Commonwealth Care Alliance: Elderly and Disabled Care

Michael E. Porter; Jennifer F Baron

Case | HBS Case Collection | April 2008 (Revised May 2008)

Commonwealth Care Alliance: Elderly and Disabled Care

by Michael E. Porter and Jennifer F Baron

Abstract

Individuals enrolled in both Medicare and Medicaid, known as dual eligibles, are among the highest-cost beneficiaries in the US. Commonwealth Care Alliance, a small nonprofit insurer and care delivery system in Massachusetts, operated under a public demonstration program designed to provide comprehensive coverage and care for the elderly dual eligible population. Led by Dr. Robert Master, Commonwealth Care Alliance worked with its contracted providers to implement and support a care delivery model that could allow as many members as possible to live independently outside of nursing homes. The case examines Commonwealth Care Alliance's insurance and care delivery approaches amidst a changing policy environment and various resource constraints. This case can be used to teach: Approaches to value-based insurance and care delivery; Insurance and care delivery considerations for underserved, high-cost populations; Evolution and structure of US Medicare and state Medicaid programs and demonstrations; and payer and provider reimbursement models.

Keywords: Programs; Public Sector; Alliances; Policy; Age; Service Delivery; Value; Health Care and Treatment; Welfare or Wellbeing; Insurance Industry; Health Industry; Massachusetts;

Format: Print

25 pages

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Citation:

Porter, Michael E., and Jennifer F Baron. "Commonwealth Care Alliance: Elderly and Disabled Care." Harvard Business School Case 708-502, April 2008. (Revised May 2008.)

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Commonwealth Care Alliance: Elderly and Disabled Care

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