October 16, 2018
As the Oregon Health Authority (OHA) develops contracts for the next five years of coordinated care for Oregon Health Plan members, the agency is seeking public comment on how to best define service areas for current and potential new applicants.
Fifteen CCOs operate in service areas defined in 2012 through the state’s RFA process. A service area is the geographic footprint where a plan accepts members based on where they live.
Through the CCO 2.0 public engagement process, OHA proposed regional service areas for new applicants for the 2020-2025 CCO contracts. OHA is considering an alternative proposal that would require all participants to define service areas by county. CCOs could serve counties or portions of counties. If they propose serving less than a full county, they would need to demonstrate: how the proposed service area would better achieve the transformation priorities of CCO 2.0; its benefit to members and the community; and that the proposal is not designed to minimize financial risk and does not create adverse selection.
OHA’s main priorities and values guiding the service area approach include:
- Behavioral health: Align with local mental health services and systems.
- Social determinants of health: Avoid the possibility of redlining and carve-out of underserved and culturally diverse populations.
- Value-based payments and cost containment: Ensure that CCOs can maintain financial viability, implement value-based agreements with providers, and create administrative efficiencies to reduce costly duplication.
- Community engagement and governance: Decision-making should reflect local priorities and be accountable to members of the community.
What: Public meeting of OHA to seek public comment on service area approaches for the 2020-2025 CCO contracts
When: Monday, October 22, 3-5 p.m.
Where: University of Oregon Portland at the White Stag Block, 70 NW Couch St., Portland.
Attendees can also join remotely through a telephone conference line at 888-363-4735, participant code 1593726.
The meeting will also be live-streamed.
Public comment: The public can submit comments about the service area approaches before the meeting by email at CCO2.email@example.com.
Public comment will also be accepted over the phone during the meeting. Please submit your name and organization (if applicable) to the CCO 2.0 email address if you’d like to submit public comment at the meeting.
Agenda: Welcome; priorities and values for service area approach decision-making; presentation of service area approaches; public comment; adjourn
For more information about the approaches, go to the CCO 2.0 page on the OHA website.
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If you need help or have questions, please contact Janet Zeyen-Hall at 503-945-6938, 711 TTY, firstname.lastname@example.org, at least 48 hours before the meeting.