Evidence map›Paper›PMID 25540719›Full record

ArticleHealthcare (Amsterdam, Netherlands)2014

Oregon's Medicaid Transformation: An Innovative Approach To Holding A Health System Accountable For Spending Growth.

K John McConnell, Anna Marie Chang, Deborah J Cohen, Neal Wallace, Michael E Chernew, Glenn Kautz, Dennis McCarty, Bentson McFarland, Bill Wright, Jeanene Smith

Abstract read
In one paragraph

Article in Healthcare (Amsterdam, Netherlands), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Initiation of Colorectal Cancer Screening Among Medicaid Enrollees.American journal of preventive medicine · 2020
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

K John McConnellCenter for Health Systems Effectiveness, Department of Emergency Medicine, Oregon Health & Science University.
Anna Marie ChangDepartment of Emergency Medicine, Oregon Health & Science University.
Deborah J CohenDepartment of Family Medicine, Oregon Health & Science University.
Neal WallaceHatfield School of Government, Portland State University.
Michael E ChernewDepartment of Health Care Policy, Harvard University.
Glenn KautzCenter for Health Systems Effectiveness, Oregon Health & Science University.
Dennis McCartyDepartment of Public Health and Preventive Medicine, Oregon Health & Science University.
Bentson McFarlandDepartment of Psychiatry, Oregon Health & Science University.
Bill WrightProvidence Center for Outcomes Research and Education.
Jeanene SmithOffice of Health Policy and Research, Oregon Health Authority.

Funding

Oregon Multidisciplinary Training Program in Emergency Medicine Clinical ResearchK12HL108974 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI NEWGARD, CRAIG D. · 2011 to 2015
$3.8M
Oregon's Coordinated Care Organizations Integrate Care for Drug Use DisordersR33DA035640 · NIDA · OREGON HEALTH & SCIENCE UNIVERSITY · PI LIND, BONNIE · 2014 to 2017
$2.4M
Evaluating Coordinated Care OrganizationsR01MH100001 · NIMH · OREGON HEALTH & SCIENCE UNIVERSITY · PI LINDROOTH, RICHARD C., MCCONNELL, KENNETH JOHN · 2012 to 2015
$2.2M
Oregon's Coordinated Care Organizations Integrate Care for Drug Use DisordersR21DA035640 · NIDA · OREGON HEALTH & SCIENCE UNIVERSITY · PI MCCARTY, DENNIS · 2013 to 2013
$219k
NHLBI NIH HHS K12 HL108974NIDA NIH HHS R21 DA035640NIDA NIH HHS R33 DA035640NIMH NIH HHS R01 MH100001
6 · The paper itself

Abstract

In 2012, Oregon initiated a significant transformation of its Medicaid program, catalyzed in part through an innovative arrangement with the Centers for Medicare and Medicaid Services (CMS), which provided an upfront investment of $1.9 billion to the state. In exchange, Oregon agreed to reduce the rate of Medicaid spending by 2 percentage points without degrading quality. A failure to meet these targets triggers penalties on the order of hundreds of millions of dollars from CMS. We describe the novel arrangement with CMS and how the CCO structure compares to Accountable Care Organizations (ACOs) and managed care organizations (MCOs).

Identifiers

PMID25540719
PMCPMC4273859

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.