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Coordinated care organizations explain Oregon’s managed‑care model and local networks
Summary
Representatives of CCO Oregon and several coordinated care organizations briefed the committee on the CCO model: 16 regional CCOs carry global budgets, accept financial risk for member care and are intended to fund social and preventive services under Oregon’s 1115 waiver.
Samantha Shepherd, executive director of CCO Oregon, told the committee on Jan. 21 that coordinated care organizations are local, community‑governed entities that administer the Oregon Health Plan benefit for most Medicaid enrollees.
Shepherd said 16 CCOs now operate in Oregon and that about 92.4% of OHP enrollees are enrolled in a CCO. “If you have more than one CCO in your region, you’re able on the OHP…
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