The Oregon coordinated care model was implemented in 2012 through “Coordinated Care Organizations” (CCOs), which operate under a Section 1115 waiver, first granted by the Obama Administration. A coordinated care organization is a network of all types of health care providers (physical health care, addictions and mental health care) who have agreed to work together […]
The three legislative concepts discussed in this paper build on the Affordable Care Act and are consistent with, and enhance, President-elect Biden’s health care proposal as described in his campaign. These concepts also compliment the initiatives in the House Democratic Leadership health care proposal introduced last year. A centerpiece of both proposals is to expand […]
As a parent, a doctor and former Governor, I urge Oregonians to vote “no” on Ballot Measure 110. I understand that a central motivation behind this ballot measure is to help reverse the disaster caused by the War on Drugs, which incarcerated people suffering from addiction and had a disproportionate impact on Black and Indigenous […]
This week’s decision by the Oregon Health Authority (OHA) to allow Trillium Community Health Plan to begin enrolling Medicaid members in the Portland area starting on September 1 threatens to disrupt important care relationships in the midst of the COVID 19 pandemic. Of even greater concern is the fact that this decision seems to have been made in a vacuum that ignores both the need for patient protections in a very vulnerable population and the intensified call for equity in our health care system
Without bringing some degree of financial support and certainty to the millions of Americans who have lost their jobs as a direct result of the necessary efforts to contain the spread of COVID 19, we risk unleashing the darker consequences of panic, blame and desperation that haunt those who cannot meet their most basic needs and see no hope for tomorrow—the loss of social cohesiveness and the disintegration of our communities.
I am adding my voice to those of my colleagues in the medical community, as well as many other Oregonians, in support of the immediate issuance of a strong and unambiguous statewide order to shelter at home. Given our current lack of both an effective vaccine or the capacity to conduct widespread testing for the virus, such an order offers the most aggressive intervention action available to prevent, or at least delay, hospital overload.
The spread of the coronavirus in Oregon is a true emergency and yet it offers us an opportunity—an opportunity to remember that we are truly all in this together, that the virus does not respect income, partisanship or political ideology; and that by facing this challenge together, as a caring and compassionate Oregon community, we will surely weather this storm and emerge stronger and more united than when we began.
The Democratic debates demonstrate how central health care will be in the 2020 election. Whether this debate leads to meaningful relief for the millions of families struggling under the financial burden of medical care depends largely on how the issue is framed and on the clarity with which we see our policy goal. Here are five observations that may help.
For decades, the national health care debate has focused largely on our acute care medical system; and gridlocked because neither Republicans nor Democrats assume any change in the health care delivery model: we either pay for it or we don’t, creating a false choice between cost and access. Moving beyond this gridlock requires a new way to both frame this challenge and to evaluate the various proposals being advanced to address it.
Remarks at the Oregon Health Forum on the stakes involved for Oregon’s CCO care model over the next five year contract period.