OHA signs contracts with 15 CCOs
The Oregon Health Authority (OHA) announced it has signed contracts with 15 organizations to serve as coordinated care organizations (CCOs) for the Oregon Health Plan’s nearly 1 million members. 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.
Eleven of the organizations received five-year contracts, and four organizations received one-year contracts. The new CCO contract services start January 1, 2020. Total costs for the 2020 contract year are within the State’s 3.4 percent growth target. OHA
has also announced the initial results of the first round of the federally-mandated readiness review. CCOs were evaluated for their readiness to provide services starting January 1. All 15 CCOs met most or nearly all the requirements.
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
More than 350,000 Oregon Health Plan members will have choices to make about their coordinated care organization plans this fall. Postcards from the Oregon Health Plan were mailed to members in these areas on Sept. 18. The postcards are a part of the Oregon Health Authority’s (OHA’s) outreach efforts and member support services for OHP members in communities with changes to their CCO choices in 2020.
- OHP members will receive a letter in October with information about their CCO choices. (Sample letter in English / Sample letter in Spanish)
- 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.
- OHA has also created a CCO 2.0 flyer that community partners and other organizations can display in their offices. (Flyer in English / Flyer in 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 as Jan. 1, 2020, approaches. The new 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.
2020-2024 CCO Awardees
The Oregon Health Authority has announced its intent to award 15 coordinated care organizations (CCOs) with contracts to serve the Oregon Health Plan’s one million members from 2020-2024.
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 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 Governor 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.
OHA convened a CCO 2.0 Stakeholder Webinar on Aug. 22 to share the latest information about the organizations that will be serving Oregon Health Plan members starting in 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.