Honors College Thesis

Oregon's Implementation of Coordinated Care Organizations: An Examination of the Changing Healthcare Structure

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  • Due to inefficiencies and unsustainable growth in health expenditures, a new approach needed to be taken in the realm of healthcare. There was a need to increase efficiency and value in order to achieve health outcomes. Hence, arose the concept of the Coordinated Care Organization (CCO). CCOs are seen as the next step in Oregon’s health care reform, a process that began over twenty years ago with the introduction of the Oregon Health Plan. CCOs focus on the fundamental IHI Triple Aim of improving access to healthcare, improving quality of healthcare, while reducing the costs of healthcare. Additionally, CCOs also stress community interaction. CCOs are to be governed by provider organizations, community members and financial stakeholders. As CCOs will serve all OHP enrollees, the impacted population seems clear, but it is important to note that this population is not stagnant. The covered population is expected to grow to 24% of the state’s population from the 17% that it currently covers. CCOs will be expected to not only provide these individuals with health coverage, while stressing efficiency and cost savings. This is a task that has seen many difficulties and problems but could result in huge rewards if accomplished correctly.
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