Dec. 6, 2019
The Oregon Health Authority is announcing that three CCOs which had received one-year contracts have met the necessary requirements to earn full five-year contracts to serve Oregon Health Plan members for 2020-2024: AllCare CCO, Cascade Health Alliance, and Umpqua Health Alliance. Services for the new CCO contracts begin January 1, 2020. These contracts have been referred to as "CCO 2.0."
In July OHA announced its intent to award 15 organizations with contracts to serve as coordinated care organizations for OHP, four of which were for one year. These four applicants did not show enough evidence in their applications to be awarded full five-year contracts. Instead they initially received a one-year contract. OHA required the four CCOs to show evidence they had policies, procedures and plans in place to meet the goals of CCO 2.0 OHA provided technical support to help the plans.
Yamhill Community Care (YCC), the remaining CCO with a one-year contract, continues to make good progress toward resolving its remediation plan. OHA and YCC are working together to resolve the few remaining items in their remediation plan this month.
Contract awardees had to demonstrate they can meet the goals of CCO 2.0 to improve care coordination, transform service delivery, engage local communities, improve clinical care, have effective and efficient business processes, and demonstrate financial stability.
"I appreciate the steps AllCare, Cascade Health Alliance and Umpqua Health Alliance have taken to show they are ready to meet the higher bar we’ve set in CCO 2.0," OHA Director Patrick Allen said. "We recognize that CCOs play a vital in their communities. We look forward to partnering with these three CCOs over the next five years to improve the lives of OHP members and make health care more affordable in the communities these CCOs 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.