Regional Care Collaborative Organization (RCCO)
Since 2012, The North Colorado Health Alliance has provided care management for Medicaid patients and Medicaid/Medicare patients within the Colorado Department of Health Care Policy and Financing’s Regional Care Collaborative Organization[RCCO] Region 1 (south Larimer county, by contract with Rocky Mountain Health Plans) and Region 2 (northeast Colorado, by contract with Colorado Access). NCHA’s model of care management focuses on being present in the community where the members live, care managers travel to members’ homes and meet them at appointments or other locations as requested by the member. This model engages in person-centered approaches to care management by allowing care managers a more intimate view into their members’ lives. NCHA care managers focus on addressing barriers to care related to social determinants of health and are cognizant of ensuring that members receive their basic needs as identified by Maslow’s Hierarchy.
RCCO Care Management Goals
- Optimize patient health, functioning, & self-sufficiency
- Promote member engagement and connections with primary care providers
- Promote member well-being through community give back opportunities
- Improve the quality of care and patient outcomes
- Control Medicaid costs (key performance indicators: reductions in potentially preventable emergency department visits, increases in post-partum care, and well-child checks)
NCHA has developed an integrated care model for both regions’ members with co-occurring behavioral health diagnoses. Through partnerships with North Range Behavioral Health and SummitStone Behavioral Health Partners, there are two behavioral health care managers on our Region 2 care management team and one behavioral health care manager on the Region 1 team. These people bring expertise in behavioral health care and serve as a liaison between the NCHA care management team and the licensed care options available through North Range and SummitStone.