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- Commonwealth Care Alliance
Commonwealth Care Alliance
Based in Massachusetts, Commonwealth Care Alliance® (CCA) is a not-for-profit, community-based healthcare organization dedicated to improving care for individuals who are dually eligible for MassHealth (Medicaid) and Medicare with complex medical, behavioral health and social needs, including those with disabilities. With more than 35,000 members, CCA offers two plans: Senior Care Options (HMO SNP), for individuals ages 65 and older who have Medicare and MassHealth Standard or only MassHealth Standard; and One Care, a Massachusetts demonstration program for dual eligible individuals ages 21 to 64. These comprehensive health plans provide all the services covered under Medicare and MassHealth, and other benefits as determined necessary by an inter professional care team in conjunction with CCA’s preferred provider network. For four consecutive years, CCA’s One Care plan received a top rating in the Consumer Assessment of Healthcare Providers and Systems (CAHPS) annual survey of Medicare-Medicaid Plans (2016, 2017, 2018 and 2019), administered by the Centers for Medicare & Medicaid Services.
Purpose
At Commonwealth Care Alliance, we’re dedicated to providing quality, compassionate care that meets the unique needs of each member. We’ve developed a special approach to care that focuses on including members and their families in planning day-to-day and future care according to their wishes and beliefs. We help members improve their quality of life and stay in their home, a community home, or other setting that they choose.
Vision
Our vision is to lead the way in transforming the nation's healthcare for individuals with the most significant needs.
Mission
Our mission is to improve the health and well-being of people with significant needs by innovating, coordinating and providing the highest quality, individualized care.
Additional Culture Details
Our unique approach to care is based on:
Trusting, engaged relationships
Care teams earn members’ trust by being available day in and day out and by responding quickly to medical and social needs
Every member’s beliefs and preferences are valued and respected
Every member has a dedicated care manager to coordinate all aspects of their care plan
Comprehensive care planning looks out for both current and future needs
Addressing unmet needs
Care plans focus heavily on primary care and social services and supports
Care is delivered in interdisciplinary teams with clinical and nonclinical caregivers chosen to meet the member's needs
Care plans include behavioral care, help finding and using community resources, transportation to appointments, crisis support, care transition follow-up, and more
Transformative approach to care delivery
Person-centered care focuses on following members’ wishes and maintaining their independence and dignity
Home-based primary care for members who cannot get to a doctor’s office
Mobile integrated health program sends paramedics with behavioral health training on home visits when needed, reducing ER visits and hospitalizations
Community Crisis Stabilization Units care for members in a crisis, so they don’t have to be admitted to a hospital far from home
Life Choices Palliative Care program helps members receive compassionate end-of-life care according to their wishes
Opioid/Substance Use Disorder treatment program includes: continued engagement with members, including home visits, throughout treatment; protocol-driven evaluation and use of opioids in pain control; and increased interventions while reducing opioid use.
Trusting, engaged relationships
Care teams earn members’ trust by being available day in and day out and by responding quickly to medical and social needs
Every member’s beliefs and preferences are valued and respected
Every member has a dedicated care manager to coordinate all aspects of their care plan
Comprehensive care planning looks out for both current and future needs
Addressing unmet needs
Care plans focus heavily on primary care and social services and supports
Care is delivered in interdisciplinary teams with clinical and nonclinical caregivers chosen to meet the member's needs
Care plans include behavioral care, help finding and using community resources, transportation to appointments, crisis support, care transition follow-up, and more
Transformative approach to care delivery
Person-centered care focuses on following members’ wishes and maintaining their independence and dignity
Home-based primary care for members who cannot get to a doctor’s office
Mobile integrated health program sends paramedics with behavioral health training on home visits when needed, reducing ER visits and hospitalizations
Community Crisis Stabilization Units care for members in a crisis, so they don’t have to be admitted to a hospital far from home
Life Choices Palliative Care program helps members receive compassionate end-of-life care according to their wishes
Opioid/Substance Use Disorder treatment program includes: continued engagement with members, including home visits, throughout treatment; protocol-driven evaluation and use of opioids in pain control; and increased interventions while reducing opioid use.
Recent Awards
2022
2020
Company Snapshots
