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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,


  1. Medicaid Advisory Committee Overview CAC Learning Collaborative 10/1/20 HEALTH POLICY AND ANALYTICS Transformation Center

  2. Medicaid Advisory Committee (MAC) Role The MAC: • Advises OHA and the Oregon Health Policy Board (OHPB) on policies, procedures, and operations 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 2

  3. 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 3

  4. MAC & CCO 2.0 Implementation 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 TRANSFORMATION CENTER Health Policy and Analytics 4

  5. MAC & CCO 2.0 Implementation 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? TRANSFORMATION CENTER Health Policy and Analytics 5

  6. 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 6

  7. 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 2 nd MAC meeting focus is on community perspectives TRANSFORMATION CENTER Health Policy and Analytics 7

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