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Organization
Commonwealth Care Alliance
Program Location
This program operates statewide in Massachusetts
Location of Replicated Sites
This program has not been replicated.
Number of Replicated Sites
1
Care Program Elements
Individualized care plan
Ongoing care plan review
Interdisciplinary care team
Active care coordination
Assesses behavioral health care needs and coordinates services
Addresses social determinants of health
One lead point of contact
Shares information across care team/health providers
Education for providers and patient
Engages in performance measurement/quality
Target Audience
Adults Under 65 with Disabilities
Frail Older Adults
People with Multiple Chronic Conditions
People with Serious Illness
Insurance Status
Medicaid
Medicare / Medicaid
Uninsured
Outcome Notes
A number of studies have found positive results for CCA's interventions, including: decreased hospital admissions; decreased hospital readmissions; and a decrease in overall expenses for acute care needs.