OR: Coordinated Care Organizations brief legislature

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Oregon’s Coordinated Care Organizations

SALEM — The Oregon House Committee on Health Care held its first of two informational hearings on Oregon’s Coordinated Care Organizations (CCO). In a letter to all 16 Oregon CCOs, Committee Chair Representative Mitch Greenlick (D-Portland), he called for a “mid-course assessment” regarding the progress of the state’s healthcare transformation efforts.

The first session brought the AllCare Health Plan and Columbia Pacific CCOs before the committee. AllCare, which covers Oregon’s southwest corner, was represented by its CEO Douglas Flow. His testimony highlighted several areas where AllCare is meeting or exceeding expectations, including a continued decline in emergency room utilization, and declining per capita costs since 2012 (costs are up so far in 2015, compared to 2014). AllCare is struggling to improve outcomes in three areas:

  • Adolescent well-child check-ups
  • Depression screenings
  • 7 day follow-up on mental health discharges

Columbia Pacific serves Clatsop, Tillamook and Columbia Counties, and was represented at the hearing by its CEO Mimi Haley. Representing primarily rural counties, Ms. Haley highlighted a key barrier for many working in rural healthcare: workforce recruitment and retention. Currently their CCO includes six Federally Qualified Health Clinics. All six currently have vacant Medical Director positions.

The Health Care Committee will hold the second informational meeting on CCOs on Tuesday.