Quick Look: CCOs report mixed gains on performance metrics

CCOs were evaluated on adolescent well care, emergency department utilization and enrolling members in patient-centered primary care homes among other metrics.

The Oregon Health Authority reviewed how each of the state’s 16 CCOs performed on 17 incentive metrics, a report called “Oregon's Health System Transformation: CCO Metrics 2015 Mid-Year Update,” released earlier this week. These metrics were chosen through a collaboration between the state and federal Medicaid officials, who are carefully watching Oregon’s only-one-of-its-kind attempt to reinvent health care. By mid-2016, the Oregon Health Authority will crunch the numbers to determine how performance on these metrics affects the money these CCOs receive.

CLICK HERE for an in-depth look at the performance of Oregon’s CCOs on key metrics, and a look at the meaning behind those numbers.

“Each CCO is given an improvement target. As long as they meet their target each year, they get paid for making progress on the metric,” Lori Coyner, Oregon’s state Medicaid director, told The Lund Report.

“For a CCO to receive 100 percent of its quality pool funding, they need to meet their improvement target, or they have to meet the benchmark for 12 of the 17 incentive metrics. They have to have 60 percent of their members in patient-centered,” she said.

“There’s steady improvement across the years,” she said. And that means many CCOs will receive incentive payments, even if they don’t receive the full amount possible.

“We do pay incentives for improvement, not just for meeting the benchmark,” Coyner said. “The benchmark is a goal. It’s the level we expect to have our CCOs performing at to be considered one of the top performing Medicaid agencies in the country – to be exemplary.”

Courtney Sherwood can be reached at [email protected]. Follow her on Twitter at @csherwood.

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