coordinated care organizations

CCO Performance from the Consumers' Perspective

Housed within the Oregon Public Health Institute, the Consumer Confidence Project takes a look.

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.

Southern Oregon CCOs Provide Unique Perspectives to Health Policy Board

The four counties along the California border going east from the Pacific Ocean have 10 percent of the population, but four CCOs are experimenting with the delivery of healthcare.

Southern Oregon has the state’s most concentrated presence of coordinated care organizations, with four organizations serving four counties with less than 10 percent of the state’s population.

CCOs Improve Care Where it Costs Them; Mixed Results Otherwise

The Oregon Health Authority released $47 million in bonus money along with the first annual report on the coordinated care organizations’ efforts to meet 17 quality metrics. The locally operated health plans for Medicaid clients are doing a good job reducing unnecessary ED visits and hospital stays for chronic conditions, but other metrics the state highlight in the report, such as an alleged increase in developmental screenings for children, are misleading.

The Oregon Health Authority released its report on Tuesday to much media fanfare, the first such report with a year’s worth of numbers.

Douglas County Quits Mental Health Services

Douglas County Courthouse
Joining the majority of Oregon counties, Douglas County in handing over responsibility to a nonprofit

Douglas County is getting out of the business of providing mental healthcare -- joining the majority of Oregon counties where private nonprofits are in charge.

Thompson Tries to Survive Strong Challenge from the Right

Rep. Jim Thompson is among the most influential Republicans on healthcare issues, serving as the vice-chair of the House Health Care Committee. But his support for same-sex marriage and his compromising demeanor on healthcare reforms has forced him to defend his Dallas-based House district against a conservative eager to take a more provocative approach to politics.

Mike Nearman wants to take the Oregon Republican Party in a new direction, one along Tea Party lines and rid the party of so-called “Republicans In Name Only” that hold sway in the Oregon House. He wants to start with Rep. Jim Thompson, R-Dallas, whom he believes hasn’t done enough to derail the hated Obamacare laws.

“He’s content to just get spoon fed whatever Cover Oregon wants,” said Nearman, an information technology professional and the chairman of the Polk County Republicans. “I wouldn’t let John Kitzhaber get away without answering any questions.”

Goldberg’s Exit Shifts Medicaid Transformation into Uncertain Waters

Rep. Mitch Greenlick thinks it was a mistake for the governor to “scapegoat” Goldberg for Cover Oregon’s problems. The outgoing Oregon Health Authority director has been at the center of the state’s attempts to expand healthcare access and reform the delivery system for Medicaid. But others think his exit could be a chance to change a dysfunctional culture at the Oregon Health Authority.

The fallout from the Cover Oregon debacle will not be limited to the failed online insurance exchange and could have major repercussions throughout Oregon’s health system and the coordinated care organization reform efforts, largely due to the loss of longtime public servant Dr. Bruce Goldberg.

Last week, Gov. John Kitzhaber announced Goldberg’s resignation -- the health policy leader took responsibility for his role in the state’s failure to effectively manage lackluster web developer Oracle. While Goldberg headed up the Oregon Health Authority, the California technology giant sent Oregon a large infrastructure of bad codes rather than the functioning Amazon.com-style website it had promised, leaving Oregon as the only state where consumers cannot sign up for private health insurance online without assistance.

Preliminary Data Shows Decrease in ER Visits

The Lund Report
Oregon Health Authority's third-quarter health systems transformation report also shows gains in adoption of electronic health records and the number of patients with primary care homes

The first nine months of data on coordinated care organizations performance show most of Oregon's 16 coordinated care organizations improving in most areas for which benchmarks are available – with a 13 percent dro

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