Health Equity Coalition outlines healthcare access challenges in rural Oregon counties

During a recent meeting of the Oregon House Committee on Behavioral Health and Health Care, significant concerns were raised regarding the complexities of the SHARE program and its impact on community health initiatives. The discussions highlighted how the current structure of SHARE often fails to meet the healthcare needs of local populations, particularly in rural areas.

One of the key points made was that the narrow definition of social determinants of health within SHARE limits the ability to invest in essential healthcare services. For instance, a recent survey conducted by the Health Equity Coalition revealed that access to healthcare and mental healthcare were among the top concerns for Spanish-speaking residents in the community. However, the existing rules do not allow for adequate funding to address these pressing issues.

The committee also examined the financial implications of the SHARE calculation, which ties together both income and reserves for Coordinated Care Organizations (CCOs). This complicated formula can create challenges for smaller, community-owned CCOs, as it mandates a significant portion of net income to be allocated to SHARE, even in years of financial loss. The proposed House Bill 2214 aims to simplify this calculation by removing the requirement to consider reserves, thereby allowing for more flexibility in how CCOs can reinvest in their communities.

Committee members expressed concern that the current system incentivizes CCOs to focus on maintaining financial reserves rather than investing in community health initiatives. This reactive approach can hinder long-term planning and the ability to address community needs effectively. The discussions underscored the importance of aligning healthcare funding with the actual needs of the community, rather than being driven by financial constraints.

As the committee moves forward, the hope is that House Bill 2214 will provide the necessary clarity and flexibility for CCOs to better serve their communities, ensuring that healthcare access and equity remain at the forefront of their efforts. The outcomes of this meeting could have lasting implications for how healthcare services are delivered and funded in Oregon, particularly for underserved populations.