October 8, 2019 10:30 a.m.
The Oregon Health Authority has announced that Umpqua Health Alliance passed the first phase of a recent readiness review process.
A release from UHA said it received complete ratings in 87 of the 93 elements and was rated as progress sufficient to start operations in six elements. None of the elements reviewed were rated as incomplete according to the release.
The readiness review process evaluates whether each Coordinated Care Organization is able to perform the requirements of its contract by the start of 2020. The first phase of readiness review includes an inspection of high-priority functions that impact member care, management personnel interviews, a demonstration of the CCO’s health information systems, and an analysis of the capacity of the CCO’s individual and facility/service provider network, according to the release.
Umpqua Health CEO Brent Eichman, said he is “incredibly proud of this outcome”. He said “this readiness review process gave UHA the chance to demonstrate that we have the resources, capacity, and systems in place to serve our members”. Of the 15 CCO’s approved for 2020, UHA demonstrated the 2nd highest Readiness Review Score in the state with a 94% completion rate, according to the release.
OHA also announced that during readiness reviews, it found many of the issues it encountered in the initial applications from the CCOs, had already been improved or corrected.
Phase two of the Readiness Review, which evaluates operational preparedness, is still in progress and will continue through November.