Oregon’s 1115 Medicaid Demonstration: New Partnerships to Power Up a Transformed System of Care

The ACA challenged states to rebuild a heath care system universally viewed as broken. Oregon embraced the challenge with a mix of quality improvement and cost containment strategies reflected in its approved 1115 Medicaid Demonstration. The plan is fundamentally changing the entire system of care for publically insured individuals in Oregon. Beyond new policies and outcome metrics, this type of system change will require new relationships between all parts of the system. Foundations have a responsibility to help forge and support these new relationships in transforming a system to one with more equity and better outcomes.