Oregon's Medicaid transformation: An innovative approach to holding a health system accountable for spending growth
Oregon's Medicaid transformation: An innovative approach to holding a health system accountable for spending growth
复制标题
DOI：
10.1016/j.hjdsi.2013.11.002
复制
发表时间：
2014-09-01
影响因子：
2.5
通讯作者：
Smith, Jeanene
中科院分区：
文献类型：
--
作者：
McConnell, K. John;Chang, Anna Marie;Smith, Jeanene
2012年，俄勒冈州启动了医疗补助计划的重大转型，部分原因是与联邦医疗保险和医疗补助服务中心(CMS)达成了一项创新安排，向该州提供了19亿美元的前期投资。作为交换，俄勒冈州同意在不降低质量的情况下将医疗补助支出比例降低2个百分点。未能达到这些目标将引发CMS数亿美元的罚款。我们描述了与CMS的新安排，以及CCO结构与责任关怀组织(ACO)和管理性关怀组织(MCoS)的比较。(C)2013 Elsevier Inc.保留所有权利。
In 2012, Oregon initiated a significant transformation of its Medicaid program, catalyzed in part through an innovative arrangement with the Centers for Medicare and Medicaid Services (CMS), which provided an upfront investment of $1.9 billion to the state. In exchange, Oregon agreed to reduce the rate of Medicaid spending by 2 percentage points without degrading quality. A failure to meet these targets triggers penalties on the order of hundreds of millions of dollars from CMS. We describe the novel arrangement with CMS and how the CCO structure compares to Accountable Care Organizations (AC0s) and managed care organizations (MCos). (C) 2013 Elsevier Inc. All rights reserved.