Eight Coordinated Care Organizations are Certified

Oregon Health Authority News Release:

Eight new health care organizations are certified to begin serving local communities in Oregon on August 1, 2012, the Oregon Health Authority announced today.

The new entities, called Coordinated Care Organizations (CCOs), will provide care for Oregonians enrolled in the Oregon Health Plan/Medicaid. CCOs are the foundation of Oregon's vision to improve care, achieve better health and lower costs. Under bi-partisan state legislation passed earlier year, the new CCOs will be able to deliver care in new ways. Key to CCOs will be the ability to coordinate mental and physical health care and focus on prevention. CCOs will also provide effective support to patients with chronic conditions, ensuring that they are taking appropriate medications and managing their appointments.

"I am proud of the way the Oregon health care community has come together to create a more patient-centered and sustainable health care system," said Governor John Kitzhaber. "By eliminating the unnecessary and unhelpful elements of health care such as bureaucracy, duplicate testing, and preventable hospital visits, we can save billions of dollars and have a healthier population. We are on our way to fulfilling our vision for Oregon for a more effective, efficient health system."

Under the new model, Oregon has agreed to reduce Medicaid inflation by 2 percentage points within two years by focusing on improving the health of clients to reduce unnecessary expenditures. The agreement calls for saving $11 billion over the next decade. Coordinated Care Organizations are an Oregon-based reform and are not affected by the pending Supreme Court ruling about the federal Accountable Care Act.

The eight certified CCOs are contracted to begin enrolling people August 1. The communities they will serve are listed below. This is the first wave of certification. Additional CCOs are expected to be certified and begin providing services later in the year.

AllCare Health Plan - All of Curry, Josephine, Jackson and part of Douglas counties

FamilyCare, Inc. - Clackamas, Multnomah, Washington, and part of Marion County

Intercommunity Health Network Coordinated Care Organization - All of Benton, Lincoln and Linn counties

PacificSource Community Solutions, Inc. - All of Deschutes, Crook and Jefferson and part of Klamath counties

Trillium Community Health Plan - All of Lane County

Umpqua Health Alliance - Most of Douglas County

Western Oregon Advanced Health, LLC - All of Coos and Curry counties

Willamette Valley Community Health, LLC - All of Marion and most of Polk counties

Bruce Goldberg, M.D., director of the Oregon Health Authority, says that the creation of the new CCOs marks the beginning of historic changes to Oregon's health care system. At the same time, as the new Coordinated Care Organizations are forming, clients will not see much of a change, especially at first. Oregon Health Plan benefits are not changing and services that are covered today will continue to be covered under Coordinated Care Organizations.

"Clients do not have to take any actions," said Dr. Goldberg. "As CCOs get up and running there will be more opportunities for preventive care, education and other services that help keep people healthy."

Later this week OHP clients who are going to be enrolled in a new CCO in their community will receive personal notification with the name of the new Coordinated Care Organization. More information for clients can be found at health.oregon.gov.

Dr. Goldberg also points out that under the new state health care law, Coordinated Care Organizations will be required to implement health improvement strategies for the people they serve.

"These improvements are not only about lowering costs," said Dr. Goldberg. "We will be measuring the success of the new CCOs based on how well they do to improve the health of the people they are serving. And we will all be accountable for that."

GOBHI Plans Series of Local Meetings

COMMUNITY MEETINGS SCHEDULED FOR THE EASTERN OREGON COORDINATED CARE ORGANIZATION – Public Welcome and Encouraged to Attend

Greater Oregon Better Health Initiative (GOBHI) together with ODS Community Health Inc. have joined together to create a collaborative partnership to serve twelve of Oregon’s rural Eastern Oregon Counties (Wheeler, Gilliam, Sherman, Morrow, Umatilla, Lake, Harney, Grant, Union, Wallowa Baker, and Malheur).

Go to "Upcoming Meetings" link above to see the details.

Temporary Draft CCO Rules

The Legislature overwhelmingly approved SB1580, which implements the Oregon Health Policy Board recommendations, and finalizes action from last session's HB3650.

The full proposal and other materials from the OHPB meetings can be found at http://health.oregon.gov/OHA/OHPB/meetings/index.shtml. This includes the Medical Liability Report as well as the update on integration of Medicare and Medicaid services for individuals who are dually eligible, and Diane Lovell’s comments on PEBB/OEBB.

Initial CCOs Certified By State of Oregon

The following applicants have been provisionally certified for the service areas below
CCO Applicant Name	Proposed Service Area by County
AllCare Health Plan, Inc. – Mid Rogue Independent Physician Association, Inc.,	Curry, Josephine, Jackson, Douglas (partial)
Cascade Health Alliance, LLC	Klamath (partial)
Eastern Oregon Coordinated Care Organization	Baker, Malheur, Union, Wallowa
FamilyCare, Inc.	Clackamas, Marion (partial), Multnomah, Washington
Intercommunity Health Network Coordinated Care Organization	Benton, Lincoln, Linn
PacificSource Community Solutions, Inc.	Crook, Deschutes, Jefferson, Klamath (partial), Harney (pending), Grant (pending), Lake (pending, partial), Wheeler (pending)
Trillium Community Health Plan, Inc.	Lane
Tri-County Medicaid Collaborative	Clackamas, Multnomah, Washington
Umpqua Health Alliance – DCIPA, LLC	Douglas
Western Oregon Advanced Health, LLC	Curry, Coos, Douglas (partial)
Willamette Valley Community Health, LLC	Marion, Polk

The following applicants have been asked to resubmit their applications for a later date for the services areas below
CCO Applicant Name	Proposed Service Area by County
Columbia Pacific CCO, LLC	Clatsop, Columbia, Coos (partial), Douglas (partial), Hood River, Tillamook, Wasco
Eastern Oregon Coordinated Care Organization	Gilliam, Grant, Harney, Lake, Morrow, Sherman, Umatilla, Wheeler (partial)
Eastern Oregon Health Authority, Inc.	Umatilla, Morrow
Greater Oregon Behavioral Health, Inc., abn Greater Oregon Better Health Initiative	Klamath, Deschutes (partial)

https://cco.health.oregon.gov/Pages/CCO-Applicant-Names.aspx

CCO Timelines

https://cco.health.oregon.gov/RFA/Pages/Overview.aspx

New Coordinated Care Organizations certified (first wave) May 28, 2012
Medicaid Contract(s) signed by new CCOs by June 29, 2012
Medicaid Contract to CMS for approval by July 3, 2012
Medicaid Contract Effective for new CCOs Aug. 1, 2012

Regional CCO Lunch Forums A Success

With Special Guest: OHA Director Bruce Goldberg

Over 1,000 individuals participated in the events either live or on line.

CCOOregon will be working with the state and with emerging CCOs on a series of small video teleconferences between CCOs this summer, and will host a "CCO Overview" in early October. All certified CCOs are invited to present at this conference, which will bring state and federal officials to Oregon for a preview of plans for comprehensive health reform in our commmunities.

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EVENTS A HUGE SUCCESS

124 attended. Wednesday, April 11th / Hood River / Hood River Inn

76 attended. Friday, April 13th / La Grande / Blue Mountain Convention Center

397 attended and/or listened in via live streamingTuesday, April 17th / Portland / Doubletree Lloyd Center

131 attended. Thursday, April 19th / Eugene / Lane Community College

87 attended. Tuesday, April 24th / Medford / The Red Lion

157 attended May 15 / Bend / The Riverhouse

87 attended the "live feeds" from the events!

Oregon Governor John Kitzhaber and Obama Administration announce agreement to improve care for Oregonians on Medicaid

Care coordination will improve health, achieve $11 billion in savings.
Innovations mirror national reforms made possible by Affordable Care Act

(Washington, D.C.) — The U.S. Department of Health and Human Services (HHS) has given preliminary approval of a five-year, $1.9 billion demonstration of a Federal-State partnership to transform the way that care is delivered in Oregon's Medicaid program. The initial investment of $620 million in the second year of the State’s current biennium will allow Oregon’s new care organizations to better deliver higher-quality, coordinated care for Medicaid patients while reducing preventable errors. Oregon estimates that this will achieve $11 billion in savings over the next decade.