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Health Reform Policy to Practice: Oregon as a Case Study for a Path
to a Comprehensive and Sustainable Health Delivery Model offers a
real world example of an innovative, successful and comprehensive
program conducted by the U.S. State of Oregon. In 1991, Oregon
embarked on a journey to improve health for all its citizens by
radically re-thinking how to approach health care for long-term
benefits. Over more than two decades, Oregonians have participated
in a dialogue to create a new approach to solve the dilemma of
providing high quality health care that is affordable and
effective. Traditionally, health care reform looked at cutting
people from care, cutting provider rates or cutting services.
Oregon's approach is unique in that it built a new system of
delivery from the ground (community) up. The Oregon model took a
"Fourth Path" to health care by redesigning the clinical delivery
system through reducing waste, improving individual health and
prevention, and therefore reducing utilization of services,
creating local accountability, aligning financial incentives and
creating fiscal accountability. This is not only an Oregon story,
but a national one as other states, payers and purchasers implement
health care reform.
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