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The Health Plan Quality Metrics Committee was established by Senate Bill 440 (2015) to identify health outcome and quality measures that may be applied to services provided by coordinated care organizations or paid for by health benefit plans sold though the health insurance exchange or offered by the Oregon Educators Benefit Board or the Public Employees’ Benefit Board.
In 2013, Oregon House Bill 2216, Section 1, established the nine-member hospital performance metrics advisory committee appointed by the Director of the Oregon Health Authority. The committee used a public process to identify a set of performance standards (measures and targets) for hospitals that are designed to advance health system transformation, reduce hospital costs, and improve patient safety.
In a June 2013 letter, Governor Kitzhaber asked the Oregon Health Policy Board (OHPB) for recommendations which increase overall health care transparency and accountability, enhance the Oregon Insurance Division’s (OID’s) rate review process, and align care model attributes among the Public Employee Benefit Board, the Oregon Educators Benefit Board, and qualified health plans. In response, OHPB recommended in its December 2013 report that the Oregon Health Authority (OHA) and OID use the All-Payer All-Claims (APAC) database to enhance transparency and accountability and provide validated statewide, plan, and health care entity-level data by market segment, health care setting, demographics, geography, diagnosis, and other variables.
The nine-member Oregon Health Policy Board (OHPB) serves as the policy-making and oversight body for the Oregon Health Authority. The Board is committed to providing access to quality, affordable health care for all Oregonians and to improving population health.
Oregon is required by statute (Chapter 575 Oregon Laws) to convene a Primary Care Payment Reform Collaborative to advise and assist in the implementation of a Primary Care Transformation Initiative. The purpose of the Initiative is to develop and share best practices in technical assistance and methods of reimbursement that direct greater health care resources and investments toward supporting and facilitating health care innovation and care improvement in primary care.
Senate Bill 889 directs the Oregon Health Authority (OHA) to work with stakeholders and consumers to set a Sustainable Health Care Cost Growth Target that would apply to insurance companies, hospitals and health care providers, so that health care costs do not outpace wages or the state’s economy. Through this program, OHA will also identify opportunities to reduce waste and inefficiency, resulting
in better care at a lower cost.
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