The “Iowa Health and Wellness Plan,” a medical assistance program and provider network, is established for the purposes of achieving healthcare cost containment and quality healthcare outcomes through a patient-centered, integrated healthcare system. Eligible members receive defined coverage and benefits under the plan, which is operated under Iowa Medicaid for individuals with an income at or below one hundred percent of the federal poverty level, and operated by qualified health plans on the federal exchange for individuals above the one hundred percent mark but below 133% of the federal poverty level. The provider network shall include all providers enrolled in the medical assistance program and all participating accountable care organizations, who shall receive payment based on a value-based system (risk-based, and tied to quality of care and cost avoided). A member in the plan must choose a primary medical provider to coordinate member care.