Oregon CCOs Curb ER Visits, Boost Primary Care Spending

Oregon's coordinated care organizations — similar to accountable care organizations but for Medicaid enrollees — reduced ER visits and increased primary care spending, according to nine-month results from the Oregon Health Authority.

Oregon's CCO program, which went live in September 2012, aims to provide comprehensive, coordinated care for enrollees in the Oregon Health Plan through the integration of health services, reduction of administrative overhead and improvement of patient-centered care. There are 16 CCOs today.

The report is based on data from the first nine months of 2013 — an update from the November 2013 report, which was based on six months of data.

Unless otherwise noted, figures here are compared to baseline data from 2011, before CCOs were formed. Here are some of the results:

• Emergency visits by CCO members decreased 13 percent.

• Hospital admissions for congestive heart failure fell by 32 percent for CCO members. Admissions for chronic obstructive pulmonary disease fell by 36 percent and those for asthma decreased 18 percent.

• Enrollment in patient-centered primary care homes grew by 51 percent since 2012, the baseline year for that program. The Oregon Health Program's spending on primary care is also up 18 percent.

• The percentage of adults readmitted for any reason within 30 days of their hospital discharge — dropped from a baseline of 12.3 percent to 11.3 percent in the first nine months of 2011.

More Articles on Oregon's CCOs:

Coordinated Care Organizations in Oregon Post Positive Results
CMS Approves Oregon's Medicaid Demo Program
Oregon Bill Would Let Medicaid Care Groups Remove Uncooperative Board Members

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