Oregon's Medicaid transformation: An innovative approach to holding a health system accountable for spending growth

Kenneth (John) McConnell, Anna Marie Chang, Deborah Cohen, Neal Wallace, Michael E. Chernew, Glenn Kautz, Dennis McCarty, Bentson McFarland, Bill Wright, Jeanene Smith

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

In 2012, Oregon initiated a significant transformation of its Medicaid program, catalyzed in part through an innovative arrangement with the Centers for Medicare and Medicaid Services (CMS), which provided an upfront investment of $1.9 billion to the state. In exchange, Oregon agreed to reduce the rate of Medicaid spending by 2 percentage points without degrading quality. A failure to meet these targets triggers penalties on the order of hundreds of millions of dollars from CMS. We describe the novel arrangement with CMS and how the CCO structure compares to Accountable Care Organizations (ACOs) and managed care organizations (MCOs).

Original languageEnglish (US)
Pages (from-to)163-167
Number of pages5
JournalHealthcare
Volume2
Issue number3
DOIs
StatePublished - Sep 1 2014

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Centers for Medicare and Medicaid Services (U.S.)
Medicaid
Health
Accountable Care Organizations
Growth
Managed Care Programs
Organizations

Keywords

  • Global budget
  • Health reform
  • Medicaid
  • Reimbursement

ASJC Scopus subject areas

  • Health Policy

Cite this

Oregon's Medicaid transformation : An innovative approach to holding a health system accountable for spending growth. / McConnell, Kenneth (John); Chang, Anna Marie; Cohen, Deborah; Wallace, Neal; Chernew, Michael E.; Kautz, Glenn; McCarty, Dennis; McFarland, Bentson; Wright, Bill; Smith, Jeanene.

In: Healthcare, Vol. 2, No. 3, 01.09.2014, p. 163-167.

Research output: Contribution to journalArticle

McConnell, Kenneth (John) ; Chang, Anna Marie ; Cohen, Deborah ; Wallace, Neal ; Chernew, Michael E. ; Kautz, Glenn ; McCarty, Dennis ; McFarland, Bentson ; Wright, Bill ; Smith, Jeanene. / Oregon's Medicaid transformation : An innovative approach to holding a health system accountable for spending growth. In: Healthcare. 2014 ; Vol. 2, No. 3. pp. 163-167.
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