CCOs Ranked: Members Rate Jackson Care Connect Best Medicaid Plan

Members of Jackson Care Connect are happier with their healthcare than any other CCO in the state. At Umpqua Health Alliance, CCO members are far less satisfied. But neither of these healthcare organizations received a perfect score from the people who enrolled in their Medicaid-funded, Affordable Health Care created plans.

That’s according to CCO members themselves, who responded to in-depth surveys commissioned by the Oregon Health Authority and published in 340-page analyses dubbed “Banner Books.” This is the seventh and final story digging deep to learn the survey results. We have been to looking beyond the profit and revenue reports typically used to assess the state of Oregon’s Medicaid-funded health plans. Instead, we’re focusing on how well each health plan works for patients seeking care.

We started these stories with review of AllCare Health, continued with three CareOregon affiliated-CCOs, then examined the two CCOs operating in the Portland area. In part four we looked into Trillium, Umpqua Health Alliance and PacificSource’s two CCO plans, and then we examined Cascade Health Alliance, Eastern Oregon CCO, InterCommunity Health Network and Primary Health of Josephine County and last week we looked at Western Oregon Advanced Health and Willamette Valley Community Health.

This week, we conclude the series by taking a step back, to look at big-picture trends revealed in our CCO-by-CCO analysis, and to rank how well the state’s coordinated care organizations fared on a number of critical metrics.

Best overall

The Lund Report examined how each CCO fared on 29 separate survey questions, which looked at patient experiences with their primary care provider, with specialists, with health plan administrators, and with accessing specialty care such as emergency dental programs or medical equipment, to develop our own ranking of how satisfied members are with the quality of care they receive. Our analysis also looked at how well doctors listened and explained options to patients, and how often they pushed tobacco users to quit.

Here’s how the state’s 16 CCOs ranked, from best to worse, based on this proprietary Lund Report analysis of survey results:

1. Jackson Care Connect
2. PacificSource Gorge
3. Primary Health of Josephine County
4. Intercommunity Health Network
5. Willamette Valley Community Health
6. Health Share of Oregon
7. AllCare
8. FamilyCare
9. PacificSource Central
10. Yamhill Community Care
11. Cascade Health Alliance
12. Columbia Pacific CCO
13. Eastern Oregon CCO
14. Trillium
15. Western Oregon Advanced Health
16. Umpqua Health Alliance

These ratings tell us how happy CCO members are with their care, but they do not reveal how effectively each CCO used their available funds, nor do they measure the results these healthcare organizations achieved, nor whether the CCOs adhered to the best practices of medicine.

Still, the rankings do offer a look into the subjective experiences of members. What follows is how members responded to several critical Banner Book survey questions.

Best care overall

Asked to rank the quality of their healthcare on a scale of zero to 10, where zero is the worst care possible and 10 is the best possible, 67 percent of all CCO members gave a top score of eight, nine or 10. Eight CCOs scored above this average, two tied with the statewide average, and six scored below average:

1. Jackson Care Connect: 72 percent of members gave a top score for the care they received.
2. PacificSource Gorge: 71 percent of members gave a top score for the care they received.
3. Willamette Valley Community Health: 71 percent of members gave a top score for the care they received.
4. Health Share of Oregon: 70 percent of members gave a top score for the care they received.
5. AllCare: 69 percent of members gave a top score for the care they received.
6. PacificSource Central: 69 percent of members gave a top score for the care they received.
7. Primary Health of Josephine County: 69 percent of members gave a top score for the care they received.
8. Trillium: 68 percent of members gave a top score for the care they received.
9. Yamhill Community Care: 67 percent of members gave a top score for the care they received.
10. Intercommunity Health Network: 67 percent of members gave a top score for the care they received.
11. FamilyCare: 65 percent of members gave a top score for the care they received.
12. Cascade Health Alliance: 64 percent of members gave a top score for the care they received.
13. Columbia Pacific CCO-Care Oregon: 62 percent of members gave a top score for the care they received.
14. Eastern Oregon CCO: 60 percent of members gave a top score for the care they received.
15. Umpqua Health Alliance: 58 percent of members gave a top score for the care they received.
16. Western Oregon Advanced Health: 56 percent of members gave a top score for the care they received.

Best doctors

Asked to rank their personal doctor on a scale of zero to 10, where zero is the worst possible and 10 is the best possible, 76 percent of all CCO members statewide gave a top score of eight, nine or 10. Ten CCOs scored above this average, and six scored below average:

1. Jackson Care Connect 84 percent gave their personal doctor a top score
2. PacificSource Gorge 82 percent gave their personal doctor a top score.
3. Primary Health of Josephine County 81 percent gave their personal doctor a top score.
4. Columbia Pacific CCO 79 percent gave their personal doctor a top score.
5. Willamette Valley Community Health 79 percent gave their personal doctor a top score.
6. AllCare 78 percent gave their personal doctor a top score.
7. Yamhill Community Care 78 percent gave their personal doctor a top score.
8. Health Share of Oregon 77 percent gave their personal doctor a top score.
9. PacificSource Central 77 percent gave their personal doctor a top score.
10. Eastern Oregon CCO 77 percent gave their personal doctor a top score.
11. Intercommunity Health Network 75 percent gave their personal doctor a top score.
12. FamilyCare 73 percent gave their personal doctor a top score.
13. Cascade Health Alliance 73 percent gave their personal doctor a top score.
14. Trillium 71 percent gave their personal doctor a top score.
15. Western Oregon Advanced Health 68 percent gave their personal doctor a top score.
16. Umpqua Health Alliance 67 percent gave their personal doctor a top score.

Best access over all

Of all CCO members, 80 percent said it was usually or always easy to get the care, tests or treatment they needed. Here’s how the state’s CCOs ranked on this metric:

1.  Jackson Care Connect: 87 percent said it was usually or always easy to access this the care, tests or treatment they needed.
2. Primary Health of Josephine County: 87 percent said it was usually or always easy to access this the care, tests or treatment they needed.
3. Intercommunity Health Network: 85 percent said it was usually or always easy to access this the care, tests or treatment they needed.
4. Trillium: 84 percent said it was usually or always easy to access this the care, tests or treatment they needed.
5. PacificSource Gorge: 83 percent said it was usually or always easy to access this the care, tests or treatment they needed.
6. Health Share of Oregon : 82 percent said it was usually or always easy to access this the care, tests or treatment they needed.
7. Columbia Pacific CCO: 81 percent said it was usually or always easy to access this the care, tests or treatment they needed.
8. Yamhill Community Care - Care Oregon: 81 percent said it was usually or always easy to access this the care, tests or treatment they needed.
9. Eastern Oregon CCO: 81 percent said it was usually or always easy to access this the care, tests or treatment they needed.
10. AllCare: 79 percent said it was usually or always easy to access this the care, tests or treatment they needed.
11. Willamette Valley Community Health: 79 percent said it was usually or always easy to access this the care, tests or treatment they needed.
12. Cascade Health Alliance: 78 percent said it was usually or always easy to access this the care, tests or treatment they needed.
13. FamilyCare: 74 percent said it was usually or always easy to access this the care, tests or treatment they needed.
14. Western Oregon Advanced Health: 74 percent said it was usually or always easy to access this the care, tests or treatment they needed.
15. PacificSource Central: 73 percent said it was usually or always easy to access this the care, tests or treatment they needed.
16. Umpqua Health Alliance: 71 percent said it was usually or always easy to access this the care, tests or treatment they needed.

Best access to specialists

Statewide, 75 percent of all members of Oregon CCOs said they could usually or always get an appointment to see a specialist as soon as they needed. Six CCOs ranked better than the statewide average, and 10 ranked worse:

1. Yamhill Community Care: 83 percent said they could usually or always see a specialist as soon as needed
2. Willamette Valley Community Health: 83 percent said they could usually or always see a specialist as soon as needed.
3. Intercommunity Health Network: 82 percent said they could usually or always see a specialist as soon as needed.
4. PacificSource Gorge: 78 percent said they could usually or always see a specialist as soon as needed.
5. FamilyCare: 77 percent said they could usually or always see a specialist as soon as needed.
6. AllCare: 76 percent said they could usually or always see a specialist as soon as needed.
7. Health Share of Oregon: 74 percent said they could usually or always see a specialist as soon as needed.
8. Jackson Care Connect: 72 percent said they could usually or always see a specialist as soon as needed.
9. Trillium: 71 percent said they could usually or always see a specialist as soon as needed.
10. Eastern Oregon CCO: 71 percent said they could usually or always see a specialist as soon as needed.
11. Cascade Health Alliance: 70 percent said they could usually or always see a specialist as soon as needed.
12. Umpqua Health Alliance: 69 percent said they could usually or always see a specialist as soon as needed.
13. Western Oregon Advanced Health: 67 percent said they could usually or always see a specialist as soon as needed.
14. PacificSource Central: 66 percent said they could usually or always see a specialist as soon as needed.
15. Primary Health of Josephine County: 65 percent said they could usually or always see a specialist as soon as needed.
16. Columbia Pacific CCO: 64 percent said they could usually or always see a specialist as soon as needed.

Courtney Sherwood investigates public records and digs into data for The Lund Report. Reach her at [email protected], or follow her on Twitter at @csherwood.