Health Transformation and Rural Oregon: Challenges and Opportunities

Laura Brennan, MSW - CareOregonMegan Haase, FNP - Mosaic Medical Clinics

Robbie Law, M D - Dunes Family Health Center

Session Objectives

By the end of this session you will have a better understanding of :– The plan to use Coordinated Care Organizations (CCO) to

improve health services received by Oregon Health Plan clients.

• What is and why a CCO ?– How you can help make Oregon communities a healthy

place for all families.

What?

Coordinated Care Organizations

Community-Based Integration & Coordination

CCO

• Local Governing Board• Community Advisory Council

CCO’s goal: Better health for all people at less cost

• Coordinated physical , mental health, and addiction services – oral health coming soon

• Patient-centered primary care homes• Chronic disease management• Community Health Workers/Non‐Traditional Health Workers• Electronic health records• Improved health outcomes

www.health.oregon.gov

CCO’s goal: The right care, at the right time, in the right place

• High-quality “family-centered” care• Involving OHP members in decisions about their care • Focusing on prevention• Making sure people get right medications and tests • Making sure people understand your follow-up care • After-hours help, alternatives to the emergency room • Better communication and coordination among health and

behavioral health providers

CCO’s goal: While at the same time …• Find better ways to pay for care • Make sure every dollar is

spent wisely

Why?

Coordinated Care Organizations

CCO

Healthcare is confusingHealthcare is expensive

Health Care Costs To Much!Did you know?

If food had risen at the same rates as medical inflation since the 1930s:

• 1 dozen eggs = $80.20 • 1 dozen oranges = $107.90 • 1 lb. of bananas =$16.04 • 1 lb. of coffee =$64.17

Opportunities for Investments: Communities Need Your Help!

• Population health management• Oral health• Behavioral health• Care coordination across systems• Health equity strategies (e.g., Community Health Workers)• Patient-centered primary care home transition• Community engagement and development• Research and education• Technology and data analysis• Neutral convener• And much more!

Experiences & Thoughts from Rural Oregon