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+

PCPCC Executive Member Workshop: Investing in Primary Care – Advancing a National Strategy

2018-11-09 08:00
Immediately following the Annual Conference, PCPCC will host a workshop to raise the visibility and build the case for increasing the investment in primary care in states and nationally to improve health care quality and affordability. Primary care typically makes up a relatively low proportion – approximately 5-8 percent of total health care spending in the U.S.  Outside of the primary care community, policy leaders are generally uninformed about the level of under-investment in primary care.
Announcement Type: 

For Delaware's primary care doctors, exciting times are ahead

Despite spending more per capita on health care than all but two states and ranking 30th in America’s Health Rankings, Delaware only spends 3 to 4 percent on primary care services — half the national average. States such as Oregon and Rhode Island have shown that increasing primary care spending to 10 to 12 percent or more improves health outcomes and decreases overall health care spending.

Since many other practice transformation measures hang in the balance, I would hope the Collaborative considers primary care spending its top priority.  

News Author: 
Adrian Wilson

Oregon Comprehensive Primary Care Plus

Oregon was selected by CMS to participate in the Comprehensive Primary Care Plus (CPC+) initiative which CMS touts as the “largest ever multi-payer initiative to improve primary care in America”. CPC+ is an advanced primary care medical home model that rewards value and quality through innovative payments that support comprehensive care. The initiative developed by CMS transitions Medicare fee-for-service to value based payments in collaboration with Medicaid and commercial payers. Over 150 practices in Oregon have adopted CPC+.

Oregon Senate Bill 934 - Relating to payments for primary care; creating new provisions; and amending ORS

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. 

Primary care is a home run for both sides of the aisle

In 2008, Billy Beane, former Speaker Newt Gingrich (R-Ga.), and former Sen. John Kerry (D-Mass.) argued in the New York Times that health care in the United States was overpriced and underperforming. A bipartisan policy has emerged to address this problem — focus on paying for value not volume, with the Medicare Access and CHIP Reauthorization Act as the latest manifestation of this strategy.

News Author: 
Evan Saulino

From volume to value: Primary care delivers

Innovative payment models are changing the way healthcare is paid for and delivered in the United States—for the better. The transition to a value-based healthcare system, one where physicians, other health professionals, and health systems are rewarded for high-quality services that improve patient outcomes, is underway. Evidence shows that primary care can help us live longer, healthier lives and can save our healthcare system $13 for every $1 spent.

News Author: 
Glen Strean
John Rother

More Investment in Primary Care Would Help Mothers, Babies

In 2012, I chaired a Dr. Robert Bree Collaborative(www.breecollaborative.org) workgroup that created obstetrics care recommendations,(www.breecollaborative.org) including pay-for-performance metrics for delivery care of patients covered by the state of Washington, either through Medicaid or the state employee health insurance.

Our recommendations had three key goals:

News Author: 
Carl Olden

Leveraging PCMH Evidence to Make the Case for Greater Investment in Primary Care

The Patient-Centered Primary Care Collaborative’s mission is to promote primary care to achieve the quadruple aim.   A key strategy to achieve this mission is the Patient-Centered Medical Home (PCMH) which  has been widely adopted across the country. One in five primary care physicians practice in a PCMH where they engage in team-based, collaborative care.

News Author: 
Chris Adamec

NPA Annual Conference

2018-10-21 10:00 - 2018-10-24 15:00

The 2018 NPA Annual Conference will be held Oct. 21-24 at the Portland Hilton Downtown in Portland, OR.

The annual conference brings together a diverse audience of administrative, primary care and clinical staff from PACE and Pre-PACE programs. Organizations considering PACE development; state, federal, legislative and regulatory staff; and other long-term care service providers also attend.

Announcement Type: 

How one US state saved $240 million in health care spending

Investment in primary care results in savings in overall health care spending. This has been empirically proven in the state of Oregon. Current innovation in Oregon provides a real world example that can be studied by policy makers, insurers, health care organizations, and consumers for reform and health systems improvement advocacy. After all, if someone has identified what is effective, why reinvent the wheel?

Pagine

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