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 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
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.