Sunday, May 22, 2011

Coordinated Care Legislation

Legislation sponsored by Oregon’s Joint Special Committee on Health Care Transformation was introduced during the Oregon Legislative Assembly’s 2011 regular session. The legislation would establish the “Oregon Integrated and Coordinated Health Care Delivery System” to replace managed care systems for recipients of medical assistance.

The legislative goals are to create a system where:

• Consumers get the care and services needed with care coordinated locally using statewide resources when needed by a team of health professionals who understand their culture and speak their language

• Consumers, providers, community leaders and policymakers have the high quality information they need to make better decisions and keep the delivery systems accountable

• Quality and consistency of care is improved and costs are contained through new payment systems and standards that emphasize outcomes and value rather than volume

• Communities and health systems work together to find innovative solutions to reduce overall spending, increase access to care and improve health

• Electronic health information is made available when and where it is needed to improve health and healthcare through a secure confidential health information exchange

The legislation would require the Oregon Health Authority to seek federal approval to allow enrollment of individuals who are dually eligible for Medicare and Medicaid into coordinated care organizations.