Help Shape Oregon's Health Care Future
Each of the Oregon Health Policy Board's four health transformation work groups for House Bill 3650 has been charged with tackling a different aspect of Coordinated Care Organizations. We are now collecting feedback on the September round of Work Group meetings. Input for this round will be collected through October 7.
How to Participate
- Tell us about yourself
- Read through the work group materials.
- Answer one or all of the questions.
Tell Us About Yourself
Before you provide input, please answer a few questions about yourself. The demographic information you provide will help us better understand your input and improve our outreach activities throughout the state.
Medicare-Medicaid and CCO Criteria
- The Medicare-Medicaid Integration work group will help identify strategies for improving integration of health and long-term care and services for individuals enrolled in both the Medicare and Medicaid programs within the framework of health system transformation. It will help in developing a proposal to the federal government for a demonstration project to integrate care and services provided through the Medicare and Medicaid programs.
- The Coordinated Care Organization Criteria work group will provide input on developing the qualification criteria and standards for the proposed Coordinated Care Organizations. The group will also review proposed performance standards in clinical, financial and operational areas.
At each work group meeting, members will split into small break out groups in order to deliberate, discuss, and answer some of the tough questions facing the implementation of Coordinated Care Organizations. On this website we will post the same questions that are posed to the work group members each month. The comments left here will be collated and sent to the Oregon Health Policy Board for their review.
How should CCOs and the Long Term Care system share financial accountability? In particular, in thinking about the three potential financial models in the handout "CCO/LTC Shared Financial Accountability", what are your reactions?
- Do you have a preference between the models, or an additional model to suggest?
- What if funding for positive incentives isn’t possible due to budget realities?
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Since the models can potentially be combined, what combination of these models (or other options) would work best?
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Medicare-Medicaid: Shared Financial Accountability
What are critical elements for holding CCOs and the Long Term Care System jointly accountable for ensuring that high quality, person-centered care is delivered to beneficiaries?
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Medicare-Medicaid: Systems Accountability
How can the OHA assure that CCOs will effectively address patient rights and responsibilities in the context of patient engagement under Health Systems Transformation and the Triple Aim?
What is the member's role in health systems transformation?
More Details
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CCO: Patient Engagement, Rights, and Responsibilities
How should OHA evaluate the CCO's ability to assure that the right providers deliver the right care, at the right time, in the right place?
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CCO Delivery System:
Global Budget and Metrics
- The Global Budget Methodology work group will provide input on developing the global budget methodology for CCOs, including but not limited to consideration of criteria for determining what funds flow into the global budget as well as consideration of shared savings arrangements, stop-loss, risk corridors and risk sharing arrangements.
- The Outcomes, Quality, and Efficiency Metrics work group will provide input on developing performance standards and benchmarks in order to assess that care is being improved while costs are being reduced. Performance standards will include clinical, financial and operational metrics.
At each work group meeting, members will split into small break out groups in order to deliberate, discuss, and answer some of the tough questions facing the implementation of Coordinated Care Organizations. On this website we will post the same questions that are posed to the work group members each month. The comments left here will be collated and sent to the Oregon Health Policy Board for their review.
Based on the OHPB feedback, how would you define what Medicaid programs / funding is included in the initial global budgets?
Nov. Global Budget Materials [PDF]Days Left
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Global Budget Questions
The Outcomes, Quality and Efficiency Group received a number of discussion items and questions. The topics included how best to organize measures of accountability, how to stage accountability implementation, and how to create performance expectations.
Please review the attached document for detailed questions before responding.
Discussion Document [PDF]Days Left
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Outcomes, Quality and Efficiency
Stay Involved
The Oregon Health Authority (OHA) invites you to visit this site regularly for more opportunities to share your comments on our health reform initiatives.
OHA is leading the effort to reform health care in Oregon by increasing quality and working to lower costs so it is affordable and accessible to everyone.
OHA was created by the 2009 Oregon legislature to bring most health-related programs in the state into a single agency to maximize its purchasing power. OHA is overseen by a nine-member, citizen-led board called the Oregon Health Policy Board who are appointed by the Governor and confirmed by the Senate.
The Oregon Health Policy Board holds monthly meetings that are open to the public and include public comment periods. Please visit the board's web page for more information.
You can also stay involved with all things Transformation related at www.health.oregon.gov.
Terms of Use
OHA Feedback is managed by the Oregon Health Authority (OHA). This site invites the public to provide their comments on initiatives or issues under consideration by the Oregon Health Policy Board (OHPB) and OHA staff. All comments submitted are subject to the state of Oregon's E-government privacy policy.
The site also invites users to anonymously submit basic demographic information, including location, occupation, and any organizational affiliation. This information will help OHA understand who is participating in the public input process.
Participation in OHA Feedback is voluntary. The OHA staff and OHPB will consider comments from this site along with other avenues for public input. Thank you for helping us shape health reform in Oregon.
500 Summer Street, NE, E-20
Salem, OR 97301-1097
ohpb.info@state.or.us
503.947.2340 or 877.398.9238
