2014-11-14T09:06:18-06:00 2013-12-31 KPMG LLP 1918 Eighth Avenue Suite 2900 Seattle WA 98101 990 2013-01-01 930933975 CAREOREGON INC % TERESA K LEARN CARE 5034161415 315 SW 5TH AVE 9TH FLOOR Suite PORTLAND OR 97204 TERESA LEARN CFO 2014-11-11 SUE ROBISON P00560072 2013 2015-11-30 17:44:51Z Patrick J Curran 315 SW 5th Ave 9th Floor Portland OR 97204 606717789 false X WWW.CAREOREGON.ORG X 1994 OR CareOregon is a community benefit organization whose mission is to cultivate individual well-being and community health through shared learning and innovation. 12 11 475 132 10537145 -927478 362543 1526389 584644518 558281700 4030100 4422837 191002 124128 589228163 564355054 27674325 5307241 0 0 27965109 37632819 0 0 0 537673453 522031439 593312887 564971499 -4084724 -616445 216579545 214783906 67197515 73726162 149382030 141057744 X CareOregon is a community benefit organization whose mission is to cultivate individual well-being and community health through shared learning and innovation. true 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Director 4.0 1.0 X 0 0 0 Patrick J Curran CEO, President/Board Director 40.0 7.6 X X 341726 0 34414 Joanne Fuller Board Director 4.0 1.0 X 0 0 0 Glenn S Rodriguez Board Director 4.0 1.0 X 0 0 0 John Barton McMullan Jr Board Chairman 4.0 1.0 X X 0 0 0 Nathalie Johnson Board Director 4.0 1.0 X 0 0 0 Colleen A Cain Board Director 4.0 1.0 X 0 0 0 James A Diegel Board Director 4.0 1.0 X 0 0 0 Carolyn J Rankin COO, BOARD SECRETARY 40.0 7.6 X 352692 0 33906 Margaret S Rowland Chief Medical Officer 40.0 8.0 X 296332 0 36324 Teresa K Learn CFO, BOARD TREASURER 40.0 6.4 X 216808 0 31599 Scott W Clement Chief Network Officer 40.0 6.4 X 155474 0 34516 Rodney Meyer Director of Information System 40.0 5.6 X 157799 0 38795 Amit R Shah Medical Director Clinical 40.0 8.0 X 215025 0 23912 Martin P Taylor Public Policy Director 40.0 7.6 X 158131 0 38227 Rebecca Ramsay Director of Community Care 40.0 8.4 X 151154 0 36098 Chantay Reid Director of Human Services 40.0 6.8 X 150512 0 26124 Stefanie Cao Medicare Market Manager 0.0 40.0 X 155284 0 28922 David E Ford Former CEO, President 0.0 0.0 X 458783 0 9278 2809721 0 372115 39 true true false CDW Direct LLC PO Box 75723 CHICAGO IL 60675 COMPUTER EQUIPMENT 1112463 EBS Master LLC PO Box 572490 MURRAY UT 84157 CLAIMS PROCESSING 686293 AterWynne LLP 1331 NW Lovejoy Suite 900 PORTLAND OR 97209 LEGAL 333886 HEALTH TRIO 400 S COLORADO BLVD SUITE 540 DENVER CO 80246 APPLICATION HOSTING 884984 IDEO LLC 100 FOREST AVENUE PALO ALTO CA 94301 CONSULTING SERVICES 333433 14 X 1526389 1526389 PREMIUM REVENUE 524114 538973709 538973709 MANAGEMENT FEES 541611 14909760 8001603 6908157 EMPLOYEE LEASE REVENUE 541611 3272057 2510 3269547 TRAINING REVENUE 611430 493855 185891 307964 TRANSFORMATION FUND REVENUE 900099 599002 599002 33317 10376 22941 558281700 3473122 3473122 0 0 564715 458617 106098 0 106098 10506 95592 42837498 41887783 949715 949715 949715 0 0 34365 16335 18030 18030 0 564355054 547773091 10537145 4518429 X 5307241 5307241 0 0 0 0 0 0 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147882030 140458742 1500000 599002 0 0 149382030 141057744 216579545 214783906 X -616445 3692159 -11400000 X false true X true true true X 12 0 0 50000 362543 1526389 1938932 384692255 464742418 568153396 584644518 558281700 2560514287 0 0 0 384692255 464742418 568203396 585007061 559808089 2562453219 0 0 0 2562453219 4104341 3681803 4069125 4221135 4037837 20114241 0 4104341 3681803 4069125 4221135 4037837 20114241 9153 8676 5740 0 23569 0 388805749 468432897 572278261 589228196 563845926 2582591029 0.99220 0.99130 0.00779 0.00870 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 30001 163464 193465 564778034 564971499 1000000 250000 1000000 1000000 1000000 1000000 4000000 6000000 223836 202052 136450 193465 755803 250000 250000 250000 250000 1000000 1500000 28751 0 52149 30001 110901 Part II-A, Line 1 CareOregon participates in lobbying activities that include testifying at public policy hearings, meeting with legislators to discuss Oregon Health Plan related issues, hosting educational sessions and supporting or opposing ballot measures that impact Oregon Health Plan members. CareOregon does not participate or contribute to political candidate campaigns or political parties. false false 2704520 2704520 18867729 5528693 13339036 280266 103478 176787 9913984 7572640 2341344 9903928 7912174 1991754 20553441 POOLED FUNDS 47355434 F 47355434 0 CLAIMS PAYABLE 47064018 MAP RECOUPMENT PAYABLE 834594 HOSPITAL REIMBURSEMENT PAYABLE 71791 GRADUATE MEDICAL EDUCATION PAY 123959 PATIENT CENTERED PRIMARY CARE 177847 MANAGED CARE TAXES PAYABLE 24801 PREMIUM DEFICIENCY RESERVE 8930000 INTERCOMPANY LIABILITIES 124949 SPECIAL NEEDS RATE GROUP RISK PAYABLE 2183877 PAY FOR PERFORMANCE INCENTIVE PAYABLE 2359411 CONTINGENT LOSS 4000000 65895247 X Part X, Line 2 The Internal Revenue Service has recognized CareOregon as exempt from federal income taxes under provisions of Section 501(c)(3) of the Internal Revenue Code. Income taxes arise primarily from the taxable income of the taxable Oregon non-profit health plan's transactions reported in the financial statements, and consists of taxes currently due plus deferred taxes. Deferred taxes and liabilities are recognized for the future tax consequences attributable to temporary timing differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax basis, measured by enacted tax rates for years in which the taxes are expected to be paid or recovered. The wholly-owned subsidiaries: CareOregon Community Health, LLC; Care Access, LLC; Columbia Pacific CCO, LLC; Jackson Care Connect, LLC; PrimaryHealth of Josephine County CCO, LLC; and LHW, LLC are single-member limited liability corporations, working to further CareOregon's exempt purpose. All of these LLCs are treated as disregarded entities for federal tax purposes and are reported with the parent's financial results on its Form 990. The organization recognizes the tax benefit from uncertain tax positions only if it is more likely than not that the tax position will be sustained on examination by the tax authorities, based on the technical merits of the position. The tax benefit is measured based on the benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. The Organization recognizes interest and penalties related to income tax matters in interest expense and other administrative expenses, respectively. Management regularly assesses the likelihood that deferred tax assets will be recovered from future taxable income, and records a valuation allowance, if necessary, to reduce deferred tax assets to the amounts believed to be realizable. Europe (Including Iceland and Greenland) 1 Program Services CONSULTING SERVICES 105534 North America Program Services FOREIGN TAX 2550 North America Program Services TRAVEL MEALS 287 1 1 108371 108371 false false false false false false Part I Line 3 column F Explanation: Accrual true Albertina Kerr Centers 424 NE 22nd Avenue Portland OR 97232 930386780 501(c)(3) 100000 SERVICE FOR DISABLED CHILDREN CCO Oregon PO Box 82817 Portland OR 97282 462004054 501(c)(3) 33000 Start up costs & 2013 Fall Conference Sponsorship Central City Concern 232 NW Sixth Avenue PORTLAND OR 97209 930728816 501(c)(3) 140000 Mosaic Project Sponsorships Gladstone Center for Children and Families 17789 Webster Road GLADSTONE OR 97207 931284265 501(c)(3) 105000 Program Design/ACE & Trauma Informed Care Northwest Health Foundation 221 NW 2nd Suite 300 Portland OR 97209 911854545 501(c)(3) 134619 INVEST IN OREGON ALLIANCE and expansion of releasing time to care program Virginia Garcia PO Box 568 Cornelius OR 97113 930717997 501(c)(3) 15125 Helping Partner Program Sponsor/ Paddle Sponsor The Oregon Community Foundation 3455 SW US Veterans Hospital Rd Portland OR 97239 200195556 501(c)(3) 25000 Prevention Wellness & Health Demo Project Oregon Public Health Institute 315 sw 5TH Ave Ste 202 Portland OR 97204 931259522 501(c)(3) 50000 Sponsorship for 2013 activities, office lease cost, and Genius Award Neighborhood Health Center 3720 SW 141st Ave Suite 100 Beaverton OR 97005 273524752 501(c)(3) 4268572 Contribution to assist financial sustainability, clinical improvement, and increase of patient access NW GRASSROOTS &COMMUNICATIONS 7555 SW HERMOSO WAY 200 TIGARD OR 97223 200516607 20000 Conference to connect schools w/health systems HEALTHY KIDS HEALTHY PORTLAND PO BOX 42307 PORTLAND OR 97242 461743058 50000 Endorsement of Flouride Campaign 2013 HUMAN SERVICE COALITION OF OREGON PO BOX 3094 WILSONVILLE OR 97070 943136481 501(C)(3) 21500 Collaboration between health, housing, & providers INTERNATIONAL DOCUMENTARY ASSOCIATION INC 3470 WISHIRE BLVD STE 980 LOS ANGELES CA 90010 953911227 501(C)(3) 20000 Sponsor HBO series "American Winter" LIFEWORKS NW 14600 NW CORNELL ROAD PORTLAND OR 97229 930502822 501(C)(3) 12500 Sponsor for annual breakfast and dinner events OREGON ACTION 126 NE ALBERTA ST STE 202 PORTLAND OR 97211 931231908 501(C)(4) 60000 Oregon Health Equities Coalition PUBLIC HEALTH FOUNDATION OF COLUMBIA COUNTY PO BOX 995 ST HELENS OR 97051 810622430 501(C)(3) 10000 Support opening of care clinic in Vernonia Oregon SOUTHWEST COMMUNITY HEALTH CENTER 7754 SW CAMPTIAL HWY PORTLAND OR 97219 743050497 501(C)(3) 25000 Support for Nursing care in a safety-net clinic CAMPBELL INSTITUTE 1221 SW YAMHILL ST STE 260 PORTLAND OR 97205 931095351 501(C)(3) 60000 Sponsor the projects that address health dispartities UNITED WAY OF THE COLUMBIA WILLAMETTE 619 SW 11TH AVE STE 300 PORTLAND OR 97205 930582124 501(C)(3) 8127 Sponsor 2013 Campaign and match employee contributions UNITED WAY OF JACKSON COUNTY INC 769 SPRING ST MEDFORD OR 97504 930576632 501(C)(3) 30000 Sponsor 2013 Campaign and match employee contributions 17 3 Part I, Line 2 Assistance is provided to organizations in our service area who demonstrate a financial need in regard to improving the delivery of health services in line with our exempt purpose and mission. CareOregon considers each case to verify that the need is documented, legitimate and substantial in nature. Following disbursement of funds, follow-up contact is performed, either verbally or in writing, to verify the appropriate use of the funds, to the extent possible. X true true X X X X true false false false false false false false false David E Ford Former CEO, President 57273 0 67856 0 333654 0 0 0 0 0 458783 0 0 0 Amit R Shah Medical Director Clinical 198898 0 0 0 16127 0 0 0 0 0 215025 0 0 0 Carolyn J Rankin COO, BOARD SECRETARY 274617 0 55075 0 23000 0 0 0 0 0 352692 0 0 0 Margaret S Rowland Chief Medical Officer 248440 0 24892 0 23000 0 0 0 0 0 296332 0 0 0 Patrick J Curran CEO, President/Board Director 300795 0 17931 0 23000 0 20597 0 13817 0 376140 0 0 0 Teresa K Learn CFO, BOARD TREASURER 179471 0 14337 0 23000 0 0 0 0 0 216808 0 0 0 Martin P Taylor Public Policy Director 135366 0 13207 0 9558 0 0 0 0 0 158131 0 0 0 Rebecca Ramsay Director of Community Care 150889 0 0 0 265 0 0 0 0 0 151154 0 0 0 Scott W Clement Chief Network Officer 147491 0 0 0 7983 0 0 0 0 0 155474 0 0 0 Rodney Meyer Director of Information System 129999 0 11400 0 16400 0 0 0 0 0 157799 0 0 0 Chantay Reid Director of Human Services 124376 0 11389 0 14747 0 0 0 0 0 150512 0 0 0 Stefanie Cao Medicare Market Manager 137784 0 0 0 17500 0 0 0 0 0 155284 0 0 0 SCHEDULE J, PART I, LINE 1A CareOregon reimbursed health club dues for Patrick Curran, CEO, President & Board Director, Stefanie Cao, Medicare Marketing Manager, and Rebecca Ramsay, Director of Community Care Program in the amount of $315, $105, and $315, respectively. This reimbursement was included as taxable compensation to these parties. PART I, LINE 4a David E. Ford, former CEO, President, and Board of Director, resigned on December 31, 2012, received severance payment of $311,004.54 from CareOregon in 2013. SUPPLEMENTAL INFORMATION TO 2013 FORM 990 FOR CAREOREGON, INC. PART I, LINE 1 TAX-EXEMPT PURPOSE AND MISSION OF CAREOREGON CAREOREGON IS A NON-PROFIT HEALTH SERVICES ORGANIZATION PROVIDING HEALTH PLAN SERVICES, EDUCATION AND COMMUNITY BUILDING SUPPORT TO PARTNER HEALTH PLANS AND THEIR MEMBERS. WE ARE COMMITTED TO CULTIVATING INDIVIDUAL WELL-BEING AND COMMUNITY HEALTH REGARDLESS OF INCOME OR SOCIAL CIRCUMSTANCES, WITH A FOCUS NOT JUST ON HEALTH CARE, BUT ON TOTAL HEALTH THROUGH SHARED LEARNING AND INNOVATION. TEAMING WITH HEALTH PLAN MEMBERS, THEIR FAMILIES AND COMMUNITIES, CAREOREGON HELPS INDIVIDUALS LIVE BETTER LIVES, PREVENT ILLNESSES AND RESPOND QUICKLY AND EFFECTIVELY TO HEALTH ISSUES. CAREOREGON PROVIDES CARE SUPPORT AND DISEASE MANAGEMENT SERVICES TO HIGH-RISK MEMBERS, COORDINATES CARE AND PROVIDES UTILIZATION MANAGEMENT SERVICES, OFFERS CONTINUITY OF COVERAGE FOR THOSE ELIGIBLE FOR MEDICAID, MEDICARE OR BOTH. WE SUPPORT AND ACTIVELY WORK WITH PROVIDERS AND MEDICAID COORDINATED CARE ORGANIZATIONS TO IMPLEMENT QUALITY IMPROVEMENT EFFORTS AND PRIMARY CARE REDESIGN. WE CONTRACT WITH PUBLIC AND PRIVATE PROVIDERS AND WORK WITH THE LEGISLATURE AND COMMUNITY-BASED ORGANIZATIONS TO IMPROVE THE HEALTH OF OREGONIANS. PART I, LINE 8-22 SUMMARY - REVENUE AND EXPENSES CAREOREGON EXPERIENCED AN APPROXIMATE $25 MILLION DECREASE IN TOTAL REVENUE AND AN APPROXIMATE $28 MILLION DECREASE IN EXPENSES IN 2013 COMPARED TO 2012. THE DECREASE IN REVENUE WAS PRIMARILY DUE TO A $30 MILLION DECREASE IN PREMIUM REVENUE AS 14,000 OF CAREOREGON'S MEMBERS IN THE YAMHILL COUNTY WERE TRANSFERRED TO A NEW INDEPENDENT COORIDNATED CARE ORGANIZATION (CCO) IN NOVEMBER 2012. THE DECREASE IN EXPENSES WAS MAINLY RELATED TO A DECREASE IN CHARTIABLE CONTRIBUTIONS IN 2013 COMPARED TO 2012 WHEN CAREOREGON CONTRIBUTED ABOUT $22 MILLION TO ASSIST THE START-UP OF FIVE CCOS. THE LOSS OF OUR YAMHILL MEMBERS ALSO RESULTED IN A DECREASE IN MEDICAL CLAIM EXPENSES. PART III, LINE 2 NEW PROGRAM SERVICES IN 2013, CAREOREGON CONTINUED TO SUPPORT THREE SUBSIDIARY CCOS AND TWO OTHER INDEPENDENT CCOS. WE ALSO TOOK ON THE ADMINISTRATION OF MENTAL HEALTH BENEFITS, WHICH PROVIDES MENTAL HEALTH SERVICES FOR 5,300 MEMBERS THROUGHOUT OREGON. IN MARCH 2013, CAREOREGON FORMED LHW, LLC, A SOLELY OWNED SUDSIDARY, WHICH PURCHASED CERTAIN ASSETS OF LEAN LEGACY, LLC FOR $2 MILLION. LHW, LLC, OPERATING AS LEAN HEALTHCARE WEST, OFFERS TRAINING IN LEAN BUSINESS PRACTICES TO THE HEATLH CARE INDUSTRY, SUPPORTING THE MISSION WORK OF CAREOREGON TO BRING BEST PRACTICES IN BUSINESS TO HEALTHCARE SETTINGS. IN ADDITION, TO FULFILL CAREOREGON'S MISSION OF CULTIVATING INDIVIDUAL WELL-BEING AND COMMUNITY HEALTH THROUGH SHARED LEARNING AND INNOVATION, CAREOREGON FORMED VARIOUS PILOT PROJECTS DURING 2013. THREE MAJOR PILOT PROJECTS ARE FOOD RX, GIVE2GET, AND M.E.D.S. (MY EASY DRUG SYSTEM): 1) UNDER THE FOOD RX PROGRAM, CAREOREGON PARTNERS WITH CLINICS AND LOCAL FOOD PURVEYORS TO PROVIDE UNDERSERVED OREGONIANS WITH ACCESS TO FRESH HEALTHY FOOD. THE GOAL OF THE PROGRAM IS TO ACHIEVE LONG-TERM BEHAVIOR CHANGE BY PROVIDING SHORT-TERM ACCESS TO HEALTHY FOOD, EDUCATION AND WELLNESS CLASSES, AND ACCESS TO OTHER SOCIAL RESOURCES; 2)GIVE2GET IS A PEER-TO-PEER NETWORKING PROGRAM THAT SEEKS TO IMPROVE MEMBER HEALTH BY SOLVING THE PROBLEM OF SOCIAL ISOLATION. MEMBERS ARE CONNECTED TO MEMBERS TO PROVIDE SERVICES TO EACH OTHER. IT GIVES HELP WHILE BUILDING A LARGER SENSE OF COMMUNITY; 3) M.E.D.S. IS A PROGRAM THAT HELPS MEMBERS UNDERSTAND THEIR MEDICATIONS, SO THEY CAN ORGANIZE AND TAKE THE MEDICATIONS CORRECTLY AT HOME. IT FACILITATES MEMBERS' CONVERSATIONS WITH DOCTORS AND PHARMACISTS ABOUT UNMET MEDICATION NEEDS. PART III, LINE 3 SIGNIFICANT CHANGES IN MARCH 2013, CAREOREGON FORMED LHW, LLC, A SOLELY OWNED SUDSIDARY, WHICH OFFERS NEW PROGRAM SERVICES IN LEAN BUSINESS PRACTICES TO THE HEATLH CARE INDUSTRY, SUPPORTING THE MISSION WORK OF CAREOREGON TO BRING BEST PRACTICES IN BUSINESS TO HEALTHCARE SETTINGS. PART III, LINE 4 STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS A. OHP PROGRAM THROUGH THE CCOS, CAREOREGON PROVIDES HEALTH CARE SERVICES TO ITS MEMBERS BY CONTRACTING WITH NETWORKS OF COMMUNITY AND PRIVATE MEDICAL PROVIDERS THROUGHOUT THE STATE OF OREGON. THESE SERVICES RESULT IN BETTER ACCESS TO QUALITY HEALTH CARE, LOWER COSTS AND IMPROVED CARE FOR OUR MEMBERS AND FOR THE COMMUNITIES WE SERVE. B. MEDICARE PLAN ON BEHALF OF HEALTH PLAN OF CAREOREGON, A C-CORPORATION RELATED TO CAREOREGON, CAREOREGON ADMINISTERS CAREOREGON ADVANTAGE PLUS HMO-POS SNP (HEALTH MAINTENANCE ORGANIZATION-POINT OF SERVICE MEDICARE SPECIAL NEEDS PLAN). HMO-POS SNP PROVIDES CONTINUITY OF COVERAGE FOR MEMBERS WHO ARE DUALLY ELIGIBLE FOR MEDICARE AND MEDICAID. THE CONTINUITY BENEFITS BOTH PATIENTS AND PROVIDERS BY ENSURING A COORDINATED AND CONVENIENT MEANS OF RECEIVING AND DELIVERING QUALITY CARE. WE ALSO ADMINISTER CAREOREGON ADVANTAGE STAR HMO-POS, A LOW COST MEDICARE ADVANTAGE PLAN. THE EXPENSES INCURRED BY HEALTH PLAN OF CAREOREGON TO OPERATE THE PLAN TOTAL $114,566,187 WITH RELATED REVENUES OF $115,517,107. C. CHARITABLE CONTRIBUTIONS WITH CAREOREGON'S CONTINUOUS GOAL OF INVESTING IN THE COMMUNITY, WE CONTRIBUTED APPROXIMATELY $5.3 MILLION IN 2013 TO OTHER CHARTIABLE ORGANIZATIONS THAT STRIVE TO IMPROVE HEATLH CARE IN OREGON. INCLUDED IN THE $5.3 MILLION CONTRIBUTION WAS AN APPROXIMATE CONTRIBUTION OF $4.2 MILLION TO AN INDEPENDENT 501(C)(3) ORGANIZATION, NEIGHBORHOOD HEALTH CENTER (NHC). NHC RUNS FQHC CLINICS AND DENTAL SERVICES TO INCREASE COMMUNITY ACCESS TO COMPREHENSIVE AND PREVENTIVE HEALTH CARE SERVICES AND TO IMPROVE HEALTH CARE STATUS OF VULNERABLE AND UNDERSERVED POPULATIONS. D. OTHER PROGRAM SERVICES THE CCOS WE SUPPORT PROVIDE ACCESS FOR APPROXIMATELY 160,000 LOW-INCOME OREGONIANS. OUR WORK INVOLVES COORDINATING QUALITY HEALTH CARE FOR MEMBERS AND CONTRACTING WITH PUBLIC AND PRIVATE PROVIDERS TO PROVIDE HEALTH CARE SERVICES. WE PROVIDE CUSTOMER SERVICE FUNCTIONS FOR THESE CCOS, ASSIST WITH HEALTH IMPROVEMENT PLANS FOR THE VARIOUS COMMUNITIES AND PROVIDE TECHNICAL SUPPORT FOR INFORMATION SERVICES, COMMUNICATIONS, PROCESS IMPROVEMENT AND OTHER FUNCTIONS. THESE SERVICES RESULT IN BETTER ACCESS TO QUALITY HEALTH CARE, LOWER COSTS AND IMPROVED CARE FOR OUR MEMBERS AND FOR THE COMMUNITIES WE SERVE. IN 2013 WE CONTINUED TO PROVIDE COMMUNITY OUTREACH, SUPPORT AND CARE COORDINATION SERVICES TO HIGH-RISK MEMBERS IN MULTNOMAH, WASHINGTON AND CLACKAMAS COUNTIES UNDER A CENTER FOR MEDICARE AND MEDICAID INNOVATIONS (CMMI) GRANT. THE CMMI GRANT IS A THREE-YEAR AWARD AIMED AT DEVELOPING NEW INTEGRATED MODELS OF CARE TO IMPROVE HEALTH OUTCOMES AND REDUCE COSTS FOR THE ADULT MEDICAID POPULATION. APPROXIMATELY 75 FTE (FULL-TIME EQUIVALENT), MOST OF WHOM ARE NON-TRADITIONAL HEALTH CARE PROFESSIONALS, HAVE BEEN DEPLOYED TO SERVE THIS POPULATION IN OUR COMMUNITY. ADDITIONALLY, THESE NEW CARE MODELS HAVE MADE A SIGNIFICANT DIFFERENCE IN THE LIVES OF OVER 4,700 INDIVIDUALS. WE ENCOURAGE CLINICS TO PROVIDE THE BEST PRIMARY CARE POSSIBLE THROUGH OUR VARIOUS IMPROVEMENT AND INCENTIVE-PAYMENT PROGRAMS TO BUILD SYSTEMS AND PROCESSES FOR PROACTIVE PANEL MANAGEMENT, TEAM-BASED CARE, NURSE-LED CASE MANAGEMENT, PATIENT EMPOWERMENT FOR SELF-MANAGEMENT, INTEGRATION OF PHYSICAL AND MENTAL HEALTH CARE, IMMUNIZATION AND DISEASE-SPECIFIC PATIENT REGISTRIES, AND SAME-DAY AND EXTENDED-HOUR MEMBER ACCESS TO THE CARE TEAM. ALL OF THESE IMPROVEMENTS ARE DONE WITH THE GOAL OF COST-EFFECTIVE, CONTINUOUS, AND COORDINATED CARE. OUR MODEL IS ONE OF LEARNING FOR THE MEMBER; ACTING FOR THE POPULATION. WE PARTICIPATE ACTIVELY IN THE INSTITUTE OF HEALTHCARE IMPROVEMENT'S "TRIPLE AIM," A NATIONAL PROGRAM THAT LOOKS AT MAXIMIZING RESULTS IN THREE AREAS INCLUDING OUTCOME EXCELLENCE, PATIENT SATISFACTION AND COST EFFECTIVENESS. WE CONTINUED TO WORK WITH CLINICS TO IMPROVE THEIR PATIENT-CENTERED MEDICAL HOMES. IN 2013, APPROXIMATELY 76 PERCENT OF OUR MEMBERS BENEFITTED FROM THIS ENHANCED CARE. BASED ON THAT EXPERIENCE, CAREOREGON EXPANDED THE COLLABORATIVE TO A NEW GROUP OF CLINICS (PATIENT AND POPULATION CENTERED PRIMARY CARE) IN MORE RURAL SETTINGS, TO HELP THEM TRANSFORM THEIR PROCESSES, DATA SYSTEMS, AND WORKFORCE TO IMPROVE PATIENT EXPERIENCE AND OUTCOMES. CAREOREGON IS THE NORTH AMERICAN PROVIDER OF NATIONAL HEALTH SERVICE PROGRAMS, SUCH AS RELEASING TIME TO CARE (RT2C). THE PROGRAMS ENGAGE HOSPITALS IN IMPROVEMENT PROCESSES ONE UNIT AT A TIME AND LED BY THE NURSING STAFF. IT USES LEAN TECHNIQUES TO HELP NURSES: ELIMINATE INTERRUPTIONS, ELIMINATE WASTE IN PROCESSES AND BETTER ORGANIZE THEIR ENVIRONMENT. THIS TIME IS THEN REFOCUSED ON PATIENT-CENTERED ACTIVITIES IN ORDER FOR NURSES TO DELIVER BETTER, SAFER AND MORE RELIABLE CARE LEADING TO AN IMPROVED CARE EXPERIENCE. THE RT2C PROGRAM IS NOW INFLUENCING PROCESS IMPROVEMENT THROUGHOUT THE HOSPITALS INVOLVED. CAREOREGON IS ALSO USING THE SAME LEAN TECHNIQUES TO OFFER A SIMILAR PROGRAM CALLED, THE PRODUCTIVE OPERATING THEATRE PROGRAM (TPOT). TPOT USES THE SAME LEAN TECHNIQUES AND THE INITIAL EFFO Care Access LLC 315 SW Fifth Avenue Suite 900 Portland OR 97204 270630449 Medical Bldg OR 108963 3471270 CAREOREGON CareOregon Community Health LLC 315 SW Fifth Avenue Suite 900 Portland OR 97204 272429270 Med Clinic OR 2767 77108 CAREOREGON Columbia Pacific CCO LLC 315 SW Fifth Avenue Suite 900 PORTLAND OR 97204 455532847 Health Plan OR 70922429 6114170 CAREOREGON Jackson County CCO LLC 315 SW Fifth Avenue Suite 900 Portland OR 97204 455499608 Health Plan OR 88461617 7556288 CAREOREGON PrimaryHealth of Josephine County LLC 315 SW Fifth Avenue Suite 900 PORTLAND OR 97204 455492679 Health Plan OR 29080943 3528722 CAREOREGON Lean Healthcare West LLC 315 SW Fifth Avenue Suite 900 Portland OR 97204 462514040 Training Lean OR 349060 301330 CareOregon HEALTH PLAN OF CAREOREGON INC 315 SW FIFTH AVENUE SUITE 900 PORTLAND OR 97204 463264330 Medicare OR CAREOREGON C CORP 5360779 66898863 1.00000 true false false false false false false false false false false true false true false true true false Health Plan of CareOregon L 6242477 Actual Cost Health Plan of CareOregon N 1757127 Actual Cost Health Plan of CareOregon Q 238293 REIMBURSED Health Plan of CareOregon R 11400000 EQUITY TRANSFER