Health Care Transformation

OHSU Intends to Track Effectiveness of CCOs

The Lund Report
The work will be done by John McConnell, PhD, who now heads the Center for Health Systems Effectiveness

December 19, 2012 – The newly created Center for Health Systems Effectiveness at Oregon Health & Science University intends to measure the effectiveness of coordinated care organizations under the leadership of John McConnell, PhD, who made a presentation at OHSU’s board meeting last week.

Oregon Could Reduce Uninsured by 51 Percent Under Medicaid Expansion

The Lund Report
Within the context of the Affordable Care Act, a new analysis simulates the effects of expanding Medicaid eligibility on cost, enrollment and uninsured numbers. Findings show that a Medicaid expansion in Oregon would cut uninsured numbers by half, increase enrollees more than six-fold, and raise spending, though relatively modestly.

November 28, 2012 -- Just as Oregon and other states are weighing whether to expand Medicaid, a step made optional by the Supreme Court’s June 2012 ruling on the Affordable Care Act (ACA), findings from a new study detailing Medicaid expansion impacts on states may help inform their choices.

OHSU Takes Big Step into Health Reform Implementation

The Lund Report
Increased capacity for 'delivery system science' one key to reform success

November 26, 2012 -- Oregon Health & Science University (OHSU) today announced the receipt of a grant from the National Institutes of Health (NIH) and a gift from Phil and Barbara Silver that will combine to strengthen OHSU's capacity to analyze health reform efforts and contribute to bending the cost curve down.

Dembrow Intends to Keep Single Payer Movement Alive Next Session

The Lund Report
The Portland legislator is convinced that a single payer health system is the most affordable and comprehensive option

October 18, 2012 -- Despite the emphasis on healthcare transformation, evident by the $1.9 billion in federal funds that Governor John Kitzhaber garnered to implement coordinated care organizations, the single payer movement isn’t dead in Oregon.

Its champion, Rep. Michael Dembrow (D-Portland) plans to re-introduce the same legislation again next February. In 2011, it received a hearing in the House but stalled there (House Bill 3510).

Governor Kitzhaber Seeks to Expand Coordinated Care Organizations

The Lund Report
The CCOs, which got under way in August, now cover 500,000 people on Medicaid throughout the state

September 12, 2012 – With coordinated care organizations – better known as CCOs -- in full swing for the Medicaid population, Governor John Kitzhaber is setting his sights on the next targets – people on Medicare, the state’s public employees and the private business sector.

Oregon Health Authority Seeks Transformation Consultants

The Lund Report
At a time when budgets are tight, transformation consultants will be hired by the OHQA

July 5, 2012 – The Oregon Health Authority, the governmental agency that oversees the implementation of coordinated care organizations, is seeking proposals for transformation consultants.

These consultants are expected to facilitate the exchange of information between these CCOs and the authority and will each be paid up to $100,000 a year for such services and travel costs. The authority intends to award multiple contracts from August 1 through next July.

Oregon’s Waiver to CMS Nears Completion

The Lund Report
The waiver is necessary for Oregon to proceed with its efforts to reform the Oregon Health Plan

June 19, 2012—The Oregon Health Authority is nearing the end of countless hours of negotiations with the Centers for Medicaid and Medicare Services (CMS) to finalize a waiver that will allow the state to legally move forward with reforming the Oregon Health Plan.

Communication to Oregon Health Plan Patients Increases As Reform Nears

The Lund Report
The Oregon Health Authority is emphasizing that patient’s services and care will not change

June 7, 2012—Communication to Oregon Health Plan patients about what the monumental changes to the Oregon Health Plan’s delivery system means to them is beginning in earnest as the August 1 start date for 11 organizations likely to become coordinated care organizations throughout Oregon nears.

Dental Organizations Interested in Reform Take Their Case to the Legislature

The Lund Report
Organization leaders continue to be concerned about the role they will play in coordinated care organizations, and whether they will be part of the decision-making process

May 24, 2012—Dental care organizations serving Oregon Health Plan patients are still publicly concerned about their attempts to become part of the newly forming coordinated care organizations – and made a presentation to the Senate’s health committee during a three-day
interim session on Monday.

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