Direct Contracting

• Alderwood Park Health And Rehabilitation Of Cascadia
• Avalon Health Care Green Valley, LLC
• Avalon Health Care Hillside Heights, LLC
• Avalon Health Care Rose Haven, LLC
• Avalon Health Care South Hills, LLC
• Avamere Home Health Care, LLC
• Battleground of Cascadia, LLC
• Beacon Hill Healthcare, INC.
• Care Center Camas, INC.
• Care Center Hazel Dell, INC.
• Christian Health Care Center
• Clay & Davis Mt Baker Development, LLC
• Columbia River Healthcare, Inc.
• Empres Home Health of Bellingham, LLC
• Eugene Rehabilitation, LLC
• Evergreen at Bellingham, LLC
• Manor Care of Salmon Creek WA, Association
• NW Health Partners
• Oregon Surgical Wellness
• PeaceHealth
• PeaceHealth- Sacred Heart Home Health
• PeaceHealth- HomeCare Southwest
• Rebound
• Regency Florence, LLC
• Salem Health
• Skagit Valley Operations, LLC
• Woodland Enterprises, INC

Cascadia CCA is a Medicare Direct Contracting Entity (DCE) participating in a program within Medicare. PeaceHealth Medical Group, independent community providers, skilled nursing homes and home health agencies have come together as a DCE in order to improve care coordination, provide additional services (for patients who qualify) and implement benefit enhancements for patients, in collaboration with Medicare.

A Direct Contracting Entity (DCE) is a type of Accountable Care Organization (ACO), which is a group of doctors, hospitals, and/or other health care providers that work together to improve the quality and experience of care for patients. Our DCE includes PeaceHealth Medical Group, independent community providers, skilled nursing homes and home health agencies.

Patients benefit from the PeaceHealth ACO (DCE) because the participating providers work together to help their patients get the right care at the right time.

No, the patients’ Medicare benefits have not changed. They still have the right to visit any doctor, hospital, or other provider that accepts Medicare at any time.

There are benefit enhancements available to some patients in the DCE that can only be used by providers that are part of the DCE. The patient still has the right to choose where they get care, they just may not be able to use the benefit enhancement.

• Ability to receive home health services when not “home bound” by one of the DCE Home Health entities
• Ability to be admit to skilled nursing facility without a 3 night stay in hospital at one of the DCE particiapting SNFs.
• Ability to participate in the Complex Chronic Care Management (CCM) program without a coinsurance fee. The DCE pays the coinsurance fee for Complex CCM services

No, with better collaboration among providers, the DCE saves patients time and money by avoiding repeated tests and unneeded appointments.

Benefit enhancements are available at no extra cost for those who qualify.

The majority of patients are aligned to the DCE based on Medicare claims. Patients can also choose to voluntarily align to the DCE.

All DCE patients receive an annual beneficiary notification letter.

Voluntary-aligned beneficiaries receive an initial beneficiary notification letter within three months of enrolling in the DCE and annually thereafter.