship between the network and the New York Department of Health, particularly the Medicaid director, is a vital aspect of this process. Collaborative efforts with the authorities are necessary to ensure the continuity of care for patients.

This program is a shining example of Somos Community Care’s commitment to patient-centered healthcare. It goes beyond medical treatment to address the holistic needs of the patients it serves. By providing support for the administrative complexities of Medicaid enrollment, Somos is reducing barriers to healthcare access and ensuring that a diverse and underserved population can continue to receive the care they need.

Dr. Ramon Tallaj’s leadership at Somos Community Care is making a substantial impact on the healthcare landscape in New York City. The initiative to certify healthcare providers in multiple languages and assist patients with Medicaid enrollment and re-certification is a testament to the network’s commitment to patient well-being. Dr. Tallaj’s vision for Somos goes beyond medical care, addressing the practical challenges that patients face in accessing the healthcare system. This program is a model for patient-centered care and an essential resource for New York’s diverse and underserved population.

About SOMOS Community Care:

SOMOS Community Care (SOMOS), is New York’s only provider-led, nonprofit, community-based integrated social care network. It is comprised of over 2,500 network providers responsible for reaching and delivering culturally competent care to over 1 Million Medicaid lives citywide. www.somoscommunitycare.org