In mid-November, the CPCCO Board of Directors had its annual planning retreat. As it does traditionally, Board and staff summarized top accomplishments over the past year, including but not limited to:
- Planning and funding the new CODA clinic in Seaside;
- Focus on addictions treatment; completed CCO 2.0 RFA with CPCCO as the sole CCO in the region;
- Successful transition of the Behavioral Health benefit;
- Extensive OHP member engagement and narrative stories to inform the new CPCCO health needs assessment and Regional Health Improvement Plan;
- Year-over-year management of medical expense trends within the state’s global budget;
- Achievement of a quorum at every Board meeting despite governance disruption;
- Investment in policy-level work to improve community health;
- New dental initiatives, including access improvements with a co-located dental van.
The bulk of the retreat focused on increasing and enhancing Board understanding of new CCO 2.0 requirements that are much more prescriptive about how and what CCOs invest in community health and quality improvement. The topics included:
- Value-Based Payments (VBPs): The Board learned details behind OHA’s movement from production-based provider payments to value-based payments; all CCOs are expected to have 74% or more of their provider payments as VBPs by 2024. VBPs will be required for primary care, hospital, children’s health, behavioral health, maternity, oral health and pharmacy.
- Health Related Services (HRS) and Social Determinants of Health (SDOH): The Board was provided an overview on how CCOs must invest in addressing social determinants of health, and the evolving role of CCOs from the state’s perspective. While the state has very specific definitions of what constitutes HRS spending, the definition of SDOH is very loose and high level; the state has acknowledged there is a great deal of overlap between the two. In addition, the state is very prescriptive about reporting CCO spending. The good news is that the types of investing that CPCCO has made in clinics and communities over the years are entirely consistent with new state requirements. In addition to how CCOs need to invest surplus earnings, the state is also imposing financial penalties for exceeding the statewide Rate of Growth.
- CPCCO Investments: The Board then reviewed the current framework for community/clinical investment and a proposed new framework to match the priority health improvement areas listed in the CPCCO Regional Health Improvement Plan. In addition, they discussed a continuum of options for CCO investments in housing and housing supports.
The Board will be making final decisions on the CPCCO investment framework generally, and housing supports specifically, at upcoming Board meetings.