Medicaid Advisory Committee Overview CAC Learning Collaborative - - PowerPoint PPT Presentation

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Medicaid Advisory Committee Overview CAC Learning Collaborative - - PowerPoint PPT Presentation

Medicaid Advisory Committee Overview CAC Learning Collaborative 10/1/20 HEALTH POLICY AND ANALYTICS Transformation Center Medicaid Advisory Committee (MAC) Role The MAC: Advises OHA and the Oregon Health Policy Board (OHPB) on policies,


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HEALTH POLICY AND ANALYTICS Transformation Center

Medicaid Advisory Committee Overview CAC Learning Collaborative 10/1/20

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Medicaid Advisory Committee (MAC) Role

The MAC:

  • Advises OHA and the Oregon Health Policy

Board (OHPB) on policies, procedures, and

  • perations of the Oregon Health Plan (OHP)

through a consumer and community lens

  • Promotes coverage options that maximize

quality, affordable and equitable coverage, and access for OHP enrollees

  • Ensures that the needs of diverse

subpopulations are considered

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Recent MAC Work Products

  • Using Health-Related Services to Address

Housing Needs: A Guide for CCOs

  • Addressing the Social Determinants of Health:

Recommendations for Oregon’s CCO Model

  • Guiding Principles for Oregon Medicaid
  • Oral Health Access Framework Report
  • Letters of Support related to many areas

MAC reports and documents can be found here: https://www.oregon.gov/oha/HPA/HP-MAC/Pages/index.aspx

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MAC & CCO 2.0 Implementation

TRANSFORMATION CENTER Health Policy and Analytics

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MAC to track 2.0 policy implementation with goals of:

  • Understanding member & community

perspectives

  • Elevating consumer voice
  • Incorporating the member experience in

policy recommendations for future

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MAC & CCO 2.0 Implementation

TRANSFORMATION CENTER Health Policy and Analytics

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Questions of Interest:

  • How are CCO 2.0 policies impacting

care access and delivery for OHP members?

  • What is the impact of COVID-10 on

OHP enrollees?

  • How are members faring in different

regions across the state?

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CCO 2.0 Aims

Broadly, CCO 2.0 policies are focused on:

  • Increasing investments to address social

determinants of health and health equity

  • Improving the behavioral health system
  • Improving value & paying providers for quality
  • Maintaining sustainable cost growth

Member & community perspectives outside of these areas are also valuable!

TRANSFORMATION CENTER Health Policy and Analytics

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MAC/CAC Collaboration

  • CAC members & CAC coordinators have

valuable information about OHP member experiences

  • MAC Meetings

– Every MAC meeting includes time for public comment – December 2nd MAC meeting focus is on community perspectives

TRANSFORMATION CENTER Health Policy and Analytics

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