CCOs Improve Care Where it Costs Them; Mixed Results Otherwise

The Oregon Health Authority released $47 million in bonus money along with the first annual report on the coordinated care organizations’ efforts to meet 17 quality metrics. The locally operated health plans for Medicaid clients are doing a good job reducing unnecessary ED visits and hospital stays for chronic conditions, but other metrics the state highlight in the report, such as an alleged increase in developmental screenings for children, are misleading.

by Christopher David Gray for The Lund Report, June 26, 2014

The Oregon Health Authority released its report on Tuesday to much media fanfare, the first such report with a year’s worth of numbers.

The coordinated care organizations showed marked improvement over the old system -- emergency room use was down sharply, as were hospitalizations for chronic but manageable illnesses like asthma, chronic obstructive pulmonary disease, diabetes and congestive heart failure.