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Fast Facts about CCA

Fast Facts

About the organization

 
  • President and CEO: Christopher D. Palmieri
  • Workforce: Over 1,100 (68% clinical, 32% administrative) in 10 locations across Massachusetts
  • Total 2016 revenue: $835 million
  • Over 25,000 providers in our network
  • 4 disability-competent Commonwealth Community Care centers (Boston, Lawrence, MetroWest/Worcester and Springfield)
  • 2 community-based Crisis Stabilization Units (Dorchester and Brighton) 
  • For-profit affiliate: Winter Street Ventures, a health innovation accelerator


About our health plans

 

CCA One Care – for adults 21 to 64 who are dually eligible for MassHealth and Medicare

  • 14,409 members (as of September 2017)
  • Approximately 16,000 contracted providers
  • 50% of members have four or more chronic conditions
  • 70% of members have a behavioral health diagnosis
  • Average age: 50
  • Top-rated Medicare-Medicaid Plan in the country for 2016, according to the 2016 Medicare Advantage Prescription Drug (MA-PD) CAHPS survey*
 

Results
CCA has been able to show results in improving care for One Care members and helping them avoid hospital stays:

  • After 12 months of enrollment, CCA One Care members had 7.5% fewer hospital admissions than in the previous 12 months prior to enrollment**
  • After 18 months of enrollment, CCA One Care members’ hospital admissions dropped by 22% on average**


CCA Senior Care Options (SCO) – for those 65+ with MassHealth Standard only, or both MassHealth Standard and Medicare

  • 8,758 members (as of September 2017)
  • Approximately 16,000 contracted providers
  • 70% of members have four or more chronic conditions
  • Average age: 76
  • 70% of members are nursing home certifiable, yet able to continue living at home
  • Received 4 Stars out of 5 possible Stars for 2018, according to the U.S. Centers for Medicare & Medicaid Services Star Ratings***

Results
CCA has been able to show results in improving care for Senior Care Options members and helping them avoid hospital stays:
  • 30% decline in hospital admissions and readmissions from 2011 to 2016
  • 10% decline in 30-day hospital readmission rate from 2011 to 2016
  • 6% decline in total cost for providing ambulatory medical care per month from 2015 to 2016
  • 4% decline in overall expenses for acute care needs from 2015 to 2016

*2016 patient survey, Consumer Assessment of Healthcare Providers and Systems (CAHPS), Centers for Medicare & Medicaid Services.
**The Commonwealth Fund, Vol. 41, Dec. 2016, “The ‘One Care’ Program at Commonwealth Care Alliance: Partnering with Medicare and Medicaid to Improve Care for Nonelderly Dual Eligibles.”
***Medicare evaluates plans based on a 5-star rating system. Star ratings are calculated each year and may change from one year to the next.
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