Commonwealth Care Alliance
- Company typePrivate
- Founded2003
- HeadquartersBoston, United States
- Headcount1,001–5,000
- GTM typeB2C
- OfferingServices
Commonwealth Care Alliance firmographics
Firmographics- Name
- Commonwealth Care Alliance
- Legal name
- Commonwealth Care Alliance, Inc.
- Website
- https://commonwealthcarealliance.org
- Company type
- Private
- Founded year
- 2003
- Operating status
- Operating
- Headcount range
- 1,001–5,000 employees
- Ownership category
- akta.pro rank
Commonwealth Care Alliance industry classification
Industry- Product category
- Managed Care Health Insurance (Dual Special Needs Plans)
- NAICS
- Services for the Elderly and Persons with Disabilities (624120), Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly (6233)
- SIC
- Services-Health Services (8000), Services-Home Health Care Services (8082), Services-Nursing & Personal Care Facilities (8050)
- akta.pro primary industry
- Continuing Care at Home (CCaH) / Virtual CCRC Programs (HLADAEAH)
- akta.pro secondary industries
- Nonprofit / Faith-Based CCRCs (HLADAEAC), Multi-Campus / Regional CCRC Networks (HLADAEAF)
Keywords
Where Commonwealth Care Alliance is headquartered
LocationHeadquarters
- HQ city
- Boston
- HQ country
- United States
- HQ region
- North America
Offices7 records
Markets served
Commonwealth Care Alliance business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Infrastructure, Marketing or Sales, Technology or R&D, Others
Revenue model
- Medicare D-SNP Premiums: Revenue from Dual Special Needs Plans that contract with Medicare and Medicaid to provide coordinated benefits for dual-eligible individuals. CCA Senior Care Options (65+) and One Care (21-64) are HMO D-SNPs.
- MassHealth Medicaid Contracts: Revenue from contracts with the Commonwealth of Massachusetts Medicaid program for Senior Care Options plans.
- CareSource Affiliation: Starting June 26, 2026, CCA plans will be operationally supported by CareSource following its acquisition of Commonwealth Care Alliance, Inc.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | CCA Senior Care Options (HMO D-SNP) for members 65+ |
| Subscription | Monthly | CCA One Care (HMO D-SNP) for members 21-64 |
Go-to-market motion3 records
Distribution channels4 records
Marketing channels7 records
Commonwealth Care Alliance product offering
Product offeringCore offering
Commonwealth Care Alliance (CCA) operates as a mission-driven, nonprofit integrated care system offering Dual Special Needs Plans (D-SNPs) that combine Medicare and MassHealth (Medicaid) benefits under a single plan for dual-eligible individuals. Its core plans are CCA One Care (HMO D-SNP) for adults aged 21–64 and CCA Senior Care Options (HMO D-SNP) for individuals 65 and older, delivered alongside affiliated care programs such as CCA Primary Care clinics, the instED mobile integrated health (paramedicine) program, palliative care, virtual care, and clinical management programs addressing behavioral health, substance use, and chronic conditions.
Product overview
Commonwealth Care Alliance (CCA) is a mission-driven healthcare services organization offering innovative health plans and care delivery programs for individuals with the most significant needs. The core portfolio consists of two Dual Special Needs Plans (D-SNP) in Massachusetts: CCA One Care for adults 21-64 eligible for Medicare and MassHealth, and CCA Senior Care Options for individuals 65+ with Medicare and MassHealth. These are complemented by affiliated care programs including CCA Primary Care clinics, the instED mobile integrated health program for in-home urgent care, palliative care, virtual care, and various clinical support programs (behavioral health, substance use, care transitions, medication management). All offerings are delivered through CCA's 'uncommon care' model focused on coordinating medical, behavioral, and social services to help members live safely in their homes and communities. CCA serves approximately 100,000 individuals and is now part of the CareSource family following acquisition.
Differentiator
Problem solved
Functional benefit
Brands
- CCA One Care: Dual Special Needs Plan (D-SNP) for individuals aged 21-64 who are eligible for Medicare and MassHealth Standard or CommonHealth
- CCA Senior Care Options
- instED
- CCA Primary Care
Products and services
- CCA One Care (HMO D-SNP) Dual Special Needs Plan for individuals aged 21–64 eligible for Medicare and MassHealth Standard or CommonHealth, combining Medicare and Medicaid benefits under one plan with $0 premiums, deductibles, and copays for covered services.
- CCA Senior Care Options (HMO D-SNP) Dual Special Needs Plan for individuals age 65 and older who qualify for MassHealth Standard and Medicare, combining all benefits under one plan at $0 cost to help seniors with chronic conditions live independently at home.
- CCA Primary Care Specialized primary care clinics providing expert care tailored to member needs including disabilities, age-related conditions, and chronic illnesses; operates clinics in Boston and Springfield, MA.
- instED (Mobile Integrated Health) In-home urgent care program leveraging highly trained paramedics to deliver urgent medical care services to members in their homes, reducing avoidable emergency department visits; available in select areas.
- Palliative Care Program Program designed to improve whole health of members with serious illnesses through expert partnerships helping members and caregivers make plans aligned with their wishes and beliefs; includes Tuesday Health partnership for community-based palliative care effective July 2026.
- Virtual Care Telehealth services allowing members to receive certain care without leaving home, including annual wellness checks, routine and urgent visits, screenings, and behavioral health support via video call.
- Medication Therapy Management (MTM) Program Program focused on improving therapeutic outcomes for Medicare Part D members through medication review, adherence improvement, detection of harmful medication interactions, and member/provider education.
- Behavioral Health Support Program Program supporting members with conditions impacting thoughts, emotions, and behaviors including anxiety, depression, schizophrenia, or substance use, including medication plans and services to help avoid unnecessary hospital visits.
- Substance Use Program Program ensuring members experiencing or at risk for opioid use disorder or substance use disorder can access care, including coverage for addiction services, clinical support, detoxification, intensive outpatient treatment, acupuncture, and medication-assisted treatments.
- High Intensity Care Management (HICM) Program for members with complex conditions such as diabetes, kidney disease, heart disease, substance use, and mental health needs, with care teams including Nurse Practitioners or Physician Assistants working with providers on treatment plans.
- Doula Program Doula services supporting members during pregnancy, labor, birth, and postpartum, with specially trained CCA doulas providing physical and emotional support and information for informed birth and baby care choices.
- 24/7 Nurse Line 24-hour, 7-day-a-week urgent care support line allowing members to speak with a registered nurse or clinician for urgent health concerns by calling 866-610-2273 and pressing 3.
Quantifiable outcome
- 92% member engagement rate - percent of ICO + SCO members with at least one qualifying touch by care team within a given month
- +7 more outcomes
Companies that use Commonwealth Care Alliance
Customer profileNamed customers3 records
Segments4 records
Ideal customer profiles3 records
Commonwealth Care Alliance technology and API
TechnologyTechnology focussed No
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
Integration3 records
Feature7 records
Commonwealth Care Alliance partnerships and signals
Strategic signalPartnerships
Seven partnerships are on record, tiered flagship, core and minor.
- CareSourceflagshipCareSource acquired Commonwealth Care Alliance, Inc. Starting June 26, 2026, CCA Senior Care Options (HMO D-SNP) and CCA One Care (HMO D-SNP) plans will be operationally supported by CareSource. This partnership combines CareSource's operational expertise and community connections with CCA's trusted, specialized care models to ensure individuals with complex health needs continue receiving high-quality, coordinated care. John Koehn was announced as Massachusetts market president.
- Tuesday HealthcoreTuesday Health partnered with Commonwealth Care Alliance to deliver community-based palliative care to eligible dual-eligible Medicare and Medicaid members across Massachusetts, effective July 1, 2026. The partnership serves members enrolled in CCA's Senior Care Options and One Care programs through Tuesday Health's interdisciplinary care teams. This collaboration responds to growing demand for personalized, provider-led palliative care models that improve quality of life and reduce avoidable hospitalizations for high-need populations.
- myPlace Health / SCAN GroupcoreSCAN Group (parent company of SCAN Health Plan) originally incubated myPlace Health in partnership with Commonwealth Care Alliance before acquiring full ownership. myPlace Health operates Programs for All-Inclusive Care of the Elderly (PACE), a complex care model requiring over $10 million in capital per market. The organizations worked together to modernize the 40-year-old PACE model by integrating behavioral health, clinical pharmacy, and proactive value-based care workflows.
- Sandata TechnologiescoreMassachusetts EOHHS contracted with Sandata Technologies to operate the state's Electronic Visit Verification (EVV) system for MassHealth personal care services and home health care services. CCA works with Sandata to leverage their software platform for EVV solution for CCA providers in Massachusetts, enabling compliance with the 21st Century Cures Act requirements.
- CVS CaremarkcoreCCA utilizes CVS Caremark Mail Service Pharmacy Program for prescription drug delivery to members' homes. The pharmacy contacts members by phone to obtain approval before shipping prescriptions. CVS Caremark also provides specialty pharmacy network and prior authorization systems for CCA's pharmacy benefit management.
- instED (Mobile Integrated Health)coreinstED is a proprietary program (trademarked) that leverages highly trained paramedics to deliver urgent medical care services to CCA members in their homes. The program has proven to improve health outcomes and member satisfaction while reducing avoidable emergency department visits. Available in select areas.
- Marie’s PlaceminorReferral partnership for specialized services. Providers can refer patients to Marie's Place using dedicated referral forms.
Scale indicators11 records
Recent moves9 records
Expansion highlights5 records
Commonwealth Care Alliance competitors and assessment
Company assessmentDirect peers
- SCAN Health Plan: California-based nonprofit Medicare Advantage plan serving seniors and dual-eligibles with integrated care models including PACE (via myPlace Health). Highly comparable mission-driven, integrated senior care delivery model.
- Fallon Health: Massachusetts-based nonprofit health plan that operates NaviCare, a dual-eligible D-SNP serving seniors and adults with disabilities in MA. Closest direct competitor in CCA's home market, sharing the integrated care model and MassHealth/Medicare focus.
- CareMore Health (Anthem/ Elevance Health): Integrated care delivery and health plan serving complex Medicare and dual-eligible populations with interdisciplinary teams, in-home care, and chronic disease management — closely mirrors CCA's uncommon care model at national scale.
- Tufts Health Plan (Point32Health): Massachusetts-based health plan offering Tufts Medicare Preferred D-SNP and Senior Care Options competing head-to-head with CCA SCO. Operates in the same MA counties and serves overlapping dual-eligible populations.
Emerging players
- Landmark Health: In-home medical care provider for complex, chronically ill Medicare and dual-eligible patients, comparable to CCA's instED mobile integrated health and in-home care programs. Both deliver multidisciplinary care to high-need members at home.
- InnovAge: Operates PACE (Programs of All-Inclusive Care for the Elderly) centers serving dual-eligible seniors, the same population and integrated care philosophy CCA targets. Compares as a directly adjacent model via the SCAN-myPlace CCA partnership lineage.
Broad incumbents
- Centene: Largest Medicaid managed care operator with growing D-SNP book via Wellcare. Comparable dual-eligible focus and value-based contracting model, though commercially driven rather than nonprofit mission-driven.
- Molina Healthcare: Medicaid-focused managed care plan with a dual-eligible footprint across multiple states. Comparable D-SNP and integrated care strategy targeting government payers, with overlapping member populations.
- UnitedHealthcare: Largest national Medicare Advantage and D-SNP operator; competes with CCA via UnitedHealthcare Dual Complete plans in MA and provides the scale benchmark for what integrated dual-eligible coverage looks like at the high end.
- Humana: Major national D-SNP operator with one of the largest dual-eligible books. Operates CenterWell for in-home and primary care, comparable in spirit to CCA's clinic and instED offerings, though at vastly larger scale.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks6 records
Key highlights6 records
Customer concentration
Commonwealth Care Alliance social profiles
Digital presenceCommonwealth Care Alliance compliance and trust
Trust signalCompliance4 records
Commonwealth Care Alliance financial estimates
Financial estimateRevenue estimate
Valuation estimate
Commonwealth Care Alliance leadership team
Management profileNumber of profiles
Profiles10 records
Commonwealth Care Alliance subsidiaries and ownership
Company hierarchySubsidiaries3 records
Commonwealth Care Alliance funding detail
Funding detailFunding overview
Funding rounds1 record
Investors1 record
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Commonwealth Care Alliance M&A and investment
M&A and investmentM&A
Investments3 records
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Commonwealth Care Alliance
What does Commonwealth Care Alliance do?
Commonwealth Care Alliance (CCA) operates as a mission-driven, nonprofit integrated care system offering Dual Special Needs Plans (D-SNPs) that combine Medicare and MassHealth (Medicaid) benefits under a single plan for dual-eligible individuals. Its core plans are CCA One Care (HMO D-SNP) for adults aged 21–64 and CCA Senior Care Options (HMO D-SNP) for individuals 65 and older, delivered alongside affiliated care programs such as CCA Primary Care clinics, the instED mobile integrated health (paramedicine) program, palliative care, virtual care, and clinical management programs addressing behavioral health, substance use, and chronic conditions.
Is Commonwealth Care Alliance a public or private company?
Commonwealth Care Alliance is a private company. It is classified as nonprofit foundation owned and is currently operating.
When was Commonwealth Care Alliance founded?
Commonwealth Care Alliance was founded in 2003. It employs 1,001 to 5,000 people.
Where is Commonwealth Care Alliance based?
Commonwealth Care Alliance is headquartered in Boston, United States, in the North America region.
How does Commonwealth Care Alliance make money?
Three revenue lines are on record. Medicare D-SNP Premiums are the primary driver. The others are massHealth Medicaid Contracts and careSource Affiliation.
Who are Commonwealth Care Alliance's main competitors?
Direct peers on record are SCAN Health Plan, Fallon Health, CareMore Health (Anthem/ Elevance Health) and Tufts Health Plan (Point32Health). Emerging players are Landmark Health and InnovAge. Broad incumbents are Centene, Molina Healthcare, UnitedHealthcare and Humana.
Does Commonwealth Care Alliance have an API?
Yes. CCA offers two APIs for third-party applications: (1) Provider Directory API - does not require consumer-identifying information or authentication; (2) Patient Access API - retrieves adjudicated claims, encounter data from capitated providers, formulary data, and clinical data (with date of service on or after January 1, 2016) with member approval and direction. Developer documentation is at cca-acm.force.com/s.
What industry is Commonwealth Care Alliance in?
Commonwealth Care Alliance's product category is Managed Care Health Insurance (Dual Special Needs Plans). Its primary akta.pro industry code is HLADAEAH, Continuing Care at Home (CCaH) / Virtual CCRC Programs, with a secondary code of HLADAEAC, Nonprofit / Faith-Based CCRCs. Its NAICS code is 624120 and its SIC code is 8000.