Almost 50,000 elderly, disabled and low -income Massachusetts residents, who are at risk of losing health insurance, can collectively sigh of relief.
Double insurance and medical provider Federal Nursing Alliance (CCA) blocked bankruptcy and started an alarm for Masshealth officials. CARESOURCENonprofit management medical organization headquartered in Ohio, which has more than 2 million members in 13 states.
As a result, Commonwealth Care Alliance CARESOURCE brand brand.
Erhardt Preitauer, the president and CEO of Caresource, said, “Caresource and Commonwealth Care Alliance Partnership ensures that Massachusetts residents with complex health needs can continue to access high quality health.
- Read more: Members of the Commonwealth Management Alliance left in the dark during the financial crisis
Preitauer thanked the Ministry of Health and Welfare and Governor Maura Healey.
“We expect to work with CCA colleagues to provide high -quality services and results for those who rely on us by establishing a strong work relationship with partners of the Massachusetts providers and patient advocacy communities.
What is wrong in CCA
Founded in 2003, the CCA has historically been regarded as a major model that combines insurance and health care in Medicaid/Medicare Crossover population. Non -profit organizations adjust medical and social lab around services for individuals, including physical and occupational treatment, home, personal management, behavioral health, and transportation to promise.
But in recent years, the situation has begun to collapse. According to the state record, the group spent millions of dollars in 2022, $ 14.3 million and $ 155 million in 2023. In October, the CCA announced that it would terminate all Medicare Advantage plans in California, Michigan and Road Island. Senior Care Option (SCO) and One management Massachusetts plan.
The notification of Masslive Show Masshealth began to warn that it did not comply with the SolvenCy Reserve requirements in October. The CCA’s reservation and one nursing agreement was not enough to be over $ 200 million, and the notification was to the president and CEO Christopher Palmieri.
Masshealth wrote CCA. “There is no cash in the first quarter of 2025.”
CCA members said that it is fatal to lose the range of guarantees before Masslive. In March, Amanda Sturtevant, a ludlow resident who used wheelchairs and was looking at home health aids twice a week, said he could not imagine that he did not need to restart with a new insurance and nursing plan.
“If I lost CCA and lost my aid, it would survive, but it would be difficult,” she said. “Some of these people will not survive.”
CARESOURCE has been promoted by sharing the value of CCA.
CCA has been actively looking for buyers in recent months. The deal with Caresource has been closed this week.
David Klein, chairman of the CCA Board of Directors, said, “As we search for strategic partners, the CCA will prioritize the organization that shares our values and strengthen our privileges.” “Caresource is an ideal partner for the long -term sustainability of CCA with decades of expertise that manages complex treatment and unique member -centered focus.”
Boston Globe reported The state has agreed to limit the potential losses of CARESOURCE for two years, and if the Caresource gets more than 2% of margins during that period, the funds are used to repay the Masshealth Money owed from the CCA.
The CARESOURCE already boasts 4,700 manpower, and the CCA employee is now hired by Caresource and ensures continuous treatment for members and patients.
CCA president and CEO Chris Palmeri resigned from the organization as part of this week’s transition.
