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Value-Based Payment

Oregon’s Roadmap to Value-Based Payment

Value-based payment (VBP) is one of the Oregon Health Authority’s (OHA’s) primary strategies for achieving the triple aim of better health, better care and lower costs for all Oregonians. Whereas the traditional fee-for-service payment model results in a fragmented system and unnecessary costs, transitioning to VBP increases flexibility and incentives for providers to deliver patient-centered, whole person care.

To advance VBP, OHA developed a VBP Roadmap for Coordinated Care Organizations (CCOs) to ensure at least 70% of their payments to providers are in the form of a VBP by 2024. The VBP Roadmap also includes VBP models in key care delivery areas (CDAs), infrastructure payments for Patient-Centered Primary Care Homes (PCPCHs), and strategies to promote equity in VBP design.

The VBP roadmap was informed by a significant public engagement process, including a CCO VBP Workgroup, VBP provider survey, and statewide public stakeholder meetings.

Download the VBP Roadmap

VBP Toolkit for Coordinated Care Organizations

The VBP toolkit supports CCOs in achieving the expectations outlined in the VBP Roadmap.

The toolkit includes three components:
  • Technical guidance and reporting templates to clarify reporting requirements and provide guidance on eligible payment models and CDA specifications;
  • Care delivery area (CDA) resources to support CCOs in these areas; and
  • Model contract language to assist CCOs in their VBP contracting process (coming soon).

In addition to program reporting (links to reporting templates above), CCOs are required to report on their VBP arrangements in:

*Note: The CCO VBP Reporting Measures Template was erroneously labeled as “description of specific quality metrics set forth in the HPQMC Aligned Measure Menu” in Exhibit D – Attachment 1 of the 2020 CCO contracts.

VBP: Beyond Medicaid

Successful transition to paying for value will require significant multi-sector, system-wide collaboration. While the VBP Roadmap is meant for CCOs in Oregon’s Medicaid system, OHA is also working to accelerate VBP adoption across payers. Efforts include:

Contact

Questions? Please contact OHA.VBP@dhsoha.state.or.us

Note: CCOs and partners are encouraged to submit questions they would like addressed in future FAQ resources and the annually updated VBP Technical Guide for CCOs.

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