Oregon's Medicaid Managed Care Disparities Reduction

1. Oregon's Medicaid Managed Care Disparities Reduction A Project Summary Charles Gallia Evaluation Coordinator Oregon Department of Human Services Office of Medical Assistance Programs

2. Overview • Goals • Constraints • Activities & Accomplishments • Today • Lessons

3. Goals 1. To identify and engage Medicaid Managed Care plans in the Minority Report Card Project 2. To create and implement a voluntary quality improvement program that: • Leveraged existing resources and connections • Could show measurable results • Inform future efforts

4. Constraints • Shrinking budgets • Data preoccupation with “What’s real?” • Moving past core concept of disparities andwho is to blame • Variations in the plans’ capacity, populations, organizational structure and lines of business

5. Background Three plans: urban based and same service area • CareOregon (largest Medicaid-only plan) • Providence (multi-line plan) • FamilyCare (smaller Medicaid only plan) Commitment from Quality Improvement Coordinator and Medical Director’s commitment Opportunity created by Minority Report Card Project

6. Implementation Actions • Four targeted mailings designed, tested, and distributed by the local African-American Health Coalition Results • 20.3% increase in the number of HbA1c and LDL tests • Unable to use CAHPS to assess effect on Smoking

7. Today • Most goals met • On to a new round, new population, and chronic disease area

8. Lessons & Success Likely elements • Political leadership • Keeping solution not blame focused • Convergence of interests (federal requirements) • Need to show results of QI efforts • State national data targeting populations and conditions • Limited timeframe & spotlight • Community support and resources • Seek progress not perfection