Illinois Medicaid Managed Care Plan to Return up to $5 Million in Savings to the State of Illinois in 2015

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Not-for-profit Community Care Alliance of Illinois first-year performance shows effectiveness of innovative care coordination model for seniors and people with disabilities

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We are showing how to get managed care right for people with disabilities and seniors, improving health outcomes and saving taxpayers money.

The Community Care Alliance of Illinois (CCAI) announced today that it will return up to $5 million in savings to the State of Illinois in 2015 due to its ability to drive quality outcomes and control costs. CCAI also distributed performance incentives to hospitals and other providers for its first full year of operations in 2014. The incentives were based on critical outcome measures such as avoidable hospital admissions, readmissions and Emergency Room visits.

“We are pleased to see our innovative, comprehensive and consumer-informed approach to care demonstrate such positive results in our first full year,” said Jeff Miller, Chairman of the CCAI Board of Trustees. “We are showing how to get managed care right for people with disabilities and seniors, improving health outcomes and saving taxpayers money.”

CCAI has been successful helping members at highest risk of hospitalization manage their conditions and avoid lengthy, and costly, hospital admissions. “CCAI’s proven model of care demonstrates that when our members are actively engaged in Care Coordination they have hospital admission rates less than half of those not engaged in Coordinated Care,” said Keith Kudla, CEO, Family Health Network and CCAI. “CCAI has been able to dramatically improve health outcomes and significantly reduce cost by keeping members healthy, and therefore saving the health care system millions of dollars. In fact, we estimate that we saved the state 10% from where their Fee-for-Service cost would have been.”

In addition to the $5 million in savings returned to the state and performance incentives distributed to providers, CCAI offered Enrollees more than $2 million in additional benefits and healthy incentives. CCAI Enrollees can earn between $10 and $30 in wellness incentives that can be used to purchase Over-the-Counter eligible items that help treat injuries or illness each time they perform a healthy behavior or get certain health services, screenings or go to special classes.

Next year, CCAI will expand criteria for performance incentives and will launch an ongoing outreach and education campaign for its hospital and provider networks.

“We are committed to working with our providers to constantly improve the quality of care for seniors and people with disabilities. Our clinical care model is designed to promote independence and provide care that supports people in the way they want to live – in the community,” said Robert Currie, CCAI President. “That’s the path to better health for this population.”

CCAI is a wholly-owned subsidiary of the not-for-profit Family Health Network (FHN), a Managed Care Community Network (MCCN) serving Medicaid families since 1995. FHN launched CCAI in 2013 when consumers, advocates, providers, health care policy and health plan experts collaborated with advocates for Seniors and People with Disabilities (SPD) from Access Living, Sinai Health System, Schwab Rehabilitation Center and Health & Medicine Policy Research Group to establish a better way to serve the SPD population under the State’s Integrated Care Program (ICP). FHN’s Board of Directors and Steering Committee had the foresight, experience and commitment to bring CCAI’s mission, vision and values to life and invested significant resources to set up and staff CCAI, the only not-for-profit Managed Care Organization participating in the ICP.

CCAI is a Managed Care Community Network serving people with disabilities and seniors on Medicaid in Chicago and Rockford areas. For more information on our innovative Model of Care and service, please visit http://www.ccaillinois.com. You may also subscribe to our channel on YouTube at https://www.youtube.com/user/CCAIllinois and hear what our Enrollees have to say about our health plan.

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Sarah Mahisekar
@ccaillinois
since: 04/2014
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