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Jud
y M
oh
r P
ete
rso
n,
Dir
. of
Me
dic
al A
ssis
tan
ce P
rog
ram
s O
reg
on
He
alt
h A
uth
ori
ty
Health System Transformation:
Health System Transformation:
Health System Transformation:
Health System Transformation:
Coordinated Care Organizations
Coordinated Care Organizations
Coordinated Care Organizations
Coordinated Care Organizations
Co
nte
xt:
Ore
go
n’s
He
alt
h S
yst
em
Tra
nsf
orm
ati
on
Health System Transformation
ww
w.h
ea
lth
.ore
go
n.g
ov
�S
ick
ca
re –
no
t h
ea
lth
ca
re
�U
nsu
sta
ina
ble
�P
oo
r o
utc
om
es
for
the
do
llars
th
at
we
sp
en
d
�N
on
-in
teg
rate
d o
r co
ord
ina
ted
ca
re.
�F
ocu
s o
n a
cute
ca
re, n
ot
pro
mo
tio
n o
f h
ea
lth
an
d p
reve
nti
ve c
are
�M
ea
nw
hile
……
……
……
Ore
go
n’s
Str
ate
gic
Ap
pro
ach
�T
o m
ov
e a
wa
y f
rom
tra
dit
ion
al b
ud
ge
t b
ala
nci
ng
act
ion
s:�
Cu
t p
eo
ple
fro
m c
are
�C
ut
pro
vid
er
rate
s�
Cu
t se
rvic
es
A new vision for Oregon
ww
w.h
ea
lth
.ore
go
n.g
ov
Coordinated Care Organizations
ww
w.h
ea
lth
.ore
go
n.g
ov
Ore
go
n’s
Str
ate
gic
Ap
pro
ach
C
oo
rdin
ate
d C
are
Org
an
iza
tio
ns
�S
erv
e O
reg
on
He
alt
h P
lan
(M
ed
ica
id)
me
mb
ers
�15
acr
oss
th
e s
tate
�C
oo
rdin
ate
me
nta
l an
d p
hy
sica
l he
alt
h c
are
�G
lob
al b
ud
ge
t
�D
esi
gn
ed
to
en
cou
rag
e w
elln
ess
, no
t ju
st t
rea
t
illn
ess
; Pre
ven
tio
n, c
hro
nic
dis
ea
se m
an
ag
em
en
t,
�F
lexi
ble
se
rvic
es;
co
mm
un
ity
he
alt
h w
ork
ers
�L
oca
l Acc
ou
nta
bili
ty/G
ove
rna
nce
�A
lte
rna
tive
pa
ym
en
t m
eth
od
s
Ore
go
n’s
Str
ate
gic
Ap
pro
ach
�T
ran
sfo
rmat
ion
Ce
nte
r�
Pe
er
to p
ee
r le
arn
ing
�In
no
vato
r A
ge
nts
�Le
arn
ing
co
llab
ora
tive
s
�T
ran
sfo
rmat
ion
Pla
ns
on
ke
y fo
cus
are
as o
f ch
ang
e�
Acc
ou
nta
bili
ty &
Qu
alit
y In
cen
tive
Po
ol
�33
me
tric
s o
n 7
fo
cus
are
as�
17 m
etr
ics
for
CC
O q
ual
ity
ince
nti
ve p
oo
l�
1% W
ith
old
for
tim
ely
, acc
ura
te a
nd
co
mp
lete
re
po
rtin
g�
Qu
alit
y im
pro
vem
en
t p
roje
cts
(PIP
s) a
re a
lign
ed
�B
en
d t
he
co
st c
urv
e –
2% p
oin
t re
du
ctio
n in
tre
nd
�If
sta
te d
oe
s n
ot
me
et,
we
lose
ou
r “
De
sig
nat
ed
Sta
te
He
alth
Pro
gra
m”
(DS
HP
) fu
nd
s ($
1.9
bill
ion
ove
r 5
yrs)
Ore
go
n’s
Str
ate
gic
Ap
pro
ach
�L
ea
de
rsh
ip a
nd
vis
ion
sta
rtin
g w
ith
Go
vern
or
�C
am
pa
ign
sty
le w
ork
�O
ver
100
sta
ke
ho
lde
r m
ee
tin
gs
an
d t
rib
al
con
sult
ati
on
s w
ith
me
an
ing
ful i
np
ut
ove
r se
vera
l ye
ars
�H
elp
at
stra
teg
ic p
oin
ts f
rom
co
nsu
lta
nts
�W
riti
ng
wa
ive
r; f
aci
lita
tin
g s
tak
eh
old
er
me
eti
ng
s
�C
MS
ne
go
tia
tio
ns
for
wa
ive
r
�In
tern
al r
eso
urc
es;
Co
mm
un
ica
tio
n; C
ult
ure
ch
an
ge
fro
m m
on
ito
rin
g &
re
gu
lati
on
to
“a
cco
un
tab
ility
fo
r sh
are
d s
ucc
ess
”o
f th
e C
CO
s
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