Skip to main content

Direct Contracting


Providers and patients working together for better health

For Patients

You could be eligible for enhanced Medicare benefits, at no extra cost. This program allows your provider to offer additional benefits not currently available to you including:

  • Priority scheduling
  • Expanded access to Skilled nursing and home health services
  • Extra support for your healthcare needs.

Sign up online for additional no-cost health care services, or call 800-633-4227.

 

Learn More about Medicare Program Support

Cascadia Community Care Alliance

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 those who qualify) and implement benefit enhancements for you in collaboration with Medicare. Our current focus is to help patients stay healthy, move between hospital and home more safely, and to offer improved access to support services, care navigation, and home health for those who may need it. We want to emphasize that all patients have the freedom to choose to participate in this or any DCE. Below is a listing of entities participating in Cascadia Community Care Alliance.


Frequently Asked Questions 

What is Cascadia Community Care Alliance (Cascadia CCA)?

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.

What is a Direct Contracting Entity (DCE)?

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.

Does the DCE limit where patients can get care?

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 admitted to skilled nursing facility without a 3-night stay in hospital at one of the DCE participating 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

Does the DCE increase costs to patients?

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.

How do patients become aligned with the PeaceHealth DCE and how are they notified?

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.

For Providers

Documentation:

For more information, call 800-633-4227, or contact the PeaceHealth System Director of Post-Acute Care, Daleasha Hall.

Senior Leadership

  • Scott D. Foster, MD. MPH. - Chief Medical Executive – PeaceHealth DCE dba. Cascadia Community Care Alliance
  • Simon Lai, MD – Medical Director – PeaceHealth DCE dba. Cascadia Community Care Alliance

Governing Board Members

  • Mike Dwyer (Chair) – PeaceHealth Medical Group
  • Scott Foster, MD – PeaceHealth Medical Group
  • Jeff Frank, MD – Oregon Neurology Associates
  • Erin Gerner - PeaceHealth Medical Group
  • Shaun Harper, MD - PeaceHealth Medical Group
  • Nichole Ingalls, MD – Northwest Surgical Specialists
  • Simon Lai, MD - PeaceHealth Medical Group
  • Serge Lindner, MD - PeaceHealth Medical Group
  • Michelle Rasmussen, MD – Salem Health
  • James Sims, NP - PeaceHealth Medical Group
  • Stephen Southerland, MD – Rebound Orthopedic & Neurosurgery
  • Susan Vaughan – Medicare Beneficiary

Affiliated Joint Ventures

  • Southwest Regional Surgery Center