The Oregon Health Authority announced coverage areas for the next round of the state’s Medicaid system on Wednesday based on county lines rather than Zip codes, which is the case now.
coordinated care organizations
The Oregon Health Authority will pay coordinated care organizations 4.2 percent more for Medicaid patients in 2019 than in 2018, missing its goal of keeping cost increases to 3.4 percent or less.
The CEO of Health Share, Oregon's largest Medicaid provider, has resigned.
The Oregon Health Authority uses performance metrics and quality measures to evaluate the performance of Coordinated Care Organizations – and determine whether they are, in fact, improving care, improving health and lowering costs.