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OHA approves Yamhill Community Care for full five-year coordinated care contract

December 12, 2019

The Oregon Health Authority has granted Yamhill Community Care a full five-year contract to serve Oregon Health Plan members through 2024. Earlier this year, Yamhill Community Care received a one-year contract pending the completion of additional steps to meet new "CCO 2.0" requirements. Services for the new contract begin January 1, 2020.

Yamhill Community Care serves OHP members in all of Yamhill county, as well as portions of Polk and Washington counties.

In July OHA announced its intent to award 15 organizations with contracts to serve as coordinated care organizations for OHP. Eleven CCOs received full five-year contracts. Four applicants – including Yamhill Community Care – received one-year contracts. OHA required the four CCOs to show evidence they had the policies, procedures, and plans in place necessary to meet the goals of CCO 2.0.

Under CCO 2.0, all 15 coordinated care organizations will be expected to meet new goals approved by the Oregon Health Policy Board and endorsed through an extensive and intensive public engagement process. These goals are to: improve behavioral health, address social factors that affect the health of OHP members and contribute to health inequities, pay providers for value and slow cost growth in Oregon’s Medicaid program.

Since the summer, OHA has worked with Yamhill Community Care to address gaps in their CCO 2.0 plans and document their ability to meet the higher CCO 2.0 bar.

"The goals of CCO 2.0 are to improve results for OHP members and accelerate the transformation of Oregon’s health care system so health care is more affordable for consumers and taxpayers," OHA director Patrick Allen said. "Yamhill Community Care has demonstrated their commitment to meeting the expectations of CCO 2.0. We look forward to partnering with Yamhill Community Care over the next five years to make people and families healthier across the communities they serve."

About coordinated care organizations: 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. 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.

 Media contact

Robb Cowie

OHA External Relations

503-421-7684
robb.cowie@dhsoha.state.or.us

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