Health Share Earns $40.9M in Quality Incentive Funds
As noted in a report recently released by the Oregon Health Authority, Health Share of Oregon has earned $40.9 million in quality incentive funds to continue its efforts to improve quality and access to care, address health disparities and curb costs, ultimately creating a healthy community for all.
“The 2016 measures were challenging for many CCOs,” said Health Share CEO Janet Meyer. “Meeting these measures takes a large collaborative effort among all our partners and we’re proud of what we’ve done to improve care for our members.”
The quality pool model rewards coordinated care organizations (CCOs) for outcomes, rather than quantity of services. The improvement targets become more difficult each year, ensuring CCOs continue to work towards better outcomes. This year also saw two new outcome-focused measures: childhood immunization status and cigarette smoking prevalence. Health Share’s highlights from the report include:
- Doubled the rate of alcohol and drug screenings
- 50 percent increase in depression screening rate
- 10 percentage point increase in assessments for children entering DHS custody
- Increased rate of dental sealants, adolescent well child visits and follow-up after hospitalization
Health Share invests its earned incentive dollars in the community through innovative programs and initiatives. Below are just a few of the programs Health Share and its partners will focus on in the coming year, using these incentive dollars:
- Dental3: A regional collaborative organization, with participation from all nine of Health Share’s dental plans, that works to provide prevention services in community settings (including oral health assessments, fluoride and sealants).
- Behavioral Health: Health Share’s behavioral health plan partners have aligned their efforts on outcome-based care, supporting a movement away from fee-for-service towards value-based payment that achieves the Triple Aim, as well as expanding access to peer resources.
- Early Life Health: Health Share partners are collaborating in many ways to improve early life health, including partnerships with Youth Villages to reduce unnecessary child emergency department use, and funding for the Reach Out and Read program.
“Reaching these targets took a lot of effort and hard work by the partners who make up Health Share and the Health Share staff,” said Eric Hunter, President and CEO of CareOregon and Chair of Health Share’s Board of Directors. “There is still a lot of work to do, and I look forward to building on this success.”
About Health Share of Oregon
Health Share of Oregon is the state’s largest Medicaid coordinated care organization (CCO), serving more than 215,000 Oregon Health Plan (OHP) members in Clackamas, Multnomah, and Washington counties. Our mission is to partner with communities to achieve ongoing transformation, health equity, and the best possible health for each individual.
Health Share was founded and continues to be governed by eleven health care organizations serving OHP members: Adventist Health, CareOregon, Central City Concern, Clackamas County, Kaiser Permanente, Legacy Health, Multnomah County, Oregon Health & Science University, Providence Health & Services, Tuality Health Alliance and Washington County.
Media contact: Stephanie Vandehey, (503) 416-3958