Multnomah County is proud to partner with safety net providers and health care organizations to provide physical, behavioral and oral health for low-income county residents. In 2011, the Oregon Legislature directed communities to create a coordinated care organizations or a CCO  to eliminate gaps, improve health outcomes and reduce costs.

Health Share of Oregon is one of  two coordinated care organizations in Multnomah County. The other coordinated care organization being, FamilyCare, Inc.

Late in 2011, Multnomah County joined the Tri-County Medicaid Collaborative (now Health Share of Oregon) in pursuit of this goal. On April 30, 2012, this group of public and private organizations applied to the Oregon Health Authority to become a unified, regional system of care for the metro-area’s 212,000 people who receive services through the Oregon Health Plan. It will also serve those with high-risk individuals who lack insurance. In addition to Multnomah County, sponsors include Washington and Clackamas Counties, Care Oregon, Providence Health & Services, Legacy Health, Kaiser Permanente, Metro-area Community Health Centers, the Oregon Medical Association, Oregon Nurses Association, Oregon Health & Science UniversityTuality Healthcare and Adventist Health.

Many other organizations are also involved including behavioral health providers, primary care providers, social service agencies, community- based organizations, consumer groups, business groups, dental providers, health advocates, health insurers and the Oregon Health Authority.

Together, these partners want to improve the quality of care and the care experience for patients and reduce costs. Strategies could include standardizing the discharge of hospital patients, intensive wrap-around services for high-risk patients before and after a hospital discharge and a community care team to improve coordination.

The Tri-County Collaborative has hired an interim management team and is working to develop rules around governance, finances and model of care. After pooling efforts and staff, the group’s first step in 2012 has been to apply for a $30 million grant from the Center for Medicare and Medicaid Innovation to help develop the system.