Tri-County Medicaid Collaborative one of first CCOs to receive certification

May 30, 2012

Tri-County Medicaid Collaborative’s application for Coordinated Care Organization (CCO) received provisional certification from the Oregon Health Authority May 30, 2012. All CCO certification is provisional until the CCOs complete contract negotiations and a readiness review with the state.

“This is an extraordinary opportunity to improve the health of Medicaid recipients and the uninsured in the Tri-County area,” says Janet Meyer, interim CEO for Tri-County Medicaid Collaborative (TCMC). “Ultimately, this will have a positive impact on the whole community, state and possibly the nation, in terms of creating a focus on health that puts the individual at the center of the equation.”

Tri-County Medicaid Collaborative is one of the first CCOs to pass this first step in certification, as part of Oregon’s health transformation effort. CCOs are designed to bring together in each community the providers, hospitals, health plans and social agencies that historically operated in silos under a single umbrella. The goal? To improve patients’ experience and health outcomes, while reducing skyrocketing costs.

“By integrating medical care, behavioral health, addictions treatment and eventually dental care, we can meet the needs of the total person, rather than separating out the mind from the body, or primary health needs from specialty care,” says Meyer. “By focusing on preventive care and providing additional support to members with chronic illnesses, we can reduce emergency room and hospital visits. Working together, we’ll also be better able to address barriers to health, such as homelessness, hunger and social isolation.”

The Tri-County Medicaid Collaborative is made up of 13 organizations that have formed a community-wide partnership to serve residents of Multnomah, Washington and Clackamas Counties.

“The Collaborative is uniquely suited to serve the needs of this population because of the breadth and range of the organizations involved,” said Meyer.

Organizations include Adventist Health, CareOregon, Central City Concern, Kaiser Permanente, Legacy Health, Oregon Health & Science University, Oregon Medical Association, Oregon Nurses Association, Providence Health & Services, Tuality Healthcare, as well as Clackamas, Multnomah and Washington counties.

In addition to focusing on high-quality care and excellent customer service, TCMC’s goals include developing better care coordination for members with the highest health risks, overcoming health disparities, and spending health dollars wisely to create a sustainable system.

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