Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Why the Oregon CCO experiment could founder.

Eric C Stecker1

  • 1Oregon Health and Science University.

Journal of Health Politics, Policy and Law
|May 21, 2014
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Novel pacing maneuvers for mapping the upstream insertion of unidirectional accessory pathways.

Heart rhythm·2025
Same author

Perioperative Implantable Cardioverter Defibrillator Management: The Confusion and Controversary Continues.

A&A practice·2025
Same author

Tobacco Use, Electronic Nicotine Delivery Systems, and Vulnerable Populations: Current Landscape and Opportunities for Improvement.

JACC. Advances·2024
Same author

Cardiovascular disease risk: it is complicated, but race and ethnicity are key, a Bayesian network analysis.

Frontiers in public health·2024
Same author

Impact of COVID-19 pandemic on the volume, cost, and outcomes of cardiac electrophysiology procedures in the United States.

Heart rhythm·2024
Same author

2023 HRS/APHRS/LAHRS guideline on cardiac physiologic pacing for the avoidance and mitigation of heart failure.

Journal of arrhythmia·2023
Same journal

Still Learning from Oregonians About Medicaid.

Journal of health politics, policy and law·2026
Same journal

Communicative Infrastructure and the Global Diffusion of Latin American Food Policy.

Journal of health politics, policy and law·2026
Same journal

Frankenstein or My Fair Lady? Lessons on Participatory Governance from Oregon Medicaid's Priority-Setting Experiment.

Journal of health politics, policy and law·2026
Same journal

How Medicare Advantage Enrollment Affects Spending in Traditional Medicare: Spillovers and Implications for MA Benchmarks.

Journal of health politics, policy and law·2026
Same journal

Abortion Politics: Physician Mobilization in the Wake of the Dobbs Decision.

Journal of health politics, policy and law·2026
Same journal

When Protections Work but Processes Stall: Evaluating the No Surprises Act's Implementation Record.

Journal of health politics, policy and law·2026
See all related articles

Oregon's Medicaid experiment uses global payments and coordinated care organizations (CCOs) to control health care spending. However, successful cost containment requires effective execution beyond just insightful design.

Area of Science:

  • Health Services Research
  • Health Economics
  • Public Health Policy

Background:

  • Oregon implemented a Medicaid waiver, representing a significant effort to control healthcare expenditures.
  • The initiative involves global payments with shared financial risk at both the state and coordinated care organization (CCO) levels.

Purpose of the Study:

  • To evaluate the design and execution challenges of Oregon's innovative Medicaid experiment aimed at cost containment.
  • To analyze the mandated integration of medical, behavioral, and dental healthcare services within the CCO model.

Main Methods:

  • The study examines Oregon's Medicaid waiver, focusing on the implementation of global payments and two-sided risk structures.
  • Analysis includes the mandated comprehensive coverage and the focus on CCO-level innovation and quality metrics.

Related Experiment Videos

Main Results:

  • The Oregon experiment represents a bold attempt to limit healthcare spending through a novel payment and delivery model.
  • The design incorporates coordinated care organizations (CCOs) with financial accountability for quality outcomes.

Conclusions:

  • While the design is innovative, the success of Oregon's Medicaid experiment in achieving cost containment hinges on effective execution.
  • Challenges in implementation may hinder the achievement of the envisioned cost containment goals within the projected timeframe.