Frequently asked questions
Q: Who is EOCCO?
A: EOCCO will initially comprise two entities: Greater Oregon Behavioral Health, Inc. (GOBHI) and ODS Community Health, Inc. (ODS). Both organizations are funding EOCCO as equal 50/50 partners. Additional affiliates may include but are not limited to community hospitals and hospital districts, physician organizations, dental care organizations and county governments. EOCCO is filed as a Limited Liability Corporation under Oregon law
Q: What counties will EOCCO serve?
A: EOCCO intends to be the CCO in each of the counties below.
Q: What experience does GOBHI and ODS have in operating a CCO?
A: GOBHI has an MCO (Managed Care Organization) contract with the Oregon Health Authority (OHA) to provide the mental health benefit for members on the Oregon Health Plan (OHP). GOBHI has successfully provided the mental health benefits since 1995. ODS Community Health, Inc. has MCO contracts with the Oregon Health Authority (OHA) to provide both the Medical and Dental benefit for members on OHP. ODS has successfully provided the medial benefit since 2006 and the dental benefit since 1994. In previous years ODS provided administration services for other medical and mental health plans that provided benefits for OHP members.
Q: What is a Coordinated Care Organization?
A: A Coordinated Care Organization (CCO) is a network of many types of healthcare providers who have agreed to work together in their local communities for people who receive healthcare coverage under the Oregon Health Plan (Medicaid).
Q: What will stay the same and what will be different with Coordinated Care Organizations?
A: Under CCOs, the Oregon Health Plan's benefits will not change. Today the system separates physical, behavioral and other types of care. That makes things more difficult for patients and providers, and more expensive for the state.
CCOs will have the flexibility to support new models of care that are patient-centered and team focused, and to reduce health disparities. CCOs will be able to better coordinate services and also focus on prevention, chronic illness management and person-centered care. They will have flexibility within their budget to provide services alongside today's OHP medical benefits with the goal of meeting the Triple Aim of better health, better care and lower costs for the population they serve.
Q: How will Coordinated Care Organizations work?
A: CCOs will be local. They will have one budget that grows at a fixed rate for mental, physical and ultimately dental care. Initially the State needs to reduce the Medicaid cost trend by two percent from the current funding levels. CCOs will be accountable for health outcomes of the population they serve. They will be governed by a partnership among healthcare providers, community members, and stakeholders in the health systems that have financial responsibility and risk.
Q: As an Oregon Health Plan member what changes should I expect?
A: Most members will continue to receive care and services in the same way they do today. Members with chronic conditions or multiple conditions will receive better coordinated care and treatment.