Oregon

Chapter 595 of the 2009 Oregon Laws established the Patient Centered Primary Care Home (PCPCH) Program by the Office for Oregon Health Policy and Research . Through this program, the Office shall:

  • Define core attributes of the patient centered primary care home; 
  • Establish a simple and uniform process to identify patient centered primary care homes that meet the core attributes defined by the Office;
  • Develop uniform quality measures that build from nationally accepted measures and allow for standard measurement of patient centered primary care home performance; and
  • Develop policies that encourage the retention of, and the growth in the numbers of, primary care providers.

This law created a learning collaborative to assist practices in developing the infrastructure for PCPCH. The law also allowed for changes in payment for practices who provide care in medical homes including payment for interpretive services and rewards for improvements in health quality. The PCPCH program serves as the pathway for primary care practice participation in all patient-centered medical home related programs in Oregon including the Comprehensive Primary Care initiative, Coordinated Care Organizations, and 2703 Health Homes. 

Chapter 602 of the 2011 Oregon Laws established the Oregon Integrated and Coordinated Health Care Delivery System. This law requires the Oregon Health Authority (OHA) to establish standards for using PCPCHs within Coordinated Care Organizations (CCO) and requires CCOs to implement PCPCHs to the extent possible. Standards may require the use of Federally Qualified Health Centers (FQHCs), rural health clinics, school-based health clinics and other safety net providers that qualify as PCPCHs.

The Oregon Health Authority and the Northwest Health Foundation, in partnership with the Oregon Health Care Quality Corporation, launched the Patient-Centered Primary Care Institute in September 2012 to support primary care practice transformation in Oregon. A broad array of resources are available to primary care practices through this program including behavioral health integration support, learning collaboratives and expert networks.

CHIPRA: 
Yes
MAPCP: 
No
Dual Eligible: 
No
2703 Health Home: 
Yes
CPCi: 
Yes
SIM Awards: 
Yes
PCMH in QHP: 
No
Legislative PCMH Initiative: 
Yes
Private Payer Program: 
Yes
State Facts: 
Population:
3,941,300
Uninsured Population:
13%
Total Medicaid Spending FY 2013: 
$5.1 Billion 
Overweight/Obese Adults:
60%
Poor Mental Health among Adults: 
40%
Medicaid Expansion: 
Yes
CPC+: 
CPC+

SB 934

Requires coordinated care organization, Public Employees' Benefit Board and Oregon Educators Benefit Board to spend at least 12 percent of total medical expenditures on primary care by January 1, 2023. Requires Department of Consumer and Business Services to establish requirements for carrier to submit plan for increasing spending on primary care as percentage of total medical expenditures if carrier is spending less than 12 percent of total medical expenditures. Extends sunset on Primary Care Transformation Initiative.

SB 231

Requires most large health plans, Public Employees' Benefit Board and the Oregon Educators Benefit Board to report on the percentage of total medical expenditures devoted to primary care.

SB 765 A

Requires the state's Medicaid Coordinated Care Organizations (CCOs), state-run educators' and public employees' plans and state-regulated health insurance carriers to annually report the percentage of total medical expenditures planned to be spent on primary care, the percentage of spending on primary care that will be made using APMs, and the types of APMs used. Requires CCOs, no later than January 1, 2023 to spend at least 12 percent of total medical expenditures on primary care.

Oregon Value-based Payment Compact

Over 40 healthcare organizations—including several primary care providers—in Oregon signed a voluntary compact to advance the adoption of value-based payment (VBP) in the state. The groups committed to making a good-faith effort to “participate in and spread” VBPs, including moving from having 35% of all their payments be under advanced VBP models in 2021, to 70% by 2024.

Five States Join the Peterson-Milbank Program for Sustainable Health Care Costs

Connecticut, Oregon, Nevada, New Jersey, and Washington to implement spending targets to make health care more transparent and affordable

The Milbank Memorial Fund announced March 9, 2021, that Connecticut, Oregon, Nevada, New Jersey, and Washington have been selected to participate in the Peterson-Milbank Program for Sustainable Health Care Costs. With Peterson Center on Healthcare support, the Milbank Memorial Fund and Bailit Health will provide technical assistance to these five states as they set and implement healthcare cost growth targets. These targets are a first step toward making health care more affordable and transparent.

SB 765 A: Relating to Primary Care

Modifies definitions of "primary care" and "total medical expenditures" for purpose of reports on spending for primary care by insurance carriers, Public Employees' Benefit Board, Oregon Educators Benefit Board and coordinated care organizations. 

2019 NWRPCA Spring Summit

2019-05-19 08:00 - 2019-05-21 17:00

The NWRPCA Spring Summit, formerly known as the Spring Primary Care Conference, includes the same carefully curated content that event attendees have come to expect of all NWRPCA conferences plus innovative new workshop and skills-enhancing opportunities. 

Over 2.5 days, learn from prominent speakers, hear federal policy updates, and network with primary care colleagues. Event highlights new to the NWRPCA Spring Summit include: Region X peer learning, collaboration, and professional development.

The NWRPCA Spring Summit also hosts NWRPCA's annual membership meeting.

Announcement Type: 

As Measles Outbreak Flares, Vaccination Rates Soar and Some Come Off the Fence

PORTLAND, Ore. — The one-day immunization clinic at David Douglas High School in Portland, Ore., was hectic on Saturday, with a wait of 45 minutes to over an hour just to see a nurse. But Cameron Wagner said that after balking this long at getting her 4-year-old son vaccinated, out of concerns about potential side effects, a few more minutes would not matter.

“I’ve talked to more doctors and have weighed the options, and decided to come in and get a shot,” said Ms. Wagner, 46, a massage therapist.

News Author: 
Kirk Johnson

Compared To Other Insurers, CCOs Spend Bigger Share Of Medical Budget On Primary Care

Oregon’s Medicaid insurers directed more of their spending towards primary care than high-earning commercial insurers, according to a report released by Oregon health and business officials Wednesday.

The report details $1.4 billion in primary care spending from payers who collectively covered 2.5 million Oregonians — or almost two-thirds of the state’s population — in 2017.

Investing in primary health care helps keep patients healthy, prevents more serious health problems and saves costs in the long run, health experts said.

News Author: 
Jessica Floum

National Meeting on Increasing Investment in Primary Care

FMAHealth in collaboration with the Patient Centered Primary Care Collaborative (PCPCC) sponsored, the first national conversation on increasing investment in primary care on November 9, 2018. The workshop followed the PCPCC’s Annual Conference where a broad audience was educated about the importance of increased investment in primary care. Alex Azar, Secretary of Health and Human Services, spoke about the importance of primary care and ways in which CMMI would be moving forward with alternative primary care payment models.

Pagine

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