CCO

None of the CCO met all benchmarks, with Medicaid expansion, changing health recommendations complicating efforts to measure performance.

Oregon’s coordinated care organizations are moving forwards, backwards and sideways in their efforts to measure improvements to the care they provide, according to a state snapshot of performance metrics released this month.

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Greenlick Opens Controversial Debate on Future of CCO System

Rep. Mitch Greenlick seeks major changes that will ensure that the local Medicaid health management companies operate in the public interest, and he wants legislation passed before the new contracts come out. Sen. Bates seeks more transparency from the Oregon Health Authority to avoid another heated battle with CCOs over payment.

Rep.

By: 
Chris Gray

CCOs Face Steep Cuts for Younger Adults After Actuarial Analysis Shows 2014 Overpayment

FamilyCare received some of the biggest cuts, moving from one of the best-paid CCOs to the least paid. A state report shows that the CCOs were paid nearly as much for younger adults as they were for older adults, and a more refined analysis ordered by the feds caused the state to adjust rates more closely to actual claims.

The Oregon Health Authority issued its final Oregon Health Plan rates for 2015, assigning the coordinated care organizations with figures that veer dramatically from their 2014 rates and create both winners and losers as the dust is settled.

By: 
Chris Gray

Access to Care and Defining Preventative Care Concern Health Share

The wait times for routine mental health care at times took six to seven weeks.

Health Share ‘s Community Advisory Council heard CEO Janet Meyer’s report on the coordinated care organization’s first two year’s work, remaining work for the next 12 months, and beginnings of the CCO’s next two- to three-year plan at the council’s monthly meeting.

By: 
Jan Johnson

Medicaid Enrollees Should Expect Smoother Renewal Process

Meanwhile, the Oregon Health Authority continues to paint a misleadingly rosy picture of CCOs, giving them credit for improvements to childhood screening that are not the result of better care but better data collection.

Oregon Health Plan members should expect a smoother time renewing their Medicaid benefits this year, according to state officials who met in Salem Tuesday at the Oregon Health Authority’s OmbudsAdvisory Council meeting.

By: 
Christopher David Gray

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