Reported Outcomes CCOs are partnerships of payers, providers, and community organizations that work at the community level to provide coordinated health care for children and adult Oregon Health Plan Enrollees.
How many CCOs are in Oregon?
16 CCOs
Today, there are 16 CCOs operating in communities around Oregon.
Is Health Share of Oregon the same as OHP?
We are Health Share
Health Share of Oregon serves Oregon Health Plan members in Clackamas, Multnomah, and Washington counties. We bring together health plans, providers, and community health resources so our members can access the care they need to be well. The Oregon Health Plan (OHP) is our state’s Medicaid program.
What is the model being used in Oregon for coordinated care in Medicaid?
Oregon is one of 13 states with an accountable-care system for Medicaid patients and is considered to have implemented the most progressive model of accountable care.
Is Health Share of Oregon free?
Be well with Health Share
As a Health Share member, you are eligible for all benefits covered by the Oregon Health Plan (OHP), at no cost. Your benefits include: Primary care services.
What is the best managed care organization?
Managed Care Organizations Sweeping the Nation: Top 10 MCOs
| Company | Enrollment | Potential enrollment growth from law |
|---|---|---|
| Aetna | 1.2 million | 346,000 |
| HealthNet | 896,000 | 285,000 |
| AmeriHealth | 775,000 | NA |
| Coventry | 462,000 | 133,000 |
What is a hospital CCO?
One of the seven required elements of a healthcare compliance program is a compliance committee, led by a chief compliance officer (CCO).
Is Oregon Health Plan Medicaid?
OHP is Oregon’s Medicaid program that offers free or low-cost health coverage for individuals and families who qualify. You can apply for OHP at any time. There is no “open enrollment” period for OHP.
What is a Health Share plan?
Health-share plans are cooperatives – often faith-based – with members agreeing to cover a certain portion of each other’s medical costs. That sounds a lot like insurance, but there are important legal and practical differences.
Is Health Share the same as CareOregon?
Health Share’s mental health and substance use provider network is managed by CareOregon. Clinics and providers are the same, and there are many options for support.
What makes Oregon unique in its approach to coordinated care?
Q: What makes Oregon’s CCOs distinctive from managed care organizations (MCOs) in other states? CCOs have one integrated global budget for behavioral health, physical health, and oral health services, and have budget flexibility to provide services outside traditional medical services. First, CCOs are locally governed.
Is PacificSource a CCO?
PacificSource Community Solutions operates the Coordinated Care Organizations (CCO) that serve members of the Oregon Health Plan in Central Oregon. Each Coordinated Care Organization has its own Community Advisory Council (CAC), made up of members like you, providers, and other community members.
What is the income limit to qualify for the Oregon Health Plan?
Do you qualify?
| Maximum Monthly Income by Applicant Type and Family Size | ||
|---|---|---|
| Family size | Adults (19-64) | Children (0-18) |
| 1 | $1482 | $3274 |
| 2 | $2004 | $4428 |
| 3 | $2526 | $5582 |
How do I cancel my Oregon Health share?
Email: You can send a secure email with your changes to [email protected]. Include your full name, date of birth, Oregon Health ID number, and phone number. Call: 1-800-699-9075 (toll-free) from 8 a.m.to 5 pm. Monday to Friday.
Who qualifies for the Oregon Health Plan?
Who is eligible for Oregon Health Plan (Medicaid/SCHIP)?
| Household Size* | Maximum Income Level (Per Year) |
|---|---|
| 1 | $18,075 |
| 2 | $24,353 |
| 3 | $30,630 |
| 4 | $36,908 |
Is Kaiser an ACO or MCO?
Kaiser Permanente is a clear example of the clinical structure and coordination that underpin the ACO concept, such as: Providing quality, patient-centered health care across the care continuum.
Who owns Care Oregon?
CareOregon will become a subsidiary of Providence Plan Partners under a proposed formal partnership the two organizations announced Tuesday.
What are examples of MCO?
Managed care organization examples include:
- Independent Physician or Practice Associations.
- Integrated Delivery Organizations.
- Physician Practice Management Companies.
- Group Purchasing Organizations.
- Accountable Care Organizations.
- Integrated Delivery Systems.
- Physician-Hospital Organizations.
What questions are asked in a compliance interview?
Compliance interview questions with sample answers
- What would your compliance program look like in our organization?
- How have you handled a compliance conflict in the past?
- What certifications or training have you received in compliance?
- What would be your first steps for a new compliance assignment?
Who is responsible for healthcare compliance?
The governing body of a healthcare organization is responsible for the conduct of the organization. Consequently, the governing body and the executive officers of the healthcare organization will bear the ultimate responsibility for a healthcare organization’s compliance, or lack of compliance.
What is the difference between Medicare and Medicaid?
The difference between Medicaid and Medicare is that Medicaid is managed by states and is based on income. Medicare is managed by the federal government and is mainly based on age. But there are special circumstances, like certain disabilities, that may allow younger people to get Medicare.
