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CCO 2.0 Contracts Awarded, Readiness Review Results and 2020 Capitation Rates Released
The Oregon Health Authority (OHA) has signed contracts with 15 organizations to serve as coordinated care organizations (CCOs) for the Oregon Health Plan’s nearly 1 million members. Eight of the contracts include conditions that must be met to address provider network adequacy and pending provider contracts.
OHA also announced the initial results of the first round of the federally-mandated readiness review and the 2020 capitation rates for CCOs. CCOs were evaluated for their readiness to provide services starting January 1. All 15 CCOs met most or nearly all the requirements. Capitation rates are the per-member-per-month amounts the state pays CCOs to coordinate health care for OHP members. The average net payment in 2020 is $471. The rates increase meets the 3.4 percent rate of growth target for state general funds.
The CCO contracts, readiness review results and capitation rates are posted below.
Below are the final contracts that CCOs who have received 1-year and 5-year contracts will sign for services beginning January 1, 2020. Also included in the documents are responses to questions from work sessions held with CCOs and a summary of changes that have been made to CCO contract terms since July 2019.
Sent December 2019
AllCare Remediation Plan Completion Notice
AllCare Remediation Report
Cascade Health Alliance Remediation Plan Completion Notice
Cascade Health Alliance Remediation Report
Umpqua Remediation Plan Completion Notice
Umpqua Remediation Report
Yamhill Remediation Plan Completion Notice
Yamhill Remediation Report
Sent July 2019
OHA provided evaluation deficiency letters to all CCO 2.0 contract awardees in July 2019. For awardees with five-year contracts, deficiencies within the scope of the readiness review will be addressed during that process. Some items will be addressed over the course of the five-year contract period. For awardees with one-year contracts, awardees will develop a remediation plan to correct the deficiencies identified in the letters. If the deficiencies are corrected within the required timeframe, OHA will award the remainder of the full five-year contract term. If the awardee does not demonstrate sufficient progress towards resolving the deficiencies, they will not receive a renewal of their contract.
OHA has developed responses to frequently asked questions about the CCO 2.0 Contract Awardees. Learn more about the changes to choices of coordinated care organizations (CCOs), how members will make choices about which CCO will serve them, and what will happen in communities with a CCO closure.
CCO 2.0 Contract Awardees: FAQs
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