Overview

 

We understand the challenges and uncertainty you face in providing high-quality care for your patient population in this changing healthcare landscape.

The path toward value-based care can be a confusing one with everything else on your plate.  We want to ensure your healthcare system is rewarded for maintaining healthy populations through excellent care at lower costs.

What can you do?  Join the Community Care Alliance (CCA).

We will provide you a clear, supported path to the Quadruple Aim. Achieving better care, better outcomes, lower costs and improved satisfaction.

What’s more, the CCA is your window to CMS.  We provide you with an overview of the annual final rules, keep you updated with new and changing regulations, billing and coding opportunities and conditions of participation, to ensure you are well prepared for what’s ahead.

History of the CCA

In August 2013, the Western Healthcare Alliance, a 31-member 501(c)(3) rural healthcare provider network, began a journey to examine trends regarding the transition from current cost-based reimbursement systems to value-based models.  WHA research and subsequent member discussions centered on core network values: keep care local, collaborate to develop best practices, be innovative and proactive in response to healthcare reform, and utilize initiatives that promote hospital independence and sustainability in their community.

WHA members focused on the transition from their current volume-based systems to emerging value-based payment models.  The challenge was to successfully manage the transition through the use of educational opportunities, collaboration, and the development of PHM competencies and capabilities.

The CCA was funded with seed monies provided by the combination of two HRSA grants and matching funds provided by the WHA members who elected to reinvest profits from a WHA subsidiary – A1 Collection Agency.  In addition, CCA established a fee structure for its hospital participants, intending to sustain the CCA operations after the HRSA and matching funds are exhausted in year three.

In March 2015, the CCA formed its own governing Board of Managers, hired an Executive Director, and developed a five-year budget.  CCA has developed a centralized infrastructure to support PHM activities for the populations defined as being member-served:

  • Traditional Medicare Beneficiaries – MSSP ACO
  • Commercially Insured (contracts with payers to provide for PHM services)
  • Self-funded Employee Health Plans / Domestic (WHA & CCA Members’ Employees)
  • Self-funded Employee Health Plans / Community Employers