InterCommunity Health Network Coordinated Care Organization (IHN-CCO) was awarded a total of $2,669,122 by the Oregon Health Authority (OHA) for meeting benchmarks or improvement targets on CCO Incentive Measures for calendar year 2013.
The funds come from a “quality pool” established by OHA as part of its agreement with the Centers for Medicare and Medicaid Services (CMS) to create and fund CCOs to manage the Oregon Health Plan. The quality pool holds CCOs responsible for spending on health care, as well as quality of care provided, increasingly rewarding CCOs for value and outcomes, rather than utilization of services. This stimulus is one of several health system transformation mechanisms for achieving Oregon’s vision for better health, better care, and lower costs.
“Our providers are the reason for our success in the quality metrics,” said Kevin Ewanchyna, MD, chief medical officer for IHN-CCO. “They have always provided quality care. Now, in addition to that important work, they are collaborating with us to emphasize preventive care. Together, we are transforming the current health care system to support coordination of care across our CCO that ultimately results in the improvement of our members’ health.”
Quality pool awards depend on CCO performance in selected CCO Incentive Measures. The measures were chosen in an open and public process by the Metrics & Scoring Committee and approved by CMS. CCOs must meet either the benchmark or the improvement target for each measure to qualify. As a CCO meets more benchmarks or improvement targets, it receives a higher payment.
The funds received by IHN-CCO will be shared with contracted providers in high-performing clinics, as well as those who have demonstrated substantial improvement during 2013.
For more information about the CCO Incentive Measures, visit www.oregon.gov/oha/Metrics/Pages/index.aspx