About Care Compass Network

Care Compass Network (CCN) is a not-for-profit, community organization that was created to champion new models of providing Medicaid members and the community at large, with higher quality of care, while reducing expenses through care coordination and community-focused care and education.

CCN convenes and collaborates with over 210 partner organizations, which include hospital systems, community-based organizations, nursing homes, behavioral health and substance use disorder programs, social services agencies, and similar entities.

CCN has received funding from the New York State Department of Health to develop a comprehensive plan for expanding and improving healthcare delivery within our 9-county region, as well as help healthcare organizations make the transition from a traditional fee-for-service model to a new, pay-for-performance approach or Value-Based Payment (VBP) program.

Our Mission

The mission of Care Compass Network (CCN) is to improve the health and wellbeing of the community members in the CCN service area by supporting the development of enduring partnerships of clinical and community service providers and empowering those partnerships to flourish in a value-based payment environment.

Our Vision

The vision of Care Compass Network is to improve the health and life of Medicaid beneficiaries who engage in coordinated, culturally sensitive services that utilize the most appropriate, effective setting given medical, behavioral, social, and health literacy needs.


  • To develop and implement a model of care that right sizes, realigns, and integrates the continuum of community based and institutional services to achieve Delivery System Reform Incentive Payment (DSRIP) goals to improve access to care while simultaneously reducing patient Emergency Department Visits, re-admissions, and preventable admissions, thereby reducing costs.
  • To retrain and redeploy the healthcare workforce to align with and support the transformed service delivery model.
  • To implement community-based care coordination to deploy early intervention and prevention to people with rising risk for chronic illness and facilitate access and movement through care settings in the service continuum.
  • To build organizational infrastructure for population health management, financial operations, contracting and electronic information management needed to support the Care Compass Network in the achievement of DSRIP quality and utilization goals.

Community Health Needs Assessment

In order to get a full representation of the healthcare marketplace in the Care Compass Network region, RMS, an independent market research firm, conducted a 3-tier qualitative and quantitative market research study comprised of:

  1. An online survey shared with healthcare providers, community leaders across many organizations, and the general community.
  2. In-depth telephone interviews with healthcare providers and community leaders.
  3. Focus groups across the counties with recruited community residents.

To learn more about the research, review the Community Health Assessment Report