Colorado Alliance for Health and Independence (CAHI) was formed through the vision and passion of a number of individuals that believe that Colorado can better serve its citizens with disabilities. The basic concept of CAHI’s program is to take an aggressive, proactive approach to healthcare to manage each client’s individual needs in lieu of a more reactive protocol that many in CAHI’s target demographic find themselves repeatedly. This is a paradigm shift in healthcare management for many in CAHI’s target demographic. At the core of CAHI’s healthcare management philosophy is the concept that the client is not only involved in the decision-making process, but is truly at the center of the process.

CAHI focuses exclusively on the needs of persons with disabilities in Colorado. This group of individuals represents some of the most costly cases for Medicaid to manage. The care coordination model developed by CAHI will not only improve the quality of care for its clientele, but also will produce positive outcomes for Medicaid and provide a fiscally sound alternative to today’s existing care model.

Disability Care Coordination

CAHI has designed its care coordination model to focus on the needs of Colorado’s high-cost Medicaid enrollees. Medicaid defines high-cost enrollees as those enrollees that carry an annual cost of more than $25,000 per enrollee. Within Medicaid, spending is highly concentrated on a small percentage of beneficiaries – the high-cost enrollees. CAHI is confident that its program can dramatically reduce Medicaid expenditures by serving this population. While this is a great benefit, the real benefactors of the services provided by CAHI are persons with disabilities.

The benefits of disability care coordination include:

• Maximizing health, functioning and self-sufficiency of all persons with disabilities.
• Working collaboratively with high cost/high needs individuals and their primary care team to prevent medical complications.
• Optimizing efficiency in the expenditure of taxpayers’ money.
• Maximizing value in Medicaid and improving quality of life.
• Self-directed, participant-centered care plan that addresses the needs of the individual as a whole person – clinical, social, and personal.
• Team based approach to providing services where the participant is an integral decision-making member of the team and input from all team members is valued.
• Single care coordinator that is ultimately responsible for ensuring that the needs of participants are being met.

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