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Title Health Reform Policy to Practice : Oregon's Path to a Sustainable Health System: A Study in Innovation / edited by Ron Stock, Bruce Goldberg.

Published San Diego : Academic Press, 2017.


Location Call No. Status
Physical description 1 online resource (363 pages)
Series ScienceDirect All Books
Contents Front Cover; Health Reform Policy to Practice; Copyright Page; Contents; List of Contributors; Acknowledgments; Introduction; I. Origins of Oregon Health Reform; 1 The Oregon Narrative: History of Health Reform in Oregon; 1980s-Statewide Dialog, Mobilization, and Action; Hard Choices and the Death of a Boy; Goal Setting and the Oregon Health Plan; Oregon's Controversial Prioritized List of Services; Other Kinds of Insurance Expansion; Employer Mandate; The Oregon Medical Insurance Pool; Small Employer Health Insurance; 1990s-OHP Implementation-Challenges and Benefits.
Explicit Versus Implicit RationingOregon Health Plan Goes Live; Managed Care and Cost Containment; The Family Health Insurance Assistance Program; 2000s-Policy Refinement and the Quest for Sustainability; Creation of OHP2; The Surprising Impact of Cost-Sharing and Premium Requirements; Expanded Access to OHP Standard; Covering More Children: The Healthy Kids Initiative; 2010-12-The Perfect Storm for Delivery System Reform; The Evolution of a Burning Platform; A Gifted Leader Takes Charge; Immediate Budget Implications; Early Political Discussions and Negotiations; Oregon-Style Collaboration.
CMS Waiver Approval and FundingConclusion; References; 2 State-Level Design: The Coordinated Care Model; Background; The Fourth Path-Changing How Health Care Is Delivered; Elements of the Coordinated Care Model; Local Accountability and Governance; Global Budget With Per Capita Growth; Integrated and Coordinated Care; At Risk for Quality (Metrics); Flexibility; Implementation: Oregon's 1115 Waiver and Supports; Supports for Change; Progress to Date; Lessons Learned; References; 3 The Politics of Creating the Coordinated Care Organizations; Introduction; Background; Oregon Legislative Politics.
Federal PoliticsLessons Learned; 4 Strategic Communication and Engaging the Public; Introduction; #1: Meet People Where They Are; Messaging for Where People Are; Message Strategies; Keep Language Simple and Relevant; Focus on People, Not Systems; #2: Show What's Possible-The Story Bank; #3: Be Disciplined and Tenacious; Special Note About Communications With Oregon Health Plan Clients; Communications Channels; Mass Media-Earned Communications; Owned Communications; Get Feedback and Communicate About Communicating; Agency Partnerships; Internal Communications to Agency Staff; Lessons Learned.
II. Implementation of the Coordinated Care Model: Key Components5 Delivering Health Care Through the Coordinated Care Organization Model; The CCO Background Story; The Regional Health Authority Concept; Considering Other Delivery Models; The Emergence of the CCO Model; Risk and Funding Arrangements; Service Areas; Legislation Drives CCO Development; CCO Successes and Failures; Conclusion; 6 Primary Care as a Cornerstone of Reform; Policy Drivers and Landscape; A History of Primary Care Reform; The Coordinated Care Model and PCPCH; From Legislation to Practice.
Notes Patient-Centered Primary Care Home Model Development.
Bibliography Includes bibliographical references and index.
Summary "Health Reform Policy to Practice: Oregon as a Case Study for a Path to a Comprehensive and Sustainable Health Delivery Model offers a real world example of an innovative, successful and comprehensive program conducted by the U.S. State of Oregon. In 1991, Oregon embarked on a journey to improve health for all its citizens by radically re-thinking how to approach health care for long-term benefits. Over more than two decades, Oregonians have participated in a dialogue to create a new approach to solve the dilemma of providing high quality health care that is affordable and effective. Traditionally, health care reform looked at cutting people from care, cutting provider rates or cutting services. Oregon's approach is unique in that it built a new system of delivery from the ground (community) up. The Oregon model took a "Fourth Path" to health care by redesigning the clinical delivery system through reducing waste, improving individual health and prevention, and therefore reducing utilization of services, creating local accountability, aligning financial incentives and creating fiscal accountability. This is not only an Oregon story, but a national one as other states, payers and purchasers implement health care reform. Written by content experts who have been actively involved in health care reform efforts Provides clear translation of current information and experience to implementation Explores the potential impact of the Oregon experience on national and international health care reform efforts."
Other author Stock, Ronald.
Goldberg, Bruce W.
Elsevier issuing body.
Subject Health care reform.
Electronic books.
ISBN 9780128098288