Funding Accountable Care in Oregon: Financial Models in Two Coordinated Care Organizations/PRACTITIONER APPLICATION

Oregon's coordinated care organizations (CCOs) are an integral part of a massive statewide reform that brings accountable care to Medicaid. CCOs are regional collaboratives among health plans, providers, county public health, and community-based organizations that administer a single global bud...

Full description

Saved in:
Bibliographic Details
Published in:Journal of healthcare management 2016-07, Vol.61 (4), p.291
Main Authors: Broffman, Lauren, Brown, Kristin, Bayley, K Bruce, Savitz, Lucy, Rissi, Jill, Zenty, Thomas F
Format: Article
Language:English
Subjects:
Accountability
Accountable care organizations
Budgets
Case studies
Collaboration
Community
Cost control
Cost shifting
Dictionaries
Executives
Health care policy
Indigent care
Medicaid
Medicare
Public health
Quality
State employees
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Oregon's coordinated care organizations (CCOs) are an integral part of a massive statewide reform that brings accountable care to Medicaid. CCOs are regional collaboratives among health plans, providers, county public health, and community-based organizations that administer a single global budget covering physical, mental, and dental healthcare for low-income Oregonians. CCOs have been given freedom within the global budget to implement reforms that might capture efficiencies in cost and quality. For this study-fielded between 2012 and 2015-we traced the path of the global budget through the interior structures of two of Oregon's most promising CCOs. Using document review and in-depth qualitative interviews, we synthesized and summarized descriptive narrative data to produce case studies of the financial models in each CCO. We found that the CCOs feature substantially different market contexts, governance models, organizational structures, and financial systems.
ISSN:1096-9012
1944-7396