healthcare transformation

Health Share of Oregon Boasts 25,000 New Enrollees

The Lund Report
CCO attributes enrollment surge to the fast-track process

Oregon's largest coordinated care organization expected to get 20,000 to 23,000 new members in the first year after the state's Medicaid expansion kicked in.

Just days into the new year, chief operating officer Susan Kirchoff announced that it had already exceeded that projection.

Traditional Healthcare Workers Join CCO Movement

The Lund Report
This work force is intended to help people lead healthier lives, as well as save money

July 1, 2013—Traditional health workers and their impact on Oregon’s healthcare system, particularly the Oregon Health Plan, were the subject of an all-day conference sponsored by Acumentra Health last week.

Health Reform Dependent on Good Information Technology, Says Abby Sears

The Lund Report
Change may not happen at the speed stakeholders anticipate, she says – but being willing to learn from mistakes will be helpful

February 4, 2013 -- Healthcare reform – at both the state and federal level – won't be possible unless clinics and providers have good, up-to-date information on their patients. That in turn won't be possible without good information technology and appropriate supports, said Abigail Sears, CEO of the Oregon Community Health Information Network.

Medicaid Pays for 47 Percent of Children Born in Oregon

The Lund Report
Also, 20 percent of people on the Oregon Health Plan have chronic conditions, including mental health and substance abuse problems

January 16, 2013 -- After the Affordable Care Act passed, most states waited before taking action, but Oregon went full speed ahead to transform its healthcare system, said Martin Taylor, director of public policy and member centricity for Care Oregon, at the Transforming Care 2013 conference held by CCO Oregon last week.

CMS Approves Accountability Measures

The Lund Report
The coordinated care organizations will be graded on 17 metrics regarding access and quality of care, and be rewarded additional funds from a bonus pool

January 16, 2013 -- The federal Centers for Medicare and Medicaid Services has given final approval to a waiver that includes a list of 17 accountability measures for Oregon’s new coordinated care organizations, which are providing care to the state’s Medicaid population through the Oregon Health Plan.

CMS ordered a last-minute adjustment that requires the CCOs to monitor the follow-up care for children who receive drugs for attention deficit hyperactivity disorder.

Tricia Tillman Says Diverse Groups Need a Seat at the Table

The Lund Report
As administrator of the Office of Equity and Inclusion, she believes coordinated care organizations should form partnerships with culturally diverse stakeholders

January 2, 2013 -- Growing up in southwest Portland – and later studying political science at the Catholic University of America in Washington, D.C. – Tricia Tillman didn't realize public health was an occupation, much less the one where she’d end up.

“I kind of stumbled into public health,” Tillman said. “I didn't know it was a field at all.”

Oregon Gives CCOs Financial Incentives for Quality Care

The Lund Report
A portion of the state’s increase in federal Medicaid funding will go to coordinated care organizations that show improvement in key areas

December 18, 2012 -- The Oregon Health Authority wants to give financial bonuses to the new coordinated care organizations if they can show good healthcare access as well as emphasize preventive practices such as mental health screening and good maternal healthcare.

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.

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