Community Care Management Partners

What Community Care Management Partners does

Community Care Management Partners (CCMP) is a New York City-based lead Health Home network formed in 2012 to coordinate care for chronically ill Medicaid beneficiaries under New York State's Health Home program. The organization operates as an equal partnership of eight healthcare non-profit owners — VNS Health, Mount Sinai, Community Healthcare Network, Sun River Health, Urban Health Plan, Institute for Family Health, Argus Community Health, and iHealth Collaborative — and coordinates a network of 45 Care Management Agencies serving more than 15,000 members annually across all five boroughs of New York City. CCMP's members typically present with two or more chronic conditions, serious mental illness, HIV/AIDS, sickle cell anemia, serious emotional disturbance, complex trauma, or high-risk HARP/SNP designations, and the network delivers high-intensity, field-based care management with on-site hospital and emergency department presence.

CCMP's product surface spans six integrated service modules delivered to its CMA network: Data & Analytics (monthly quality metrics, daily EHR-based workload reports, annual outcomes analysis, and machine learning-fed predictive models for early detection of emergent member needs), Training (up to 30 hours of live training for new staff via a Learning Management System, claimed to be the only Health Home fully integrating state policy requirements with EHR functionality), Program Support (dedicated Quality Improvement Specialist for onboarding and enrollment review), Financial Modeling, Back Office Support (Managed Care Organization liaison, referrals processing, billing resolution), and Advocacy (legislative engagement through the Care Management Coalition and Health Home Coalition). The technology stack combines Electronic Health Record integration with data analytics infrastructure and ML-based predictive modeling. Quantified 2022 outcomes include 79% of members with major depressive behavior significantly less depressed, 42% of homeless members moved into housing, 67% reduction in severe alcohol misuse, 58% reduction in severe drug misuse, and 39% of unsuppressed HIV members achieving viral suppression.

CCMP's business model is Medicaid-funded care management under New York State Health Home reimbursement, with revenue flowing through per-member-per-month arrangements with Managed Care Organizations and state programs. Customer acquisition is referral-driven from hospitals, primary care providers, mental health providers, homeless shelters, and Managed Care Organizations rather than commercial sales. CCMP has been rated the #1 Health Home by New York State and operates with a lean 9-person central staff, positioning the lead organization as a network orchestrator and quality oversight entity rather than a direct care delivery operator.

Name

Community Care Management Partners

Legal name

Community Care Management Partners

Website

https://ccmphealthhome.org

Company type

Private

Founded year

2012

Operating status

Operating

Short description

Community Care Management Partners operates a Medicaid-funded lead Health Home network in New York City, coordinating care for 15,000+ chronically ill members annually through 45 Care Management Agencies across all five boroughs under an eight-non-profit cooperative ownership structure.

Ownership category

akta.pro rank

Headquarters

HQ city

New York

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Others

Revenue model

1. Medicaid-funded Care Management Services: CCMP operates as a Health Home under New York State Medicaid, coordinating care for chronically ill New Yorkers. The organization reduces Medicaid expenditures by decreasing high-cost, avoidable inpatient and emergency room usage while providing comprehensive care coordination services.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

Core offering

CCMP is a lead Health Home under New York State Medicaid that delivers high-intensity, field-based care management to chronically ill New Yorkers through a network of 45 Care Management Agencies across all five boroughs of NYC. It serves 15,000+ members annually, coordinating medical, mental health, substance use, and social services to reduce avoidable inpatient and emergency room utilization. CCMP also supports its Care Management Agency network with data analytics, training, program support, financial modeling, back office support, and advocacy services.

Product overview

CCMP offers a Health Home Care Management program as its primary service, providing high-intensity field-based care management to over 15,000 New Yorkers annually through a network of 45 Care Management Agencies across all five boroughs of NYC. The core offering is supplemented by six integrated service modules: Data & Analytics (monthly metrics, predictive modeling), Training (LMS-based with EHR integration), Program Support (Quality Improvement), Financial Modeling, Back Office Support, and Advocacy. The company was formed in 2012 and is rated the #1 Health Home by the State of New York.

Differentiator

Problem solved

Functional benefit

Products and services

• Health Home Care Management Lead Health Home Care Management program delivering high-intensity, field-based care coordination to chronically ill Medicaid enrollees across all five boroughs of NYC. Coordinates medical, mental health, substance use, HIV/AIDS, and social services through a network of 45 Care Management Agencies.
• Data & Analytics Monthly quality and performance metrics, daily workload reports within the Electronic Health Record, annual outcomes analysis for advocacy and marketing, and machine-learning predictive models for early detection of emergent member needs. Provided to CMAs in the CCMP network.
• Training Up to 30 hours of live trainings for new staff, a Learning Management System to track training progress, and multiple training methods that fully integrate New York State policy requirements with Electronic Health Record functionality. Provided to network CMAs.
• Program Support Dedicated Quality Improvement Specialist support for CMAs through onboarding into the CCMP network, initial enrollment reviews, and ongoing immediate assistance.
• Financial Modeling Advanced financial modeling to assist the CCMP network with achieving operational efficiency and financial stability.
• Back Office Support Fast access to Operations staff who liaise with Managed Care Organizations on behalf of CMAs, process referrals promptly, and resolve billing issues.
• Advocacy CCMP CEO and Executive Team work with the Care Management Coalition, the Health Home Coalition, and Health Homes to advocate on behalf of members and network CMAs, petitioning legislators for budget parity with other healthcare initiatives.

Quantifiable outcome

• 79% of members with major depressive behavior were significantly less depressed after one year of services
• +4 more outcomes

Named customers4 records

Segments7 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

15 partnerships are on record, tiered core.

• VNS HealthcoreStrategic or Co-development Partner · 1 January 2012
• Mount SinaicoreStrategic or Co-development Partner · 1 January 2012
• Community Healthcare NetworkcoreStrategic or Co-development Partner · 1 January 2012
• Sun River HealthcoreStrategic or Co-development Partner · 1 January 2012
• Urban Health PlancoreStrategic or Co-development Partner · 1 January 2012
• Institute for Family HealthcoreStrategic or Co-development Partner · 1 January 2012
• Argus Community HealthcoreStrategic or Co-development Partner · 1 January 2012
• iHealth CollaborativecoreStrategic or Co-development Partner · 1 January 2012
• Managed Care PartnerscoreStrategic or Co-development Partner
• Mount Sinai MorningsidecoreChannel Partner/ Reseller/ Distributor
• Housing WorkscoreChannel Partner/ Reseller/ Distributor
• JEMCarecoreChannel Partner/ Reseller/ Distributor
• Harlem UnitedcoreChannel Partner/ Reseller/ Distributor
• Hudson Heights IPAcoreChannel Partner/ Reseller/ Distributor
• NADAPcoreChannel Partner/ Reseller/ Distributor

Scale indicators9 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Coordinated Behavioral Care: Lead Health Home in New York City serving adults with serious mental illness and chronic conditions; most direct comparable to CCMP given overlapping NYC geography, Medicaid Health Home model, and similar member population.
• VNS Health: Large NYC-based home and community-based care organization and one of CCMP's eight owner partners; comparable in providing care coordination and managed services to high-risk Medicaid members in NYC.
• Amida Care: NYC-based Medicaid Special Needs Plan focused on HIV/AIDS, homelessness, and behavioral health - populations heavily overlapping CCMP's member base and a key MCO counterpart for Health Home services.
• Sun River Health: Federally qualified health center operator and CCMP owner; comparable as a network of community health centers delivering primary, behavioral, and care management services to underserved populations.
• Community Healthcare Network: NYC-based FQHC and CCMP owner; comparable as a primary care and care management provider serving Medicaid and uninsured populations across the five boroughs.
• Hudson Heights IPA: NYC-based Independent Physician Association and CCMP network partner with HEDIS/Medicare Star quality focus; comparable as a small, Medicaid-anchored provider organization participating in Health Home referral and care coordination.

Broad incumbents

• Mount Sinai Health System: Major NYC health system and CCMP owner; comparable as a large-scale care provider serving chronically ill populations and participating in care management networks across the five boroughs.
• NYC Health + Hospitals: Largest public hospital system in NYC; comparable as a Medicaid-anchored provider organization serving complex, chronically ill, and often homeless populations overlapping CCMP's member base.
• Healthfirst: Major NY-based not-for-profit Medicaid managed care plan; comparable as a contracted MCO partner for Health Home services and as a counterparty in HARP/SNP risk-bearing arrangements with CCMP.
• MetroPlus Health Plan: NYC public-option Medicaid and HARP/SNP health plan; comparable as a managed care organization that refers and contracts for Health Home care management services.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks4 records

Key highlights6 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles9 records

Subsidiaries14 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Community Care Management Partners