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Health care providers, hospitals and health systems across Oregon have lost revenue due to COVID-19. The Oregon Department of Consumer and Business Services (DCBS), Department of Human Services (DHS), and Oregon Health Authority (OHA) are working together to identify financial supports to help sustain Oregon’s health care system through the COVID-19 emergency.
DCBS, DHS and OHA convened an internal, cross-agency staff working group to monitor the landscape of available state and federal financial resources for Oregon’s healthcare providers, identify provider needs and providers at risk of closure, and provide information to agency leadership.
OHA is working with coordinated care organizations (CCOs) to fund needed services through the use of Quality Incentive Program (“Quality Pool”) funds.
OHA recognizes that these funds are typically directed towards providers; however, using quality funds now will help CCOs to immediately address critical areas of need that cannot wait for later funding.
Areas of need include, but are not limited to, hospital access (urban and rural), operation of residential facilities, expanded telehealth services, and laboratory and diagnostic testing, as well as support for local public health agencies, primary care providers, behavioral health providers, transportation services and social service agencies.
OHA surveyed the five Dental Care Organizations (DCO) it directly contracts with to better understand strategies the DCOs may be deploying in response to the financial needs of their providers who have experienced a sharp decline in revenue.
DCO Financial Sustainability Survey Summary
The federal CARES Act and Health Care Enhancement Act provided billions in relief funds to hospitals and other health care providers across the country. A federal dataset lists all providers that have attested to receiving payment from General Distribution, High Impact Targeted Allocation, Rural Targeted Allocation and Skilled Nursing Facility Targeted Allocation portions of the Provider Relief Fund.
OHA's summary relies on the federal dataset information and is only meant to help stakeholders review the information specific to Oregon providers. The provider-specific information is summarized by county, by hospital and by categories. These summaries rely on names, key words and locations in the federal datasets; the summaries do not reflect all sources of federal distributions made to Oregon providers.
The Paycheck Protection Program (PPP) is a federal loan program designed to provide a direct incentive for small businesses and non-profits to keep their workers on the payroll. Loans may be forgiven if all employee retention criteria and other eligibility conditions are met.
As needs related to the COVID-19 pandemic evolve, OHA will continue to evaluate the financial needs of the system considering enacted federal funding bills, in coordination with the Oregon Legislature and the Governor’s Office.
If you have any questions about CCO quality pool spending during the COVID-19 emergency, contact OHA Actuarial Services.
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