Learn more about EOCCO and our partners from the following frequently asked questions.
EOCCO is comprised of two entities: Greater Oregon Behavioral Health, Inc. (GOBHI) and ODS Community Health, Inc. (ODS). Both organizations are funding the EOCCO (Eastern Oregon Coordinated Care Organization) as equal 50/50 partners. Additional affiliates may include, but are not limited to, community hospitals and hospital districts, physician organizations, dental care organizations and county governments. EOCCO is a Limited Liability Corporation under Oregon law.
EOCCO intends to be the coordinated care organization (CCO) in the following counties:
GOBHI has an MCO (Managed Care Organization) contract with the Oregon Health Authority (OHA) to provide the mental health benefit for members on the Oregon Health Plan (OHP). GOBHI has successfully provided the mental health benefits since 1995. ODS Community Health, Inc. has MCO contracts with the Oregon Health Authority (OHA) to provide both the medical and dental benefit for members on OHP. ODS has successfully provided the medical benefit since 2006 and the dental benefit since 1994. In previous years, ODS managed services for other medical and mental health plans that provided benefits for OHP members.
A coordinated care organization (CCO) is a network of different types of healthcare providers who have agreed to work together in their local communities for people who receive healthcare coverage under the Oregon Health Plan (Medicaid).
Under CCOs, Oregon Health Plan's benefits do not change. The system separates physical, behavioral and other types of care. This makes things more difficult for patients and providers, and more expensive for the state. CCOs have the flexibility to support new models of care that are patient-centered and team focused, and reduce health disparities. CCOs will be able to better coordinate services and focus on prevention, chronic illness management and person-centered care. They have flexibility within their budget to provide services alongside today's OHP medical benefits with the goal of meeting the Triple Aim of better health, better care and lower costs for the population they serve.
CCOs are local. They will have one budget that grows at a fixed rate for mental, physical, and ultimately, dental care. Initially the state needs to reduce the Medicaid cost trend by two percent from the current funding levels. CCOs will be accountable for health outcomes of the population they serve. They are governed by a partnership among healthcare providers, community members, and stakeholders in the health systems that have financial responsibility and risk.
The Oregon Health Plan (OHP) pays for low-income Oregonians to have healthcare. It is funded by the state of Oregon and the federal government. As part of OHP, the coordinated care model was developed. A coordinated care organization (CCO) is a group that includes all types of healthcare providers who have agreed to work together to help people who receive healthcare under the Oregon Health Plan. EOCCO is a coordinated care organization. We work together for OHP members in our community.
Most OHP members will continue to receive care and services in the same way they do today. Members with chronic conditions or multiple conditions receive better overall care and treatment.