State-Level Design: The Coordinated Care Model

Bruce Goldberg, Ron Stock

Research output: Chapter in Book/Report/Conference proceedingChapter


Oregon's means to achieving the "triple aim" was to fundamentally change how health care is delivered and Coordinated Care Organizations (CCOs) were created as the vehicle to make that happen. This chapter describes the theory behind CCOs and details the five critical elements upon which they were founded: local accountability, a global budget, flexibility in the use of services and health care dollars, coordinated care, and metrics. In addition, it outlines the progress to date and concludes with a discussion of lessons learned.

Original languageEnglish (US)
Title of host publicationHealth Reform Policy to Practice
Subtitle of host publicationOregon's Path to a Sustainable Health System: A Study in Innovation
PublisherElsevier Inc.
Number of pages12
ISBN (Electronic)9780128098288
ISBN (Print)9780128098271
StatePublished - Aug 7 2017


  • Coordinated Care Organization
  • Global budget
  • Governance
  • Health reform
  • Medicaid
  • Metrics

ASJC Scopus subject areas

  • Medicine(all)


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