Oregon Value-based Payment Compact

The Oregon Value-based Payment Compact represents a collaborative partnership to advance the adoption of value-based payment across the state.

As part of Oregon’s legislatively mandated initiative to contain growth in health care costs, payers and providers are working together to advance payment reform and move to value-based payments (VBP). The Oregon VBP Compact is a voluntary commitment by payers and providers to participate in and spread VBPs, meeting specified targets and timelines over the next four years. The Compact, jointly sponsored by the Oregon Health Authority and the OHLC, already has 47 signatories, covering 73 percent of the people in Oregon.

Oregon has long been a national leader in health system transformation, focused on creating a system for delivering affordable, high-value coordinated quality care. In 2019, the legislature created the Sustainable Health Care Cost Growth Target Implementation Committee (“Implementation Committee”) and charged it with identifying mechanisms to lower the growth of health care spending in Oregon to a financially sustainable rate.

In January 2021, the Implementation Committee approved recommendations, including a set of principles to increase the spread of VBP models across the state as a strategy to improve quality and lower costs. These VBP principles form the basis of the Oregon VBP Compact, a voluntary commitment by payers and providers across the state to participate in and spread VBPs. (Note that the VBP principles are included below the signatures in the Oregon VBP Compact document.)

The Compact, while not a legally binding document, demonstrates a commitment to the VBP Principles, including targets for VBP implementation. The first step in this collaborative partnership is for plans, providers and governmental entities to sign the Compact. Below is the list of organizations that have signed onto the Compact to date. This list will be updated as more organizations sign the Compact.

Signatory organizations as of 9/6/21

  • Advanced Health
  • Aetna, a CVS Health Company
  • AllCare Health
  • Asante
  • CareOregon
  • Cascade Health Alliance
  • Cigna
  • Columbia Pacific Coordinated Care Organization
  • Eastern Oregon Coordinated Care Organization
  • Health Net of Oregon
  • Health Share of Oregon
  • Intercommunity Health Network Coordinated Care Organization
  • Jackson Care Connect
  • Kaiser Permanente Northwest
  • Legacy Health System
  • Moda Health
  • OHSU Health
  • Oregon Academy of Family Physicians
  • Oregon Association of Hospitals and Health Systems
  • Oregon Department of Consumer and Business Services
  • Oregon Educators Benefit Board
  • Oregon Health Authority
  • Oregon Medical Association
  • Oregon Primary Care Association
  • PacificSource
  • PacificSource Health Plans
  • PacificSource Community Health Plans
  • PacificSource Community Solutions on behalf of
    • PacificSource Community Solutions – Central Oregon
    • PacificSource Community Solutions – Columbia River Gorge
    • PacificSource Community Solutions – Lane
    • PacificSource Community Solutions – Marion Polk
  • Portland Coordinated Care Association
    • The Portland Clinic
    • Northwest Primary Care
    • Compass Oncology
  • Providence Health and Services in Oregon
  • Providence Health Plan
  • Public Employees’ Benefit Board
  • Regence Blue Cross BlueShield of Oregon
  • Salem Health Hospitals and Clinics
  • Samaritan Health Plans
  • Samaritan Health Services
  • The Oregon Clinic
  • Trillium Community Health Plan
  • Tuality Healthcare
  • Umpqua Health Alliance
  • UnitedHealthcare
  • Yamhill Community Care

The Compact will be supported by and implemented through the VBP Compact Workgroup (“VBP Workgroup”), which will be guided by the VBP Workgroup Charter This workgroup will be jointly convened and sponsored by the Oregon Health Authority and the Oregon Health Leadership Council.