Utilization data shows the services that are provided to Oregon Health Plan members that providers charge for. These include services such as surgeries, prescriptions and community mental health visits. Through the transformation process, we expect utilization to increase in some areas, such as primary care medical visits, and to decrease in other areas, such as medical care received in a hospital. Health system transformation will provide better care in the most efficient and effective setting as possible. This will help bend the cost curve down to a more sustainable level while improving health.
This report shows baseline utilization data from 2011, before health transformation began and CCOs were formed. It also includes preliminary statewide data from October 2012 through September 2013, reported by quarters. Additionally, this report includes CCO-level financial data for the fourth quarter of 2012. Future quarterly reports will contain more complete data that will allow us to track our progress towards reaching the benchmarks that are currently being developed.
*Includes claim data received and processed through 12/27/13. At this point, there is no data on services that have happened, but
have yet to be recorded or invoiced. This dashboard may be incomplete due to lags in submitting data to OHA. Future dashboards
will be updated when more complete data is submitted.
** Oregon baseline measures are state-wide values from CY 2011 and are based on data before health transformation began and CCOs were formed.
*** Benchmark in development
Utilizatation Data by CCO, OCT.-DEC. 2012
Click on each image below to view the full-sized chart.
If you require this information in a different format, please contact the Oregon Health Authority Director's Office, OHA.DirectorsOffice@state.or.us