Updated: The previous version of this release did not include LOI revisions from Trillium Community Health plans. It was not included in yesterday’s release due to a clerical processing error.
February 20, 2019
The
Oregon Health Authority has received 11 updates to the letters of intent (LOIs) from organizations seeking to apply for 2020-2024 coordinated care organization (CCO) contracts. Organizations had until February 15, 2019 to submit updates to their LOIs to OHA.
Oregon first established CCOs in 2012 to transform health care delivery in the state. CCOs bring together physical, behavioral, and oral health providers to coordinate care for people on the Oregon Health Plan (Medicaid). They improve health and reduce costs by providing more coordinated, flexible and innovative services. CCOs are rewarded for achieving specific health outcomes and quality measures. Nearly 87 percent of Oregon’s 1 million OHP members are enrolled in CCOs.
Updates to the LOIs include:
- In the Portland metro area, four organizations have withdrawn their letters of intent (CareOregon, Kaiser Foundation Health Plan of the Northwest, Moda Health Plan, and PacificSource Community Solutions - Portland)
- Trillium Community Health Plan has changed its service area to include the entire counties of Coos and Douglas and added Marion, Polk, Clackamas, Multnomah, and Washington counties.
- Providence Health Assurance has changed its service area to Hood River, Clatsop, and Jackson counties, removing Clackamas, Multnomah, and Washington counties.
- PacificSource Community Solutions – Columbia Gorge removed Sherman, Gilliam, and Wheeler counties from its service area.
- Four organizations have made technical changes to their names and business registration numbers.
Based on the updated LOIs, Oregon Health Plan members in every county in Oregon will continue to have at least one CCO to coordinate their health care. In some parts of the state, multiple organizations filed letters of intent to operate in the same counties, giving Oregon Health Plan members more than one CCO choice.
Complete applications will be due to OHA April 22. Only organizations that submitted letters of intent may submit applications in April. An organization submitting a letter of intent is not obliged to follow with a complete application. Awards for the CCO contracts are expected to be announced in July.
In October 2018, the Oregon Health Policy Board approved a comprehensive set of policies to improve the health of Oregon Health Plan members, address health disparities, control program costs, and continue to transform health care delivery in our state.
These policy priorities will be written into the 2020-2024 CCO contracts, which represent the next phase of health care transformation, known as "CCO 2.0." The new contracts with CCOs represent the largest procurement in state history, totaling more than $20 billion over five years.
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