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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
  • A top-rated Medicare-Medicaid Plan in the country for two consecutive years.*
 

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

*For 2018, CCA shares the highest rating with one other plan nationwide, based on the 2016 and 2017 Consumer Assessment of Healthcare Providers and Systems’ (CAHPS) surveys administered by the Centers for Medicare & Medicaid Services (CMS).
**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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