CCA Health R.I. partners with West Bay Community Action to improve care delivery

PROVIDENCE – Commonwealth Care Alliance Rhode Island LLC, doing business as CCA Health Rhode Island, has announced a first-of-its-kind partnership with West Bay Community Action to launch an innovative program that is designed to increase communication between the two organizations to coordinate medical care and long-term services and support, or LTSS.

More specifically, the partnership will increase communication between the two organizations to help offer person-centered care focused on improving clinical outcomes and member experiences, according to a news release.

“Integrating medical services and social supports is foundational to CCA Health Rhode Island’s uncommon care model, which is proven to help our members live safely in the community,” said Corey McCarty, CCA Health Rhode Island senior vice president and general manager. “We’re proud to launch this partnership with West Bay Community Action, and we are committed to continuing to proactively explore opportunities to bring innovative and impactful care delivery solutions to the Ocean State. Together, with our providers and community partners, we can make a real difference in the lives of those we serve.”

McCarty told Providence Business News that historically LTSS systems in Rhode Island have been separate from other health and care management services. For example, LTSS case management agencies usually work distinctly from Medicare Advantage plans to coordinate home and community-based services for those who are dual eligible for Medicaid and Medicare. Medicare Advantage plans are one Medicare coverage option available for those who are dual-eligible, and they provide enrollees with care coordination.

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While the care coordination provided by these LTSS case management agencies is crucial for a patient’s health, the agencies are not usually working with traditional health care systems. But with this new partnership, McCarty said CCA is the first health plan in the state to partner with an LTSS case management agency, with the goal of sharing insights that would help to form a care plan for each member.

“Our new partnership is just one of many steps we are taking to break down silos and create a care model that supports all aspects of an individual’s health and wellness,” McCarty said.

As part of the program, CCA Health Rhode Island’s team and West Bay Community Action’s long-term services and support care managers will collaborate on care coordination activities to improve experiences for members who are receiving long-term services and support from Medicaid, according to the release.

“We are thrilled to partner closely with CCA Health Rhode Island to support our shared mission of helping individuals with significant needs live safely in their homes,” said Paul Salera, CEO and president of West Bay Community Action. “This partnership will help break down silos, remove administrative barriers and ensure that each and every individual receives the care and support they need, when and where they need it.”

CCA Health Rhode Island, which is headquartered in Providence, has been active in the Ocean State since late 2020 serving those who are eligible for Medicare or dually eligible for Medicare and Medicaid. The organization also works with providers and community organizations to coordinate care that addresses social factors that affect health.

Katie Castellani is a PBN staff writer. You may contact her at Castellani@PBN.com.