Oregon Revised Statutes Chapter 413 § 413.260 — Patient centered primary care and behavioral health home delivery models

Patient centered primary care and behavioral health home delivery models. (1) The Oregon Health Authority, in collaboration with health insurers and purchasers of health plans including the Public Employees’ Benefit Board, the Oregon Educators Benefit Board and other members of the patient centered primary care home learning collaborative and the patient centered primary care home program advisory committee, shall: (a) Develop, test and evaluate strategies that reward enrollees in publicly funded health plans for: (A) Receiving care through patient centered primary care homes and behavioral health homes that meet the core attributes established in ORS 413.259; (B) Seeking preventative and wellness services; (C) Practicing healthy behaviors; and (D) Effectively managing chronic diseases. (b) Develop, test and evaluate community-based strategies that utilize community health workers to enhance the culturally competent and linguistically appropriate health services provided by patient centered primary care homes and behavioral health homes in underserved communities. (2) The authority shall focus on patients with chronic health conditions in developing strategies under this section. (3) The authority, in collaboration with the Public Employees’ Benefit Board and the Oregon Educators Benefit Board, shall establish uniform standards for contracts with health benefit plans providing coverage to public employees to promote the provision of patient centered primary care homes, especially for enrollees with chronic medical conditions, and behavioral health homes that are consistent with the uniform quality measures established under ORS 413.259 (1)(c). (4) The standards established under subsection (3) of this section may direct health benefit plans to provide incentives to primary care providers who serve vulnerable populations to partner with health-focused community-based organizations to provide culturally specific health promotion and disease management services. [2009 c.595 §1165; 2015 c.318 §21; 2015 c.798 §6; 2019 c.536 §4] (Palliative Care)