Commonwealth Care Alliance Receives 4 out of 5 Stars from CMS for Massachusetts Senior Care Options Plan

Strategic Insights -

Commonwealth Care Alliance (CCA) has received a 4 out of 5 stars from the Centers for Medicare and Medicaid Services (CMS) for its Massachusetts Senior Care Options (SCO) plan, designed to serve the unique needs of individuals aged 65 and older who are dually eligible for Medicare and Medicaid. This rating reflects CCA's longstanding excellence in care coordination, improvement of how it manages the medical, social, and behavioral health needs of its members. CCA earned strong ratings across multiple quality improvement measures, demonstrating its focus on member-centered care and provider partnerships. The SCO plan earned the best possible ratings for Special Needs Plan (SNP) Care Management, Transitions of Care, and Reducing the Risk of Falling.

Key Takeaways:

  • CCA received a 4 out of 5 stars from CMS for its Massachusetts SCO plan, designed to serve individuals aged 65 and older who are dually eligible for Medicare and Medicaid.
  • The plan earned strong ratings across multiple quality improvement measures, including SNP Care Management, Transitions of Care, and Reducing the Risk of Falling.
  • CCA has a focus on member-centered care and provider partnerships, with multiple initiatives in place to support the unique needs of its members.
  • The plan improved its raw score in multiple pharmacy quality measures, including prescribing statins for people with diabetes, medication adherence for hypertension, and lowering cholesterol.
  • Over 45% of CCA SCO members are living with four or more chronic conditions, and over 26% have a major physical or behavioral health disability.
  • Nearly 59% of CCA SCO members are nursing home certifiable yet can live safely and independently at home with CCA's care and support.
  • CMS rated Medicare Advantage Prescription Drug (MAPD) plans on a scale of 1 to 5 stars for 2026, with CCA's SCO plan receiving 4 out of 5 stars.
  • CCA became part of the CareSource family of companies earlier this year, which serves over 2 million members in 14 states.

Statistics:

  • 4 out of 5 stars rating from CMS for CCA's Massachusetts SCO plan.
  • 45.1% of CCA SCO members are living with four or more chronic conditions.
  • 26.2% of CCA SCO members have a major physical or behavioral health disability.
  • 59% of CCA SCO members are nursing home certifiable yet can live safely and independently at home with CCA's care and support.
  • 2 million members served by the CareSource family of companies in 14 states.

Sources:

  • "Commonwealth Care Alliance Receives 4 out of 5 Stars from CMS for Massachusetts Senior Care Options Plan." Commonwealth Care Alliance, 2026.
  • Centers for Medicare and Medicaid Services. "2026 Medicare Advantage and Prescription Drug Plan Ratings." Centers for Medicare and Medicaid Services, 2026.
  • "CareSource Acquires Commonwealth Care Alliance." CareSource, 2023.