ccos

Ambulatory Surgery Centers Seek Relevance While Lagging in Transparency

The Lund Report
Oregon’s outpatient surgery centers are behind other healthcare organizations in reporting medical errors and infections

January 27, 2012 -- Oregon ambulatory surgery centers want to be an integral part of any newly formed Coordinated Care Organization. But some question just how transparent the 86 freestanding outpatient centers in the state are when it comes to reporting quality.

Policy Board Approves Business Plan for Oregon Health Plan Overhaul

The Lund Report
The Legislature is expected to begin reviewing that plan when it starts meeting next Wednesday

January 25, 2012—Diana Bianco, a consultant with Artemis Consulting, was met with an almost deafening silence after she asked the Oregon Health Policy Board’s members if there were any more suggestions or changes they wanted to make to the business plan that sets the course for the Oregon Health Plan’s transformation.

“My work here is done,” said Bianco, who’s been working with the policy board to develop the business plan.

Legislators Express Concern about Non-Discrimination of Provider Groups

The Lund Report
When the coordinated care organizations begin delivering health care to people on the Oregon Health Plan, they need to mirror Medicaid law, according to Mike Bonetto

January 23, 2012— When the House Health Care Committee met earlier this week, concern was raised about how non-discrimination language would impact provider groups wanting to participate in coordinated care organizations (CCOs).

Starting in July, these CCOs are expected to integrate the physical, mental and dental care for more than 600,000 people on the Oregon Health Plan.

Sam Chase Calls Primary Care the Key to Transformation

Praising the efforts of the transformation team, the executive director of the Coalition of Community Health Clinics says the future of healthcare in Oregon is still unknown

January 19, 2012 – Sam Chase stepped into his role as executive director of the Coalition of Community Health Clinics 18 months ago after serving as Portland City Commissioner Nick Fish's chief of staff and working with a variety of groups and government agencies on social justice and poverty issues, including the Oregon Opportunity Network and the Clackamas County Land Trust.

Managed Care Plans Have $252 Million in Their Reserve Accounts

The Lund Report
The big question is what happens to these reserves held by the 14 plans that provide healthcare to Oregon Health Plan members

January 19, 2012—Oregon’s preparing to launch a major healthcare transformation that will lead to the creation of coordinated care organizations (CCOs) and integrate physical, mental and dental care for more than 600,000 people on the Oregon Health Plan.

But an important question hangs in the balance. What will happen to the millions of dollars in reserve funds now held by the managed care plans that currently provide such services?

Health Policy Board Makes Strides on Business Plan for Coordinated Care Organizations

The Lund Report
With time running out to finalize that plan, the board wrestled with the requirements when it met on Tuesday

December 15, 2011— As the Oregon Health Policy Board develops the requirements that coordinated care organizations (CCOs) must meet to deliver care to more than 600,000 Oregonians, they’re faced with finding the right balance between prescriptiveness and flexibility.  

Those requirements will become part of the business plan legislators will consider when they meet in February. 

Legislators Weigh in on Business Plan for Healthcare Transformation

The Lund Report
Sen. Alan Bates and Rep. Tim Freeman want the Legislature to carefully monitor the progress of transforming the healthcare delivery system

December 15, 2011—Getting legislative approval for a business plan that sets the course for transforming the Oregon Health Plan may not come down to simply a yes or no vote, according to Sen. Alan Bates (D-Ashland) and Rep. Tim Freeman (R-Roseburg), who appeared before the Oregon Health Policy Board on Tuesday. 

Mental Health Organization Takes up Challenge to Create CCO

The Lund Report
GOBHI, which provides mental health benefits in 17 rural counties, has been leading discussions with physical and dental organizations, to create a coordinated care organization

November 21, 2011—A mental health organization is leading the charge toward transformation. Greater Oregon Behavioral Healthcare, Inc., (GOBHI), based in The Dalles, is in active discussions with a multitude of healthcare providers to become a coordinated care organization (CCO) by next July.

CEO Kevin Campbell has been meeting with federally qualified health centers, rural health clinics, public health departments, hospitals, county commissioners and primary and dental care providers in 17 rural counties -- many of which are east of the Cascades.

Provider Groups Ask for Inclusion in Coordinated Care Organizations

The Lund Report
They think a prescriptive list of providers needs to be part of the legislation going to the Legislature in February

November 17, 2011—Not mincing words, provider groups worried they’ll be left out of the coordinated care organizations (CCOs) took their case to the Oregon Health Policy Board last week. But they came away without any assurance.

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