Oregon's experiment in health care delivery and payment reform: coordinated care organizations replacing managed care.
Oregon's experiment in health care delivery and payment reform: coordinated care organizations replacing managed care.
复制标题
俄勒冈州在医疗保健提供和支付改革方面的实验：协调医疗组织取代管理式医疗。
DOI：
10.1215/03616878-2854919
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发表时间：
2015
期刊：
影响因子：
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通讯作者：
Claire M Ranit
中科院分区：
文献类型：
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作者：
Steven W. Howard;S. Bernell;Jangho Yoon;J. Luck;Claire M Ranit
To control Medicaid costs, improve quality, and drive community engagement, the Oregon Health Authority introduced a new system of coordinated care organizations (CCOs). While CCOs resemble traditional Medicaid managed care, they have differences that have been deliberately designed to improve care coordination, increase accountability, and incorporate greater community governance. Reforms include global budgets integrating medical, behavioral, and oral health care and public health functions; risk-adjusted payments rewarding outcomes and evidence-based practice; increased transparency; and greater community engagement. The CCO model faces several implementation challenges. If successful, it will provide improved health care delivery, better health outcomes, and overall savings.
