Primary Care Spending

Primary Care Spending in Oregon

Senate Bill 231 (Oregon Law 2015) required the Oregon Health Authority and the Department of Consumer and Business Services to report on the percentage of medical spending allocated to primary care carriers, PEBB, OEBB and Coordinated Care Organizations (CCOs).

• 2019 Primary Care Spending in Oregon, Report to the Legislature
• 2018 Primary Care Spending in Oregon, Report to the Legislature
• Appendix – 2018 Primary Care Spending in Oregon
• 2017 Primary Care Spending in Oregon, Report to the Legislature
• 2016 Primary Care Spending in Oregon, Report to the Legislature
  

Primary Care Spending Non-Claims Template

Prominent carriers and CCOs are required to submit the Primary Care Spending Report Non-Claims template annually by October 1. See OAR 409-027-0005 to 409-027-0025,

• 2019 Primary Care Spending Report Non-Claims Template
• 2019 Non-claims Based Expenditure Guidance Document
  

Primary Care Alternative Payment Methods - Contract Reporting

CCOs and commercial carriers participating in the national primary care medical home payment model conducted by the Center for Medicare and Medicaid Innovation must file a report under OAR 409-028-0000 to 409-028-0120 for CCOs (effective 2/1/2018) and under OAR 836-053-1520 to 836-053-1530 for commercial carriers (effective 3/8/2018) using the Annual Supplemental Provider Level Support form. This report must be submitted before September 30, 2019 and each year thereafter to PC.ServicesReport@dhsoha.state.or.us.

 

Questions related to the report can be sent to PC.ServicesReport@dhsoha.state.or.us.