Oregon Administrative Rules Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS
Oregon Administrative Rules – Chapter 409: OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS
Chapter 409 of the Oregon Administrative Rules (OAR) outlines the rules set by the Oregon Health Authority (OHA) under its Health Policy and Analytics Division. This division is responsible for collecting and analyzing health data, shaping statewide health policies, managing health reform efforts, and improving the affordability, quality, and accessibility of health care in Oregon.
Key Functions of Chapter 409
1. Health Data Reporting and Collection
Requires health care providers, insurers, and facilities to report specific health data.
Supports the All Payer All Claims (APAC) database, which gathers information about medical, pharmacy, and dental claims.
Data is used to track health care costs, utilization, outcomes, and access across the state.
2. Health Care Cost Growth Benchmark Program
Establishes a statewide cost growth benchmark to monitor and limit health care cost increases.
Health systems, payers, and providers must report cost data annually.
Organizations that exceed the benchmark may be subject to performance improvement plans or public accountability measures.
3. Health Care Workforce Data
Collects data on licensed health professionals in Oregon.
Information includes demographics, practice location, hours worked, and services provided.
Used to address workforce shortages and guide future health planning efforts.
4. Primary Care Spending Reporting
Health insurers must report how much of their spending goes to primary care services.
Supports policies aimed at increasing investment in preventive care to reduce long-term costs.
5. Transparency in Health Care
Promotes transparency of cost and quality for consumers and policymakers.
Public reporting of hospital pricing, quality measures, and patient outcomes.
Supports the development of tools that allow Oregonians to compare costs and care quality.
6. Health System Transformation
Rules support Coordinated Care Organizations (CCOs) and other health system reforms.
Focus on integrating mental, physical, and dental health services.
Emphasis on equity, local control, community-based care, and accountability.
7. Health Equity and Policy Development
The division helps implement health equity policies, aiming to eliminate disparities in health outcomes by race, income, geography, and language.
Provides data and policy support for state and legislative efforts to promote equitable health access.
8. Health Information Technology (HIT)
Supports rules for using technology like electronic health records (EHRs) and health information exchange (HIE).
Encourages secure sharing of patient data across providers to improve coordination of care.
Goals and Impact
The rules under Chapter 409 aim to:
Improve health care quality and reduce costs.
Promote data-driven decision-making in health policy.
Increase transparency and accountability in the health system.
Support health equity and access for all Oregonians.
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