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Health Share of Oregon: A Community-Oriented Approach to Accountable Care for Medicaid Beneficiaries

Overview

Health Share of Oregon is a nonprofit founded in 2012 to coordinate the provision of medical, dental, and behavioral health care for Medicaid beneficiaries in a tricounty region encompassing Portland. As one of 16 coordinated care organizations designated by the state to oversee and improve the delivery of these services for a geographically defined population, it receives a global budget. It distributes per-capita payments to health plans—some of which are integrated delivery systems—and county-run mental health agencies that have agreed to accept risk for providing or ensuring access to defined services. These risk-bearing entities—all founders of Health Share—serve on its governing board, along with representatives of community-based organizations and social service agencies committed to this population. Health Share brings these stakeholders together to improve care for high-need, high-cost patients; achieve efficiencies by centralizing certain administrative and enrollment functions; and create accountability for performance.

Publication Details

Publication Date: October 6, 2014
Contact: Douglas McCarthy, Senior Research Director, The Commonwealth Fund
Email: dm@cmwf.org
Citation:

S. Klein, D. McCarthy, and A. Cohen, Health Share of Oregon: A Community-Oriented Approach to Accountable Care for Medicaid Beneficiaries, The Commonwealth Fund, October 2014.

Experts

Consulting Writer and Editor
Douglas McCarthy
Senior Research Director, The Commonwealth Fund
Research Associate, Institute for Healthcare Improvement