Monday Roundtable Luncheon
CareOregon, an Oregon-based non-profit health plan, provides both medical and dental health plan services for about one-quarter of our state’s Medicaid population. As a Coordinated Care Organization, we administer benefits for physical and behavioral health and operate a Dental Care Organization. As a dental plan, CareOregon Dental has implemented an innovative member assignment for its dental provider network of co-located FQHCs. This assignment allows for additional data tracking and funding opportunities to support metrics. Partners also benefit from our Alternative Payment Methodology (APM). State metrics and our APM metric goals are updated annually with a percentage point increase over the previous year’s final. The dental partners collectively form our Dental Collaborative Team, which meets monthly. Partners are provided support to meet metrics through shared goals, technical assistance, outreach initiatives including member incentives, and Collaborative Team support and networking. Utilizing Tableau software, partners are provided monthly performance dashboards to allow data-informed decisions. Outreach and member roster management tools have also been developed and shared with the Collaborative Team. In 2018, we funded five partner integration projects that have measures and deliverables focused on medical-behavioral health-dental integration. Integration supports our plan and partner alignment efforts for improved patient health outcomes. During this roundtable discussion, we will explain our unique partnership with our FQHC provider network, our APM, partner data dashboards, and additional support to meet State metrics and increase dental utilization and implement sustainable integration efforts.