Health Share of Oregon meets 100% of Oregon Health Authority 2014 Incentive Measures for Coordinated Care Organizations

Posted: 6/26/15 | Health Share of Oregon | by Health Share of Oregon

(Portland, OR) – Health Share of Oregon, the state’s largest coordinated care organization (CCO), has successfully met 100% of the Oregon Health Authority’s 2014 Performance Metrics and will receive an incentive award of $32,970,255, the maximum amount available. In addition, the CCO also met four of the challenge pool measures, resulting in an additional $1,622,402, for a total award earned of $34,592,657 in 2014.

“This speaks volumes to the infrastructure in place at Health Share and its partners,” noted W. Gary Hoffman, MD, an obstetrician with Women’s HealthCare Associates and a Health Share board member. “From the techno-structure capable of capturing the information, to the operations in place to deliver care and lastly, the interface at the point of care between a caregiver and the patient, these results reflect the excellent work and effort across the continuum of Health Share and its partners.” 

Performance metrics and quality measures are used by the Oregon Health Authority to determine how successful CCOs have been at improving care, making quality care accessible, eliminating health disparities and curbing the rising cost of health care for the populations they serve. Incentive funds from a quality pool have been awarded to the sixteen CCOs in the state based on their performance on 17 measures. For the full report on Oregon’s Health System performance, visit http://www.oregon.gov/oha/metrics/Pages/index.aspx.

In 2014, Health Share saw significant improvement in quality measures from its first year and is one of the leading CCOs in the state for members’ access to care, with a 5.4% improvement to 85.6%, and for members’ satisfaction with their health care, with a 5.6% improvement to 85.6%.

“Health Share’s performance reflects the hard work of many people at our partner organizations, as well as Health Share staff and our strategic partners at CORE,” said Janet Meyer, Chief Executive Officer at Health Share, referring to the Center for Outcomes Research and Education, Providence Health’s non-profit research laboratory committed to improving community health. “Of special note, we improved our performance more than 5% since last year and earned the CAHPS measures which reflect consumer satisfaction with service and access.  This was in spite of the considerable increase of over 100,000 new members through the Affordable Care Act expansion of Medicaid in 2014.”

In addition to the quality measures, Health Share excelled in metrics focused on child and family wellness, including prenatal care, adolescent well-care visits and childhood and adolescent immunizations.

“Child and family wellness is a strategic focal point for Health Share,” added Meyer, “from our recent Transformation Fund investments to our ongoing focus on early prevention to ensure the next generation of Oregonians gets the important head start they need to be successful in school, in work and throughout their lives.”

Building on success

A locally owned and governed private non-profit, Health Share’s policies require investing the incentive award, along with any surplus funds, or “profits”, the CCO might obtain, back into the system and into efforts which further transformation of Oregon’s health care system.

In 2014, Health Share used over $3.2 million in resources from the Oregon Health Authority’s Transformation Fund to invest in strategies and programs that focused on building a healthy community both for OHP members and the greater community of  Clackamas, Multnomah and Washington Counties.  These achievements include:

  • Developed wrap-around mental health services for children

  • Aligned care management systems across the region

  • Improved early asthma interventions by expanding the Healthy Homes program across all three counties

  • Promoted early oral health in Head Start

  • Reduced substance-affected pregnancies in Native women

  • Developed a prenatal care model for women with substance use disorders

As the CCO moves forward, efforts and investments will be further focused on prevention strategies, including reducing unintended pregnancies, improving screening and integrated services in maternity care, ensuring children are ready for kindergarten and building coordinated support around foster children.