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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 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

  • 17,477 members (as of April 2018)
  • Approximately 16,000 contracted providers
  • 49% of members have four or more chronic conditions
  • 76% of members have a behavioral health diagnosis
  • Average age: 50
  • 8% have a major disability such as paralysis, multiple sclerosis/muscular dystrophy or cerebral palsy
  • 4% are documented homeless
  • Cost of caring for One Care eligible population averages to about $2,000 per month, 10 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:

  • One Care members had 7.5% fewer admissions after the first 12 months of enrollment compared to the 12 months prior to enrollment; after 18 months, admissions declined by 22%.**


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

  • 9,589 members (as of April 2018)
  • Approximately 16,000 contracted providers
  • 65% of members have four or more chronic conditions
  • Average age: 75
  • 69% of members are nursing home certifiable, yet able to continue living at home
  • 60% primarily speak a language other than English
  • 58% 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:
  • 24% decline in hospital admissions and readmissions from 2012 to 2017
  • 10% decline in 30-day hospital readmission rate from 2012 to 2017
  • 2% decline in total cost for providing ambulatory medical care, per month, from 2016 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).
**Source: The Commonwealth Fund, Vol. 41, Dec. 2016
***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 1/1/2018 unless otherwise noted.
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