CCA One Care
An integrated approach to care for those who need it most
CCA One Care is a Massachusetts demonstration Medicare-Medicaid Plan (MMP) for individuals between 21 and 64 who are eligible for Medicare and MassHealth Standard or CommonHealth. In 2020, CCA One Care was the fastest-growing plan of its kind by net enrollment volume—not only in Massachusetts, but in all of the U.S.—accounting for nearly half of all category growth. It was once again the second-largest MMP plan in the nation.* One out of four One Care members are managed through CCA Health Homes, where we partner with community providers to advance high-quality care for those with complex needs. Forging new or expanded provider agreements, we became the value-based partner of choice for integrated delivery systems, Federally Qualified Health Centers (FQHC), and urgent care centers state-wide. We officially entered Barnstable County, and, in an important milestone for the Commonwealth, became the first MMP plan approved to serve Berkshire County, solidifying our position as the only truly state-wide One Care plan. We are proud that the Commonwealth has reaffirmed its confidence in our validated care model by selecting CCA to participate in One Care 2.0 beginning in 2022.
For five consecutive years, CCA One Care earned a top overall experience rating from consumers; in 2020, CCA earned 93%.**
CCA Senior Care Options
Helping seniors live independently at home, despite chronic needs
CCA Senior Care Options is a HMO Special Needs Plan for people who are 65 and older and eligible for MassHealth Standard. In 2020, CCA Senior Care Options (SCO) was once again one of the fastest growing plans of its kind, based on net enrollment volume. Given that 27% of our SCO members are care-managed through CCA-delegated sites, we worked closely with these sites throughout the pandemic to formulate new workflows to ensure members’ safety and security. We significantly enlarged our SCO provider network, signing new or expanded agreements to become the value-based partner of choice for integrated delivery systems, FQHCs, and urgent care centers across the Commonwealth. As a Medicare Advantage organization serving special needs populations within a SCO program, CCA was invited by the CMS Innovation Center (CMMI) to apply for a new demonstration project—Hospice Value-Based Insurance Design (VBID). In May we were proud to receive notification that CCA was one of only nine organizations in the nation, and the only one in Massachusetts, named to participate in VBID.
The Centers for Medicare & Medicaid Services (CMS) awarded CCA Senior Care Options 4.5 out of 5 stars for 2021, which included 5-star ratings for “Care for Older Adults” and “Member’s Rating of the Health and Drug Plan.”
*CMS enrollment data reports (Monthly Enrollment by Contract) from 12/1/2019 and 12/1/2020: https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/MCRAdvPartDEnrolData/Monthly-Enrollment-by-Contract.
**Based on the 2016, 2017, 2018, 2019, and 2020 Medicare Advantage and Prescription Drug Plan CAHPS surveys.
*** Each year Medicare evaluates health plans using a 5-star rating system.