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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 11 locations across Massachusetts
  • Total 2017 revenue: $1,031 million
  • Over 25,000 providers in our network
  • 4 primary care, 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

  • 18,311 members (as of July 2018)
  • Approximately 16,000 contracted providers
  • Average age: 50.8
  • 49% of members have four or more chronic conditions
  • 71% of members have a physical and/or behavioral health disability
  • 63.5% have a behavioral health condition such as schizophrenia, bipolar disorder or severe depression (excluding substance use disorder)
  • 31.6% have a substance use disorder (excluding tobacco and nicotine)
  • 8.1% have a major disability such as paralysis, multiple sclerosis/muscular dystrophy or cerebral palsy
  • 7.5% are documented homeless
  • Cost of caring for One Care eligible population averages to about $2,858 per month, 14 times the average for the general population
  • 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:

  • 3.3% decline in acute admissions per 1,000 from 2015 to 2017
  • 6.7% decline in 30-day hospital readmission rate from 2015 to 2017
  • 2.1% decline in Emergency Department visits per 1,000 from 2016 to 2017


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

  • 9,998 members (as of July 2018)
  • Approximately 16,000 contracted providers
  • Average age: 76.2
  • 88% of members who have been receiving our care and support for at least nine years are still living in their home or community
  • 63% of members have four or more chronic conditions
  • 65% of members are nursing home certifiable (qualified to live in a nursing home), yet able to continue living at home with our care and support
  • 58.7% have a physical and/or behavioral health disability
  • 10.7% have a major physical disability
  • 58.7% primarily speak a language other than English
  • 55.9% have diabetes
  • 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:
  • 27% decline in acute admissions per 1,000 from 2011 to 2017
  • 5.7% decline in 30-day hospital readmission rate from 2012 to 2017
  • 4% decline in total cost for providing ambulatory medical care, per member per month, from 2016 to 2017
  • 1.9% decline in total cost for acute inpatient care, per member per month, from 2015 to 2017

*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).
**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.
***All figures as of 12/1/2017 unless otherwise noted.
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