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Report On Oregon's New Medicaid System Is Mixed

OPB | June 24, 2014 12:06 p.m. | Updated: June 24, 2014 4:03 p.m.

Credit: LTD Team / Creative Commons

Credit: LTD Team / Creative Commons

Under Oregon’s new Medicaid system — also known as the Oregon Health Plan — fewer patients are being hospitalized for chronic conditions. That’s according to a report by the Oregon Health Authority, which looked at data from the first full year of the state’s new Medicaid program. The new system combines health care providers into coordinated care organizations (CCOs). They share a budget and work together. Analysts found from 2011 to 2013, hospital admissions for congestive heart failure fell by 27 percent, obstructive pulmonary disease by 32 percent, and adult asthma by 18 percent.

But the report wasn’t all positive. Lori Coyner, the Oregon Health Authority’s Director of Health Analytics tells OPB, “We saw mixed results on patients’ perception of access to care, and this will be an important area for us to watch and work with the CCOs moving forward, given the expansion of the Oregon Health Plan population.” In one third of the state’s CCOs, getting health care was more difficult than it was under the old system. OHA says it hopes to analyze the data further to see how to improve access. It’s working to ensure the 15 CCOs across the state share best practices.

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