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CCO 2.0: The Future of Coordinated Care

OHA signs contracts with 15 CCOs

In October, the Oregon Health Authority (OHA) signed contracts with 15 organizations to serve as coordinated care organizations (CCOs) for the Oregon Health Plan’s nearly 1 million members. On Jan. 1, 2020, the 15 CCOs began service to OHP members across the state.

The new contracts set new requirements for CCOs to improve care for OHP members and hold down cost increases in Oregon’s Medicaid program. The contracts represent the largest procurement in state history, totaling more than $6 billion for the 2020 contract year.

Over the next four years, the CCOs will focus on the governor’s four priority areas: improve the behavioral health system, increase value and pay for performance, focus on social determinants of health and health equity, and maintain sustainable cost growth.

Members can find more information about the CCOs available in their area and how to change CCOs at Providers can find more information about which CCOs serve their communities, transition of care information and how to maintain continuity of care at the Pick Your Plan page.

Providers can find more information about which CCOs serve their communities, transition of care information and how to maintain continuity of care at the updated provider page.

The CCO 2.0 Contract Awardees page has additional information including signed 2020 contracts, conditional letters, readiness review reports and 2020 capitation rates.

 Member and Provider Outreach

Pick your Plan graphic
A number of mailings have been sent as part of the OHA’s outreach efforts and member support services for OHP members in communities with changes to their CCO choices in 2020.
Most recently, in mid-December OHP sent a follow-up letter to members with information about appoints, prescriptions and care for members moving to new plans.
Though new plans started Jan. 1, members can change to a different CCO if there is one available until March 31. 
  • Members also now have access to a special call center to support them through this transition at 877-647-0027 (TTY 711).
  • Key information about the transition is on our special “Pick Your Plan” webpages, available in English and Spanish.

In addition, OHA launched its updated CCO 2.0 provider page, which shares information about how changes to CCOs will affect providers and explains how to help patients during the transition. The page is aimed at any provider experiencing changes due to CCO 2.0, including the Dec. 31, 2019, closures of Willamette Valley Community Health and PrimaryHealth of Josephine County.

On Nov. 21, 2019, OHA hosted a webinar for providers outlining member transition changes and how to support OHP members during the transition to new CCOs in 2020.

2020-2024 CCO Awardees

The Oregon Health Authority awarded 15 CCOs contracts to serve OHP’s 1 million members from 2020 to 2024.

Applications, applicant notifications and evaluations, a summary of award decisions, and draft contract terms are located on the CCO 2.0 Contract Selection page. Additional information about the awardees, including a set of Frequently Asked Questions can be found on the CCO 2.0 Contract Awardees page.

 CCO 2.0 Report

The policy recommendations in this report will guide five years of the Oregon Health Plan, starting in 2019. They build on Oregon’s strong foundation of health care innovation and seek to make improvements based on best practices, evidence, and stakeholder and community input. The recommendations focus on four key areas identified by Gov. Kate Brown: improve the behavioral health system, increase value and pay for performance, focus on social determinants of health and health equity, and maintain sustainable cost growth.

The policy recommendations in this report will guide the next five years of the Oregon Health Plan. They build on Oregon’s strong foundation of health care innovation and seek to make improvements based on best practices, evidence, and stakeholder and community input. The recommendations focus on four key areas identified by Gov. Kate Brown: improve the behavioral health system, increase value and pay for performance, focus on social determinants of health and health equity, and maintain sustainable cost growth.

 

Public Engagement

OHA convened a CCO 2.0 Stakeholder Webinar on Aug. 22 to share the latest information about the organizations that are serving Oregon Health Plan members as of January 2020. OHA shared its communication plan for members with changes to their CCO choices, the next steps in the CCO awards process, and what stakeholders and providers can do to support members during this transition.
 

CCO 2.0 Contact

CC.O20@dhsoha.state.or.us
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Media Contact

Allyson Hagen
503-449-6457
allyson.hagen@dhsoha.state.or.us

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