Health Care Reform
In 2010, about 80% of Oregonians had health insurance. By 2022, this was the new percentage.
What is 94%
Networks of all types of health care providers working together in their communities for OHP/Medicaid members — these are Oregon's answer to integrated care.
The ACA stands for?
What is the Affordable Care Act
Approximately this fraction — or 1.4 million people — of all Oregonians are covered under OHP.
What is 1 in 3 Oregonians
In Oregon, organizations with certified workers in this role can bill OHP/Medicaid for certain services if they meet criteria — including having a licensed clinician supervisor.
What are Community Health Workers (CHW's)?
The US ranked low in health outcomes while this kept rising, making reform urgent.
What are healthcare costs?
CCO 2.0 includes four goals: improving behavioral health, increasing value through pay-for-performance, maintaining sustainable cost growth, and focusing on this.
What are social determinents of health?
The three goals of the ACA: improving quality of care, reducing costs, and improving this.
What is population health
This OHP program provides coverage to all Oregon children ages 0–18 regardless of immigration status, as long as they meet income criteria.
What is Cover All Kids?
This OHA office oversees the Traditional Health Worker Commission and regulates THW certification in Oregon.
What is the Office of Equity and Inclusion?
This aspect of health — including housing, food security, and income — was largely neglected before healthcare reform efforts.
What are social determinents of health.
The overall goal of Coordinated Care Organizations is to help providers reach this framework for health system improvement.
What is Triple Aim?
Under the ACA, insurers are prohibited from doing this to new patients based on a pre-existing condition.
What is denying care.
This Oregon program provides OHP to residents who don't qualify for full benefits due to immigration status and are ages 19–25 or 55+.
Healthier Oregon extends OHP to Oregonians ages 19–25 or 55+ who meet income criteria but don't qualify for full OHP benefits due to immigration status.
CHWs and THWs play this specific role within CCOs — helping patients do this.
What is navigate the health system?
Before reform, the US health system was largely focused on this — rather than keeping people healthy.
What is treatment
Oregon's medical homes focus on wellness, prevention, and management of this type of condition.
What is chronic disease?
On a federal level, this group remains ineligible for Medicaid and premium tax credits under the ACA, though Oregon has expanded eligibility for some.
Who are undocumented workers. Oregon has expanded OHP to undocumented residents ages 0–25 and 55+ who meet income criteria.
This Oregon bill — passed in June 2011 — created CCOs, medical homes, and elevated the role of CHWs to prepare for the ACA.
What is House Bill HB3650
Health Share is moving toward contracting with these types of THW organizations — community-based rather than hospital-based.
What are community-based THW organizations?
These 5 factors — rising costs, lack of coverage, poor health outcomes, neglect of social determinants, and a focus on treatment over prevention — explain why this was needed.
What is Health Care Reform
This is recognized as the heart of healthcare transformation in Oregon.
Patient-centered primary care homes (medical homes) are recognized as the heart of healthcare transformation in Oregon.
This is the element NOT part of the Triple Aim: improving quality of care, cutting costs, providing health insurance to all, or improving population health.
What is providing health insurance to all. Universal Healthcare is not available in any US state as of 2026.
Which of the following health systems is NOT part of Health Share?
Regence / Blue Cross / Blue Shield is not part of Health Share. Health Share includes Care Oregon, Kaiser Permanente, Providence, OHSU/Adventist, and Trillium.
This concern has been raised about the growing role of CHWs in the medical system: that their role might become this.
What is over-medicalized?