CCO’s keep up their balancing act

Latest OHA report on key performance metrics says that growth in spending remains in check as Medicaid rolls climb to nearly 1 million across Oregon. Toughest problems still hard to change.

Christopher Heun, for The Lund Report
January 15, 2015

regon’s coordinated care organizations continue to manage a delicate balance: keeping costs down at the same time they are providing coverage to more and more Medicaid patients as a result of the Affordable Care Act.

That’s the finding of a report on the state’s health system transformation released Wednesday by the Oregon Health Authority’s Office of Health Analytics. It evaluated the progress achieved by coordinated care organizations on key quality and financial measures between July 1, 2013 and June 30, 2014.

Emergency department visits are down. So are hospital admissions from chronic diseases. More and more people are enrolled in patient-centered primary care homes, which aren’t really homes at all, but clinics designed to improve coordinated care.

Even the bottom line is looking up. As more healthcare services are provided within primary care rather than at more costly settings such as the emergency room, for example, the system is saving money. The state is making good on its promise to the federal government to reduce the growth in Medicaid and Medicare spending by 2 percentage points per member, per year