title: Oregon's medicaid transformation -- observations on organizational structure and strategy.
abstract: In the Point article, Steven W. Howard et al. argue that the Oregon Health Authority's coordinated care organizations (CCOs) are different from traditional Medicaid managed care organizations in ways designed to improve care coordination and transparency, incorporate greater collaborative governance and community accountability, and reform payment and delivery of care. Although the Point article notes specific challenges to implementing reforms, this Counterpoint article identifies the progress and successes of Oregon's CCOs in each of the aforementioned areas on the basis of empirical research, which suggests that CCOs appear to be viable innovations.
authors.affiliation: Oregon Health and Science University.
authors.forename: Anna Marie
authors.initials: AM
authors.lastname: Chang
authors.affiliation: Oregon Health and Science University.
authors.forename: Deborah J
authors.initials: DJ
authors.lastname: Cohen
authors.affiliation: Oregon Health and Science University.
authors.forename: Dennis
authors.initials: D
authors.lastname: McCarty
authors.affiliation: Oregon Health and Science University.
authors.forename: Traci
authors.initials: T
authors.lastname: Rieckmann
authors.affiliation: Oregon Health and Science University.
authors.forename: K John
authors.initials: KJ
authors.lastname: McConnell
mesh_terms: D003695:Delivery of Health Care / Q000458:organization & administration*; D006801:Humans; D008329:Managed Care Programs / Q000458:organization & administration*; D008484:Medicaid / Q000458:organization & administration*
keywords: Medicaid; coordinated care organizations; managed care; state health reform