State's Largest CCO Approved

August 1, 2012

The state’s largest Coordinated Care Organization (CCOs), Tri-County Medicaid Collaborative, received final approval and certification today and will be up and running on September 1, 2012. The first CCOs in the state begin operations August 1, and the eyes of the nation are on Oregon as this new system of care changes the face of Medicaid in the state.“This is an extraordinary opportunity to work together to improve our community’s health care system, and ultimately the health of those enrolled in the Oregon Health Plan,” says Janet Meyer, interim CEO for Tri-County Medicaid Collaborative (TCMC).

TCMC brings together all of the hospitals, counties and most health plans in Clackamas, Multnomah and Washington counties serving Oregon Health Plan (OHP) recipients. Tri-County Medicaid Collaborative brings Adventist Health, CareOregon, Central City Concern, Kaiser, Legacy Health, Oregon Health & Science University, Providence Health & Services, Tuality Healthcare under a single umbrella organization for OHP services.

“Our goal is make it possible for any Tri-County Medicaid Collaborative member to enter the health system at any point and receive fully coordinated care regardless of their needs,” said Meyer.

CCOs throughout the state will merge physical and behavioral health into a single community based plan now, with dental organizations merging with them by 2014.

TCMC has already begun working on significant improvements on the health care system. In June, TCMC was awarded a $17.3 federal innovation grant to fund health transformation – before it was even state-certified to operate as a CCO. The Centers for Medicare & Medicaid Services Health Care Innovation Awards grant funds will be used to expand health care innovations that are already in pilot stage with various TCMC partners. For example, community care workers who serve as health care guides work one-on-one with the sickest members to overcome health barriers in one plan now. With the grant, it will be possible to expand these guides to a variety of clinics and locations throughout the system.

“Our goal is to transform care in order to improve quality and patient experiences, while using state funds wisely,” said Meyer. “Today is a giant step toward making that possible in our community.”

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