Oregon’s accountable health model addresses health equity and health-related needs: Four lessons from CCO 2.0

States developing accountable health models often look to Oregon for inspiration. Oregon established its Coordinated Care Organizations (CCOs) in 2012, pursuant to a Medicaid Section 1115 demonstration waiver. CCOs are local networks of all types of health care providers – including physical, behavioral, and oral health providers – that the state pays a global capitated  rate to provide integrated care to Medicaid beneficiaries. This capitation model gives the CCOs flexibility to provide both health and health-related services as appropriate for: 

• Individuals, such as supplemental food, athletic shoes, or air conditioners, and 
• The community, such as supporting farmers’ markets or workforce development programs. (author introduction)