Market Intelligence Resource | November 10, 2015

Oregon 2015 CCO Quality Pool Reference Instructions

On September 14, 2015, The Oregon Health Authority released this document that details how quality pool funds will be awarded to coordinated care organizations (CCOs). CCOs receive a capitated rate to provide Medicaid services to beneficiaries and a portion of that rate is withheld to ensure quality care is delivered. CCOs have a chance to earn back the withheld money by performing on 17 quality measures. Quality pool money not earned by the CCOs is put into a challenge pool and the CCOs can earn that money by scoring on additional quality measures . . .

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Oregon 2015 CCO Quality Pool Reference Instructions

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