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@OHAOregon
April 23, 2019
Contact: Allyson Hagen, 503-449-6457, allyson.hagen@dhsoha.state.or.us
OHA announces applicants for 2020-2024 coordinated care contracts
The Oregon Health Authority (OHA) has received nineteen applications from organizations seeking contracts to serve as coordinated care organizations (CCOs) for the Oregon Health Plan’s nearly 1 million members. The contracts start January 1, 2020, and go through December 31, 2024. Awards for the CCO contracts are expected to be announced in July 2019
"OHA’s goal is to transform health care for every Oregonian by reducing costs, improving access to mental health services, rewarding providers for improving health outcomes, and addressing issues outside the doctor’s office that impact health," said OHA Director Patrick Allen. "OHA will be evaluating the applicants based on their ability to deliver on these goals."
Oregon first established CCOs in 2012 to transform health care delivery in the state. CCOs bring together physical, behavioral, and oral health providers to coordinate care for people on the Oregon Health Plan. They improve health and reduce costs by providing more coordinated, flexible and innovative services. CCOs are rewarded for achieving specific health outcomes and quality measures. Nearly 87 percent of Oregon’s 1 million OHP members are enrolled in CCOs.
In October the Oregon Health Policy Board approved a comprehensive set of policies to improve the health of Oregon Health Plan members, address health disparities, control program costs, and continue to transform health care delivery in our state. This next phase of health care transformation is known as "CCO 2.0."
The four priority areas for improvement identified by Governor Kate Brown and advanced by the Oregon Health Policy Board’s policy recommendations are:
OHA’s request for applications (RFA) criteria asks applicants to demonstrate their capacity to achieve the objectives of CCO 2.0. Applications will be evaluated in the following areas:
Applications will be reviewed by teams with expertise in the areas under review.
Based on the applications, Oregon Health Plan members in every county in Oregon would have at least one CCO to coordinate their health care. In many parts of the state, multiple organizations submitted applications to operate in the same counties, giving Oregon Health Plan members more than one CCO choice.
Applications received by OHA and proposed service areas
Applicant |
Proposed Service Area |
AllCare CCO, Inc. |
Josephine, Jackson, Curry and partial Douglas |
Cascade Health Alliance, LLC |
Partial Klamath |
Columbia Pacific CCO, LLC |
Clatsop, Columbia and Tillamook |
Eastern Oregon Coordinated Care Organization, LLC |
Baker, Gilliam, Grant, Harney, Lake, Malheur, Morrow, Sherman, Umatilla, Union, Wallowa, and Wheeler |
Health Share of Oregon |
Clackamas, Multnomah and Washington |
InterCommunity Health Plans dba InterCommunity Health Network Coordinated Care Organization |
Linn, Benton and Lincoln |
Jackson County CCO dba Jackson Care Connect |
Jackson |
Marion Polk Coordinated Care |
Marion, Polk, partial Benton, Linn, Clackamas and Yamhill |
Northwest Coordinated Care Organization LLC (Moda Health Plan Inc.) |
Clatsop, Columbia and Tillamook |
West Central Coordinated Care Organization LLC (Moda Health Plan Inc.) |
Lane |
PacificSource Community Solutions - Central Oregon |
Deschutes, Jefferson, Crook and partial Klamath |
PacificSource Community Solutions - Columbia Gorge |
Hood River and Wasco |
PacificSource Community Solutions - Lane County |
Lane |
PacificSource Community Solutions - Marion and Polk Counties |
Marion and Polk |
Primary Health |
Josephine, Jackson and partial Douglas |
Trillium Community Health Plan, Inc. |
Lane, Washington, Multnomah, Clackamas, partial Douglas and Linn |
Umpqua Health Alliance, LLC |
Douglas |
Western Oregon Advanced Health, LLC abn Advanced Health |
Coos and Curry |
Yamhill County Care Organization |
Yamhill and partial Clackamas, Marion, Polk, Tillamook and Washington |
Additional information about the CCO 2.0 RFA process can be found on the CCO 2.0 page on the OHA website.
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