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Community Care Alliance

A Rural Clinically Integrated Network Offering Population Health Services

Western Healthcare Alliance’s Community Care Alliance (CCA) provides a suite of services for our participants. We offer training, resources, materials and education to the right person on your team so you can provide the care your patients deserve while achieving value-based care.

Our rural health participants are leaders in quality and patient outcomes.

Along with standard services, conferences and email updates, we provide practical services with proven results unique to the rural areas who geographically work in silos. Through role-specific forums, provider led Boards and committees, Teach-Learn-Impact virtual learning series and on-site technical services, practices choose their level of involvement specific to their needs. Our goal is to assist with business practices and workflows to meet the demands of the payors while allowing clinicians the joy of working with their patients.

As a participant of CCA you have access to:

  • A library of toolkits, operational documents, topic-specific webinars and practical tools for running a smooth office operation
  • Live topic-specific webinars
  • Role-specific trainings
  • On-site coaching and technical supports
  • Data analysis (individual and aggregate), support and training
  • Health policy and regulations guidance

Contact

Marnell Bradfield
Executive Director
970.986.3679
marnell.bradfield@wha1.org

About Us

In today’s healthcare landscape, rural practices thrive when they are connected to alike practices and healthcare systems with the same goals of providing the best care to patients while complying with the fluctuating healthcare ecosystem. Community Care Alliance (CCA) exists to support rural health practices, critical access hospitals, and rural hospital systems, arming care teams to operationalize the business of healthcare and focusing the clinical team on providing the highest level of patient care.

CCA develops networks of rural medical practices and systems through a Clinically Integrated Network (CIN), a Medicare Accountable Care Organization (ACO), and Direct Payor Contracts to allow you to choose the framework that best fits your needs. You are part of a multifaceted team who is your window to public and private payor value-based payment models, including Medicare and self-funded employers. CCA keeps you informed through updates in policy, annual final rules, changing regulations, reimbursement models, billing and coding updates and other idiosyncrasies within healthcare.

CCA specializes in supporting rural healthcare including primary care, specialty care, critical access hospitals, rural hospital systems, oral care, and behavioral health. There is no longer a need to carry the burden of reimbursement or the complexity of operationalizing value-based care alone when you join our network.

Staff

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Amber Christie, RN

Regional Care Coordinator

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Amber Goodenow, RN

Regional Care Coordinator

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Deanne Henderson, RN

Regional Care Coordinator

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Jessica Blehm, RN

Regional Care Coordinator

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Kevin R. Fitzgerald M.D.

CCA PBM Medical Director

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Laura Palmberg

Clinical Quality and Communications Coordinator

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Marnell Bradfield

Executive Director

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Misty Decker

Administrative Assistant

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Roni Lynch, RN

Regional Care Coordinator

History

Western Healthcare Alliance (WHA) formed the Community Care Alliance (CCA) in 2015 to serve members embarking on the journey towards alternative payment models and population health. The CCA is dedicated to creating solutions that ensure quality outcomes as we shift towards a reimbursement model focused on value. Members learn and work together to coordinate care and ensure success as our medical communities are rewarded for maintaining healthy populations through better care at lower costs.

CCA Board

Dave Ressler, CEO, Aspen Valley Hospital – Chair
George Trantow, Chief, Physician Operations, Valley View Hospital – Secretary/Treasurer
Angelina Salazar, CEO, Western Healthcare Alliance
Antonio Gurule, Clinic Administrator, San Luis Valley Health
Arlene Harms, CEO, Rio Grande Hospital
Chris Thomas, President & CEO, Community Hospital
Gary Knaus, MD, Medical Director, Valley Health Alliance
Jim Coombs, CEO, Grand River Health
Kevin Borchard, MD, Orthopedic Surgeon, Pioneers Medical Center
Kyle Miller, PharmD, COO, Memorial Regional Health

Western ACO

The Western Accountable Care Organization (ACO) is a Medicare Shared Savings Program ACO comprised of rural Western Slope small acute care hospitals, critical access hospitals, hospital employed physicians, multiple independent practices, independent and hospital-owned rural health clinics, Federally Qualified Health Centers (FQHCs), and a hospice organization. The Western ACO participants provide coordinated high-quality care to attributed Medicare patients.

Participating communities include Aspen, Craig, Glenwood Springs, Gunnison, Meeker, Moab, Montrose, Rangely, Rifle, and smaller outlying communities in the Western Slope region.

ACO Reporting

Western ACO Board

Elaine Gerson, CLO, Director Quality and Risk Management, Aspen Valley Hospital – Vice Chair
Paula Belcher, Director, Population Health Management, Memorial Regional Health – Secretary/Treasurer
Alyssa Franklin, PharmD, Chief Operating Officer, Aspen Valley Hospital
Jim Coombs, CEO, Grand River Health
Kyle Wren, CEO, Rangely District Hospital
Liz Sellers, CEO, Pioneers Medical Center
Emma Cooper, Director of Data and Quality Programs, Quality Health Network
Rhonda Parker, DO, CMO, Montrose Regional Health
Barry Mink, MD, Medicare Beneficiary

Program Participants

CCA:

All Valley Women’s Care
Animas Surgical Hospital
Aspen Internal Medicine Consultants
Aspen Medical Care
Aspen Valley Hospital
Aspen Valley Hospital Clinics
Aspen Valley Pediatrics
Community Medical Group
Glenwood Medical Associates
Grand River Health
Gunnison Valley Health
HopeWest
Kadison Medical Group
Lake City Area Medical Center
Linda Peterson MD
Memorial Regional Health
Midvalley Family Practice
Moab Regional Hospital
Montrose Regional Health
Mountain Family Health Center
Pioneers Medical Center
Rangely District Hospital
Rio Grande Hospital
San Luis Valley Health
Spanish Peaks Regional Health Center
Valley View Hospital & Clinics

REACH ACO:

Animas Surgical Hospital
Community Medical Group
Gunnison Valley Health
Lake City Area Medical Center
Rio Grande Hospital
San Luis Valley Health
Valley View Hospital & Clinics

Regional Care Coordination Program:

Animas Surgical Hospital
Gunnison Valley Health
Pioneers Medical Center
Spanish Peaks Regional Health Center
Valley View Hospital

Western ACO:

Aspen Valley Hospital
Aspen Valley Hospital Clinics
Grand River Health
Kadison Medical Group
Linda Peterson MD
Memorial Regional Health
Moab Regional Hospital
Montrose Regional Health
Pioneers Medical Center
Rangely District Hospital
Spanish Peaks Regional Health Center

Valley Health Alliance Program:

All Valley Women’s Care
Aspen Internal Medicine Consultants
Aspen Medical Care
Aspen Valley Hospital Clinics
Aspen Valley Pediatrics
Glenwood Medical Associates
Grand River Health Clinics
Kadison Medical Group
Midvalley Family Practice
Mountain Family Health Center
Valley View Hospital Clinics

Pharmacy Benefit Management

Take control of your prescription costs and save money with the CCA Pharmacy Benefit Management!

Navigating your Pharmacy Benefit Plan for your organization can be confusing and the large organizations in charge of the plans do it on purpose. We have a solution for you!

Western Healthcare Alliance’s Community Care Alliance (CCA) is pleased to offer our new Pharmacy Benefit Management (PBM) program to members. We can help you navigate the confusing process and take care of it for you!

As an employer in your community, you often face the daunting task of recruiting and retaining employees and employee benefits are a big portion of this task. They are a costly but important component of your organization. What if you could save money for not only your organization, but also your employees? The CCA can help with our new PBM program!

How do you qualify to participate? If you are self-funded and don’t use UMR as your Third Party Administrator, you are eligible!

What’s in it for you and your employees? That’s easy, there is no cost to participate and it’s a direct pass through from what you already own. Best of all, your employees have access to reduced price prescriptions.

And there’s more…

  • Complete control and flexibility with formulary development and management. You also control who fills your scripts and your physicians develop prescribing patterns appropriate for your area.
  • Ability to customize your formulary to meet employee needs. This includes options for specialty and other high-cost drugs
  • Access to 340B pricing for members when appropriate.
  • Complete transparency with your prescription plan and where the money is going. This includes what you are paying for the drug, fill/admin fees, and 100% of downstream rebates are returned to the individual employer plan, which are not shared between a PBM and broker.
  • Easy to implement and manage as the program aligns with your insurance plan renewal. The CCA works with FairScript to manage the program and report back to you.
  • Added employee benefits per individual organization’s discretion. Example: waived deductible and co-pays, travel reimbursements, etc. for employees who utilize participating pharmacies.

Still not sure if the CCA PBM is right for you? The large insurance companies and associated PBMs aren’t focused on helping rural… or anyone other than themselves. These multi-billion-dollar companies don’t have your employees’, your patients’, or your own financial interests at heart. The CCA does!

By eliminating the large PBMs and the never-ending circle of hands in the pot, the CCA PBM provides a cost-effective, easy-to-use program for you, your employees, and possibly your entire community.

Take control of your prescription costs and save money. Contact the CCA today!

Contact

Tom Northey
Chief Innovation Officer
Community Care Alliance
970.986.3657
tom.northey@wha1.org

Fact Sheet

Members Only Portal

We have created a Members only portal to provide members with online services, access to important documents, reporting guidelines, and more.

Access Member Portal
CCA Member Portal Instructions

Compliance, contract, data, education and training, and program questions: Marnell Bradfield, marnell.bradfield@wha1.org
General questions: Marnell Bradfield, marnell.bradfield@wha1.org or Misty Decker, misty.decker@wha1.org

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