SALEM—Today the Centers for Medicare & Medicaid Services (CMS) approved the Oregon Health Authority’s Coordinated Care Organization (CCO) contracts and capitation rates for 2017. Today’s approval by CMS finalizes the 2017 rates for all 16 CCOs that contract with the state of Oregon to manage and deliver health care to Oregonians on the Oregon Health Plan (OHP), the state’s Medicaid insurance program. OHA pays these capitation rates to CCOs on a monthly basis to cover OHP members for physical, behavioral and oral health services.
“Oregon has been successful at bending the cost curve and saving over $1.4 billion since 2012 with the coordinated care model,” said Lynne Saxton, Director of the Oregon Health Authority. “This is largely because of our commitment to using global budgets and maintaining a sustainable rate of growth. Today’s approval by CMS is validation that our CCO rates are actuarially sound and that Oregon’s CCOs can continue providing quality care for Oregon Health Plan members.”
The rates approved today show that Oregon is on track to meet its cost containment rate of 3.4 percent, with an aggregate 2017 rate increase of 3.2 percent. The 2017 rates take into account several factors, including differences in regional costs, population disease risk and hospital reimbursement. Oregon has pledged to maintain this sustainable rate of growth through 2022 as part of its renewed Medicaid waiver.
March 29, 2017
