Health Transformation in Oregon

We Can’t Afford This Anymore If Food Had Risen at the Same Rate as Medical Inflation (1) : 1 Dozen Eggs$ Dozen Oranges$ Pound Bananas$ Pound Coffee$ (1) Since 1930’s

What is a CCO --a network of all types of health care providers who have agreed to work together in their local communities for Oregon Health Plan Members (Medicaid); --with one budget that grows at a fixed rate for mental, physical and ultimately dental care; --accountable for health outcomes of the population they serve; --governed by a partnership of health care providers, community members, and stakeholders who have financial responsibility and are invested in the results.

Who is Health Share? The largest CCO in the State and one of two CCO’s in the Tri-County Region; Founding members: Adventist HealthCare Oregon Central City ConcernClackamas County Kaiser PermanenteLegacy Health Multnomah CountyOHSU ProvidenceTuality Washington CountyMany Stakeholders!

What’s Different? What’s Not? Different? Global Budget/Flexible Benefits Provider Driven Non-Traditional Health Workers Focus on Cultural Competency Pay for Value – Pay for Outcomes Combines Physical Health, Mental Health, Addictions and (soon) Dental More Transparency Same? Basic Benefits Eligibility Requirements (Until January 2014) Providers

Summary Oregon’s Action Plan for Health Improve the lifelong health of all Oregonians Increase the quality, reliability and availability of care for all Oregonians Lower or contain the cost of care so it is affordable for everyone