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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
The Oregon Health Plan (OHP) has been widely heralded as an important innovation in medical care policy. Oregon's pioneering model of prioritizing funding through systematically ranking services drew an extraordinary amount of national and international attention. Indeed, the Oregon story has seemed so compelling and by now is so familiar that it has attained what Rudolf Klein termed "nearly mythical status" in the health policy community. The article proceeds in three sections. First, we very briefly review the original proposals and ensuing (and misleading) debate over rationing in Oregon. Next, we explore how the politics of rationing unfolded in Oregon from the enactment of OHP to its implementation. Finally, we consider the character of Oregon's innovation and the broader lessons that it holds for reform efforts elsewhere.
Just when you thought there was no cure for an ailing healthcare system, Our Health Plan will change your mind entirely. Chronicling the journey of a single community through the labyrinth of local healthcare in its efforts to effect change, proponents focus on the most economically disadvantaged and vulnerable-the Medicaid population, as well as reaching out to the commercially insured, creating a revolutionary Coordinated Care Organization, or CCO, in the process. Harnessing the power of its doctors, hospitals, dentists, psychologists, addiction counselors, paramedics, educators, and other integral healthcare forces, the medical community learns to work as a cohesive unit. Results include vastly improved care, reduced costs, favorable relationships and communication among providers, and patients with a decisive voice in a totally reimagined healthcare system.