Coordinated Care Organizations
About Health System Transformation
Through the coordinated care model, coordinated care organizations are delivering improved, more integrated care to Oregon Health Plan members. With a focus on primary care and prevention, health plans using the coordinated care model are able to better manage chronic conditions and keep people healthy and out of the emergency department.
Key elements of the coordinated care model include:
- Best practices to manage and coordinate care;
- Shared responsibility for health;
- Performance is measured;
- Paying for outcomes and health;
- Transparency and clear information.
About Coordinated Care Organizations
A coordinated care organization, or CCO, is a network of all types of health care providers (physical health care, addictions and mental health care and sometimes dental care providers) who have agreed to work together in their local communities to serve people who receive health care coverage under the Oregon Health Plan (Medicaid). CCOs are focused on prevention and helping people manage chronic conditions, like diabetes. This helps reduce unnecessary emergency room visits and gives people support to be healthy.
Under CCOs, the Oregon Health Plan's medical benefits have not changed. Before CCOs, the system separated physical, behavioral and other types of care. That made things more difficult for patients and providers and more expensive for the state.
CCOs have the flexibility to support new models of care that are patient-centered and team-focused, and reduce health disparities. CCOs are able to better coordinate services and also focus on prevention, chronic illness management and person-centered care. They have flexibility within their budgets to provide services alongside today's OHP medical benefits with the goal of meeting the Triple Aim of better health, better care and lower costs for the population they serve.
How Coordinated Care Organizations work
CCOs are local. They have one budget that grows at a fixed rate for mental, physical and ultimately dental care. CCOs are accountable for health outcomes of the population they serve. They are governed by a partnership among health care providers, community members, and stakeholders in the health systems that have financial responsibility and risk.
Status of Coordinated Care Organizations
Today, there are 16 CCOs operating in communities around Oregon.
Reducing costs while improving care
Oregon has committed to meet key quality measurements for improved health of OHP members, while reducing the growth in spending by 2 percentage points per member over the next two years. View more information on Oregon’s Medicaid Demonstration.