OHP data and reports

Information on this page is highly varied, ranging from technical material to the number of Oregon Health Plan enrollees statewide and by county. The page also includes a history of the Oregon Health Plan, whose development began in the late 1980s and which was introduced Feb. 1, 1994. Follow these links to learn more about how the Oregon Health Plan (OHP) works and the people that OHP serves.

• Enrollment
• Reimbursement information
• Quality and monitoring
• OHP Standard Reservation List
• The development of OHP

Forms and publications for OHP applicants, clients, providers can be found on the OHP Forms and Publications page.

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Enrollment

Use these links to find out more about the people OHP serves.

• OHP eligibles - Find out how many people are on OHP.
• OHP managed care and FFS enrollment - Find out how the numbers break down by the managed care plans that serve OHP clients.
• OHP demographics - See how the OHP population is distributed according to age, gender and race/ethnicity.

Reimbursement information

• The Capitation rates and per capita cost reports help DHS/OHA set adequate reimbursement rates for the OHP managed care organizations and submit responsible budget requests to the Oregon legislature.
• The Health Services Commission reports on how the HSC list is prioritized to determine which services get paid under the Oregon Health Plan.
• The DMAP fee-for-service fee schedule is explained at this link.

Quality and monitoring

These reports summarize how the Oregon Health Plan is working.

• Tobacco Cessation Services: 2011 Survey - This report provides a summary of how OHP's medical and dental plans provide tobacco dependence and cessation services to their members.
• Consumer Assessment of Healthcare Plans and Systems (CAHPS) survey: 2002 • 2004 • 2007
• Contracted Performance Measures of OHP Managed Care Plans - Coming soon
• DMAP updates - See current month's overview of DMAP's administrative activities.
• Evaluations and Comparative Assessments of Managed Care Plans
• Key Performance Measures (KPMs): KPMs assess the OHP's effectiveness in meeting the DHS/OHA goals of keeping people healthy. Look up KPMs 25 and 26 in the 2005, 2006, and 2007 reports. The KPMs were renumbered to 29 and 30 in the 2008 and 2009 reports.
• Physician Access Improvement Project Quarterly Reports: This project ran from April 1, 2008, to March 31, 2009. The following reports detail the progress of the project. - Coming soon
• Physician Workforce Survey: This report provides a snapshot of the physician workforce, and in turn indicates the general stability of Oregon's health care system. 2004 • 2006 • 2009 report and errata 
• Quarterly and annual reports - These reports provide an overview of what DHS and OHA have been doing to keep the Oregon Health Plan going.

OHP Standard Reservation List

The OHP Standard reservation list was open in Feb. 2008 to give Oregonians the opportunity to apply for OHP Standard, the benefit package for low-income Oregonians not eligible for traditional Medicaid. The progress reports provide information on who received OHP Standard applications and how DHS processed them.

• Application Progress Final Report - This report covers March through October 2008. Previous reports: 7/22/08, 8/28/08, 9/29/08
• For more information about the OHP Standard reservation list, see these 2008 press releases: Jan 7 • Jan 15 • Jan 22 • Jan 25 • Feb 4 • Feb 12 • Feb 14 • Feb 19 • Feb 25 • Mar 17 • Apr 3 • Apr 9 • Apr 14 • Apr 24 • May 5 • Jun 2 • Jun 18 • Jul 7 • Jul 15 • Aug 5 • Aug 19 • Sep 2 • Oct 6

The development of OHP

First see OHP: An historical overview (last updated July 2006). You can also use the following links to go to the federal Centers for Medicare and Medicaid Services (CMS) Web site for more historical documents that highlight how federal and state government jointly fund the Oregon Health Plan.

• Historical documents for the Oregon Health Plan 2 Medicaid Demonstration (zip)
• Evaluation of the OHP Medicaid Demonstration

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