community care collective pdf massachusetts

Overview of Community Care Collective Inc.

Community Care Collective Inc. is a Massachusetts-based organization providing essential community care services, focusing on underserved populations. Established with a retail license, it operates at 4 Republic Road, Billerica, MA, and 531 King Street, Littleton, MA, ensuring compliance with state regulations and tax obligations.

1.1 Establishment and Location

Community Care Collective Inc. was established in Massachusetts, operating with a retail license at 4 Republic Road, Billerica, MA 01862, and 531 King Street, Littleton, MA 01460. The organization ensures compliance with state regulations and tax obligations, focusing on providing community care services to local residents.

1.2 Mission and Objectives

Community Care Collective Inc. aims to transform the health and well-being of underserved populations through equitable access to care. Its mission focuses on addressing health-related social needs and fostering collaboration to improve care delivery. By leveraging innovative care models, the organization seeks to enhance healthcare outcomes, reduce disparities, and promote sustainable solutions for its communities.

Community Care Cooperative (C3) Overview

Community Care Cooperative (C3) is a non-profit, FQHC-led ACO formed in 2016 by 15 Massachusetts health centers to improve care coordination and outcomes for underserved populations.

2.1 Formation and Structure

Community Care Cooperative (C3) was established in 2016 by 15 federally qualified health centers (FQHCs) in Massachusetts. Governed collectively, C3 operates as a non-profit Accountable Care Organization (ACO) under the MassHealth ACO Program. Its structure ensures shared decision-making, with a focus on integrating primary care services and addressing the needs of underserved communities. This collaborative model aims to enhance care coordination and improve health outcomes statewide.

2.2 Role as a MassHealth Accountable Care Organization (ACO)

Community Care Cooperative (C3) serves as a MassHealth Accountable Care Organization (ACO), selected to participate in the Medicaid ACO program. C3 aims to enhance healthcare quality and reduce costs through coordinated care. It collaborates with providers to deliver patient-centered services, focusing on underserved populations. C3 also participates in Medicare ACO programs, including REACH and MSSP, furthering its mission to improve health outcomes statewide.

Services and Programs Offered

Community Care Collective Inc. offers comprehensive services including primary care, behavioral health, and addresses health-related social needs. In partnership with FQHCs and providers, they ensure quality care to their members.

3.1 Primary Care Services

Community Care Collective Inc. offers primary care services through its network of Federally Qualified Health Centers (FQHCs) and affiliated providers. These services include routine check-ups, preventive care, chronic disease management, and essential health screenings. By ensuring accessible and comprehensive primary care, they aim to improve health outcomes for underserved populations in Massachusetts, aligning with their mission to provide equitable healthcare solutions.

3.2 Behavioral Health Services

Community Care Collective Inc. provides comprehensive behavioral health services, including mental health and substance abuse treatment, managed by the Massachusetts Behavioral Health Partnership (MBHP). These services are designed to address the needs of underserved populations, ensuring access to necessary care and support. The focus is on integrated, person-centered approaches to improve overall well-being and health outcomes for individuals in need;

3.3 Health-Related Social Needs

Community Care Collective Inc. addresses health-related social needs through targeted programs, focusing on sustainable healthcare innovations. These initiatives aim to transform care delivery, particularly for underserved communities, by integrating social determinants of health. The SHIFT-Care Challenge supports such efforts, fostering partnerships to improve access to essential services and enhance overall well-being for vulnerable populations in Massachusetts.

Importance of Community Care in Massachusetts

Community care in Massachusetts is vital for reducing healthcare costs and enhancing access, equity, and quality, particularly for underserved populations, supported by the Health Policy Commission.

4.1 Impact on Underserved Communities

Community care in Massachusetts has a profound impact on underserved communities by addressing social determinants of health and providing equitable access to essential services. Programs focus on vulnerable populations, ensuring they receive necessary support to improve health outcomes. This approach reduces disparities and fosters healthier communities, aligning with state policies that prioritize equitable care.

4.2 Contribution to Healthcare Cost Reduction

Community care initiatives significantly reduce healthcare costs by focusing on preventive services, chronic disease management, and coordinated care. These efforts minimize unnecessary hospitalizations and emergency visits, leading to lower healthcare spending. Additionally, addressing social determinants of health and behavioral needs further enhances cost-effectiveness, ensuring sustainable and affordable care for Massachusetts residents.

How to Become a Member

Membership is open to Massachusetts residents eligible for MassHealth or Medicare. Enrollment involves contacting C3 or visiting their website for application processes and eligibility verification.

5.1 Eligibility Criteria

Eligibility for membership is based on residency in Massachusetts and enrollment in MassHealth or Medicare programs. Applicants must meet specific income and residency requirements outlined by state guidelines. Additional criteria may include demographic preferences, such as priority for Lowell residents or those with prior drug convictions, ensuring equitable access to care. Documentation and verification processes are required to confirm eligibility before membership approval.

5.2 Enrollment Process

Enrollment begins with selecting a primary care provider (PCP) from C3’s network. Members must submit a completed enrollment form, available online or via mail, and provide required documentation, such as proof of residency and insurance eligibility. Assistance is available by calling 866-676-9226 (TTY: 711) or mailing inquiries to Community Care Cooperative (C3) at 75 Federal Street, 7th Floor, Boston, MA 02110.

Grievance and Appeal Procedures

Members can file grievances by phone at 866-676-9226 (TTY: 711) or mail to Community Care Cooperative (C3), Attention: Member Advocates, 75 Federal Street, 7th Floor, Boston, MA 02110. A grievance form is available for submission, and assistance is provided to ensure concerns are addressed promptly and fairly.

6.1 Filing a Grievance

To file a grievance, members can call 866-676-9226 (TTY: 711) or mail concerns to Community Care Cooperative (C3), Attention: Member Advocates, 75 Federal Street, 7th Floor, Boston, MA 02110. A grievance form is available for submission, and assistance is provided to ensure concerns are addressed promptly and fairly. Members can also request help completing the form or understanding the process.

6.2 Contact Information for Grievances

  • Phone: 866-676-9226 (TTY: 711)
  • Mail: Community Care Cooperative (C3), Attention: Member Advocates, 75 Federal Street, 7th Floor, Boston, MA 02110
  • Hours: Available Monday-Friday, 9:00 a.m. ౼ 5:00 p.m.

Partnerships and Collaborations

Community Care Collective Inc. collaborates with organizations like the Massachusetts Behavioral Health Partnership (MBHP) to enhance service delivery and improve healthcare access for underserved populations.

7.1 Massachusetts Behavioral Health Partnership (MBHP)

The Massachusetts Behavioral Health Partnership (MBHP) manages behavioral health services for MassHealth members. It collaborates with providers to ensure access to necessary care, focusing on mental health and substance use disorders.

MBHP works closely with Community Care Collective Inc. to address health-related social needs and improve care coordination, ensuring comprehensive support for vulnerable populations across Massachusetts.

7.2 Other Key Partnerships

Community Care Collective Inc. collaborates with various organizations to enhance healthcare delivery. These partnerships include local health centers, non-profits, and state agencies, ensuring comprehensive care and resource access for underserved communities. Such collaborations strengthen service integration and improve health outcomes across Massachusetts.

The SHIFT-Care Challenge

The SHIFT-Care Challenge is an 18-month, $10 million program supporting innovations in healthcare. It focuses on addressing health-related social needs and improving behavioral health services.

8.1 Overview of the Program

The SHIFT-Care Challenge is an innovative initiative launched in 2018, aiming to transform healthcare through sustainable innovations. It focuses on addressing patients’ health-related social needs and enhancing behavioral health services; With a $10 million investment, the program supports advancements in care delivery, ensuring better health outcomes for underserved communities. This 18-month program fosters collaboration and creativity to drive meaningful change in healthcare practices.

8.2 Focus Areas and Benefits

The SHIFT-Care Challenge focuses on addressing health-related social needs and improving behavioral health services. It supports innovative solutions to enhance care delivery and patient outcomes. Benefits include better coordination of services, improved health equity, and stronger community partnerships. The program fosters sustainable healthcare innovations, ensuring underserved populations receive comprehensive support, ultimately reducing disparities and advancing overall well-being.

Business Plan and Compliance

Community Care Collective Inc. adheres to a robust business plan, ensuring compliance with tax obligations under Chapter 62C. It operates as a non-profit, FQHC-led ACO, maintaining regulatory adherence and transparency in governance and financial management to sustain its mission effectively.

9.1 Key Components of the Business Plan

Community Care Collective Inc.’s business plan includes strategic goals to enhance healthcare access, improve patient outcomes, and reduce costs. It focuses on leveraging partnerships, optimizing resources, and ensuring financial sustainability. Compliance with state regulations and transparency in governance are central to maintaining trust and accountability in its operations across Massachusetts.

9.2 Tax Compliance and Regulatory Adherence

Community Care Collective Inc. ensures strict compliance with Massachusetts tax laws under Chapter 62C; The organization maintains transparency in financial operations, adhering to regulatory requirements. With a principal office at 37 Spartan Arrow Road, Littleton, MA, it remains committed to tax obligations and accountability, ensuring all operations align with state regulations and industry standards for non-profit entities.

Massachusetts Healthcare Landscape

Massachusetts features a structured healthcare system with the Health Policy Commission (HPC) monitoring spending growth. The state emphasizes cost control, innovation, and equitable access, shaping its healthcare framework.

10.1 Role of the Health Policy Commission (HPC)

The Health Policy Commission (HPC), established in 2012, is an independent state agency responsible for monitoring healthcare spending growth and providing data-driven policy recommendations in Massachusetts. Its primary focus includes cost containment strategies, ensuring transparency in healthcare markets, and promoting equitable access to care, significantly influencing the state’s healthcare landscape and policy development.

10.2 Policy Impact on Community Care

Massachusetts healthcare policies significantly influence community care initiatives, emphasizing cost containment and equitable access. The Health Policy Commission (HPC) drives transparency and accountability, shaping how organizations like Community Care Collective Inc. allocate resources and deliver services. These policies promote innovative care models, ensuring underserved populations receive essential health and social services, while balancing cost reduction with improved healthcare quality.

Community Care Collective Inc. and its partnerships, like C3, play a vital role in Massachusetts healthcare, ensuring equitable access to essential services. By addressing social needs, reducing costs, and fostering innovation, these initiatives improve health outcomes for underserved populations. Their commitment to compliance, collaboration, and sustainable care models underscores their dedication to transforming healthcare delivery in Massachusetts, creating a healthier, more resilient community for all.

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