Eastern Virginia Care Transitions Partnership


Eastern Virginia Care Transitions Partnership (EVCTP) has been operating since 2013. The founding partnership includes 5 Area Agencies on Aging: Eastern Shore, Peninsula, Rappahannock, Senior Services and Bay Aging—the lead community organization; 4 health systems (11 hospitals): Bon Secours, Mary Washington, Riverside and Sentara; and 69 skilled nursing facilities. This formal partnership is charged with lowering hospital readmissions, increasing the quality of health care and lowering health care costs.

EVCTP’s ability to meet the needs in a region that has a unique blend of rural and urban populations is testament to the loyal ties with clients and health systemMillions texts to consistently deliver   quality services. Rural populations create special challenges for delivering healthcare services. Bay Aging created an expansive service system supporting traditional pre- and post-acute healthcare – a potential model for rural regions across the nation.

The comprehensive all-inclusive approach coordinates referral, billing and reimbursement, as it simplifies MCO and ACO administrative processes in dealing with multiple service providers. EVCTP has successfully negotiated reimbursement as a partner within a bundled payment plan, subcontracts with Virginia’s MCOs and is entering into contracts with ACOs

Kathy Vesley-Massey


Bay Aging, Lead

Community Organization

Eastern Virginia Care

Transitions Partnership