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OHA has released the 2021 Coordinated Care Organization (CCO) Metrics Report, showing the results of Oregon’s Quality Incentive Program. The program rewards CCOs for improving the quality of care provided to Oregon Health Plan members. This program is one of several key health system transformation mechanisms for achieving Oregon’s health equity goal and vision for better health, better care and lower costs.
Although the COVID-19 public health emergency continued and the Delta variant drove surges in hospitalizations and deaths, performance on CCO incentive metrics began to rebound in 2021 after sharp declines in 2020.
The report shows an encouraging return to a focus on increasing quality, consistent with the Metrics and Scoring Committee’s decisions about 2021 benchmarks. Normally, the committee sets incentive metric benchmarks that are aspirational goals to encourage ongoing improvement. To balance ongoing quality improvement needs with concerns about the pandemic’s pressures on the health care system, however, the committee set significantly lower benchmarks for 2021, after suspending benchmarks entirely for 2020 due to the public health emergency.
CCOs earned substantial bonuses for performance on the metrics. The 2021 Quality Pool for CCO incentive metrics was almost $235 million, representing 3.75% of the total amount all CCOs were paid in 2021. The share of these bonus funds that each CCO earned depends on the number of members it serves and its performance on the 14 incentive metrics. Read the full news release.
What: Public meetings of the Drug Treatment and Recovery Act (Measure 110) Oversight and Accountability Council.
Agenda: The council will finalize approval of BHRN applications. Agendas will be posted on the Oversight and Accountability Council web page prior to each meeting.
When/Where:
Virtual meetings are Wednesdays from 1:30 to 3:30 p.m.
Aug. 17: https://youtu.be/wi7JYWRQqoQ
Aug. 24: https://youtu.be/fcDyn3NUzq8
Aug. 31: https://youtu.be/rkDujcMo_Hk
Questions? Contact OHA.Measure110@dhsoha.state.or.us
Oregon insurers are now required to cover the cost of monkeypox (hMPXV) vaccination administration for their health plan members in Oregon, based on a declaration of a disease outbreak from Oregon Health Authority.
According to federal and state health officials, monkeypox (hMPXV) vaccines are safe and effective tools to protect people from monkeypox (hMPXV) infection, reduce how long symptoms last, and make the disease less severe (including preventing serious complications and even fatalities). The monkeypox (hMPXV) vaccines are vital prevention measures that also can slow the spread of monkeypox and eventually bring this outbreak to an end.
While Oregon awaits additional federal vaccination supplies, state health officials want to ensure that everyone who is at risk for the virus has simple, affordable access to the two vaccines available for monkeypox (hMPXV). The new insurance coverage requirement removes financial barriers to vaccination, such as requiring people to pay costs of administering the vaccines. Read the full news release.
 OHA has launched a new website dedicated to helping people in Oregon learn more about the ongoing monkeypox outbreak that has affected 89 countries and 49 states as of Aug. 10.
The new website includes information for the public, clinicians, public health and community organizations; the website is also available in Spanish.
Weekly updates on major Medicaid projects
1115 Medicaid Waiver
The Centers for Medicare and Medicaid Services extended Oregon’s current 1115 Waiver through September 30, 2022. OHA anticipates receiving CMS’s determination on Oregon’s 2022-2027 application by that date.
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Oregon Health Plan Redeterminations
A Post-Public Health Emergency Redetermination update was presented to the Medicaid Advisory Committee on July 27, 2022. OHA is preparing for the expiration of the PHE:
- Extended through October 2022
- First major goal: work with members to ensure contact information up to date and as correct as possible
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Healthier Oregon
Healthier Oregon starts today
The Healthier Oregon grantee partner English and Spanish pages are now live These pages can be used to find a local Healthier Oregon grantee partner. While any of the more than 1,300 certified community partners across the state can help with anything OHP related, these partners will be focused on Healthier Oregon.
English: HealthierOregon.org
Spanish: OregonMasSaludable.org
As of August 10, 2022
   
August 15, 2022
August 16, 2022
- 8:05 to 8:55 a.m., Oregon Health Policy Board
- Educational webinar about new report looking at health care cost growth trends and cost growth drivers in Oregon before the COVID pandemic
August 17, 2022
August 19, 2022
Please visit the committee and workgroup links below for more information about meetings. You can also view the OHA Public Meeting calendar.
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