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What is the Accountable Care Collaborative (ACC) Program?

The ACC is the primary health plan for Health First Colorado (Colorado's Medicaid Program). The main goal of the ACC is to improve member experience and overall health outcomes while controlling costs. This is accomplished through transformation to a more patient-centered, efficient and coordinated health care delivery model.

Individuals enrolled in the ACC get the regular Health First Colorado benefit package, plus they choose a primary care provider (PCP) and receive care coordination support. Colorado Community Health Alliance (CCHA) works closely together with contracted PCPs to ensure members’ physical and behavioral health needs are addressed. This includes helping members overcome obstacles that are non-medical in nature but impact their health and well-being.

There are three integral components of the ACC.

Community Focus

There are seven specific ACC regions in Colorado. CCHA serves ACC members living in Boulder, Broomfield, Clear Creek, Gilpin and Jefferson counties.

CCHA Role:

  • Develop and maintain a network of primary care and specialty providers
  • Support PCPs with coaching and tools for practice transformation
  • Coordinate care and connect members to services for medical and non-medical needs
  • Collaborate with providers and community partners to accomplish ACC goals
  • Report on costs, utilization and outcomes for assigned member population

Primary Care

The goal is to get all ACC members attributed to a PCP as a central hub for their health care needs. Members can be automatically assigned based on their claims history or family member claims history. They can also make their own choice or change provider any time. To participate as a PCP for the ACC program, providers must contract with the State of Colorado and CCHA (or other designated regional entities).

PCP Role:

  • Serve as a patient-centered medical home that provides accessible, comprehensive primary care and coordinates referral to other services
  • Educate and empower members to take an active role in managing their health
  • Work collaboratively with CCHA and the health neighborhood to coordinate physical and behavioral health care

Statewide Data & Analytics

Participating PCPs and CCHA have secure, online access to data from the Statewide Data & Analytics Contractor (SDAC) that is compiled from claims and other sources. The intent is to provide actionable data that PCPs and CCHA can use to meet the ACC goals.

Reports Include:

  • Individual member profiles based on predictive modeling
  • Performance and areas for improvement at the PCP practice and regional level
  • Cost and service utilization trends