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Oregon's Experiment With Coordinated Care Organizations

2015

This case study describes a multi-year effort to transform Oregon's Medicaid delivery system. It follows Oregon’s Governor Kitzhaber between 2011 and 2015 in his effort to reverse a $2 billion deficit and develop a blueprint for coordinated care organizations. The case concludes with Kitzhaber's resignation amid concerns about the state's efforts to establish Cover Oregon, the organization set up to create the state's health insurance exchange under the federal Affordable Care Act. The case exposes students to key issues and challenges in local health care delivery reform efforts.

The case is part of a series produced by the Harvard Kennedy School (HKS) Case Program, hosted by the HKS Strengthening Learning and Teaching Excellence (SLATE) initiative, the world’s largest producer and repository of case studies designed for teaching about how government works and how public policy is made. Each case in the series is designed to train public leaders, and introduces actual policy dilemmas along with data to equip students to learn how to apply the rigor of quantitative analysis in the real world.

This case may be purchased for a nominal fee; registered educators may obtain a free review copy. Online supplemental resources include short free documents and videos on how to teach with the case method, as well as downloadable related tip sheets and questions for class discussion.

Source:

Tannenwald D. Oregon's Experiment With Coordinated Care Organizations. HKS Case No. 2040.0. Harvard Kennedy School Case Program 2015. http://case.hks.harvard.edu/oregons-experiment-with-coordinated-care-organizations.