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11/17/2017

Dr. Jim Rickards Discusses His Recent Work, "Our Health Plan, Community Governed Healthcare That Works" (November 16th)

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This, my 125th interview, will discuss Oregon's Coordinated Care Organizations (CCOs) that have received considerable attention nation-wide for their ability to provide Medicaid beneficiaries with coordinated care, moreover primary care services integrated with mental/behavioral and oral health.  The Oregon CCO model has also demonstrated over the past five years an ability to improve care quality while keeping spending below a targeted 3.4 percent annual growth rate via a capitated payment arrangement.  Oregon's CCO success is the subject of Dr. Jim Rickards recent work, "Our Health Plan, Community Governed Healthcare That Works.  The work details the experience of one Oregon CCO, Yamhill Community Care.     

During this 29-minute discussion Dr. Rickards provides a brief description Yamhill County, how the Yamhill County's CCO, Yamhill Community Care, was formed, what initial decisions or steps it took, how it organizes or coordinates care moreover between and among primary care providers, dentists, behavioralists, community health workers and a community paramedicine program.   The role Health Information Technology (HIT), or Oregon/Washington's Health Information Exchange (HIE) or EDIE, and quality measures play, what beneficiary spill over effects have resulted from the CCO's care delivery and how might Oregon's CCO model be adopted elsewhere.  

Dr. Jim Rickards is currently the Senior Medical Director at Moda Health in Portland, Oregon.  Previously, Dr. Rickards was the Rickards Chief Medical Officer of the Oregon Health Authority, where he provided clinical and policy leadership in managing Oregon's Medicaid population.  He received his B.S. from Indiana University Bloomington, MBA from Oregon Health and Science University, M.D. from Indiana University School of Medicine.  He completed his residency and fellowship training in radiology in Chicago at Cook County Hospital and Rush University Hospital.  Dr. Rickards currently resides in Mcminnville, Oregon.

For more information on Our Health Plan go to: https://www.prnewswire.com/news-releases/new-health-care-delivery-book-asks-is-community-healthcare-the-future-300501810.html.

For information on the Oregon Health Authority go to: http://www.oregon.gov/OHA/Pages/index.aspx.

A thorough review of 2016 CCO performance results is at: http://www.oregon.gov/oha/HPA/ANALYTICS-MTX/Documents/CCO-Metrics-2016-Final-Report.pdf

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