Contract Focuses on Performance

By August 6, 2019News

Rogue Community Health (RCH) has signed a new value-based pay and risk sharing contract with CareOregon/Jackson Care Connect (JCC) in Jackson County. Value-based payment (VBP) is part of CCO 2.0 with a focus on aligning partners such as Rogue Community Health and Jackson Care Connect to improve patient experience, quality of care, and health outcomes.

RCH is a leader in implementing CCO 2.0, which represents the future of health care payment contracts for the next five years through the Oregon Health Authority (OHA) and its contracted coordinated care organizations. Rogue Community Health Chief Executive Officer, William North explains, “OHA has been very clear about healthcare transformation in the state of Oregon. By 2024, JCC and other CCOs are required to have 70% of their contracts for providers under value-based pay (VBP) arrangements. We are committed to healthcare transformation and with this agreement, RCH meets the VBP target for our JCC members and this supports JCC in achieving its target by 2024.”

Oregon Health Authority’s CCO 2.0 policy recommendations will tackle Oregon’s biggest health challenges:

1. Improve the behavioral health system;
2. Increase value and pay performance;
3. Focus on social determinants of health and health equity; and 4. Maintain sustainable cost growth. Through intentional collaboration between the CCO and health/human services providers, a local solution is created.

Jennifer Lind, CEO of Jackson Care Connect, states, “As a leader in health care transformation, we are designing new partnerships with our network to create the aligned incentives and to help us meet the CCO 2.0 requirements set by the state. We are pleased with the leadership Rogue Community Health is showing in partnering with us to develop new programs and services that can be shared with the entire network.”

For Rogue Community Health, a value-based payment model means changes in how we deliver medical, behavioral, integrative, and dental services as a focus on population health and patient health outcomes becomes the priority. This requires more coordination between providers throughout the network and RCH has been part of the early successes to reduce inpatient hospital use, avoid ER visits and reduce total cost of care. “Integrating behavioral health with our medical services has been under way since 2017 and we are beginning to see the results of that effort in terms of improved patient access and quality of care,” noted Dan Weiner, Chief Medical Officer for RCH. “Our Medication Assisted Treatment program (MAT) for opioid and substance use disorder has grown significantly in the last year to meet the demand.”

“RCH will continue to work toward developing a health system that is truly responsive to patients and assures access to all. We are happy to be able to do our part in making this a reality for the Rogue Valley,” noted William North. In 2018, Rogue Community Health provided 11,690 patients with 40,082 patient visits and has nearly 200 employees on staff. By focusing on value, RCH has greater capacity to help people access care as well as help resolve the underlying conditions that impact people’s health.