Medicaid changes could affect all Oregon health care

By Lily Raff McCaulou • The Bulletin
Published Jul 18, 2014 at 12:01AM / Updated Jul 18, 2014 at 02:35PM

Lily Raff McCaulou writes about state issues for The Bulletin. She has been following changes to Oregon’s health care system for months; this is her first in-depth report. Tomorrow, her article examines how reform influences the actual health of patients covered under the Oregon Health Plan. Contact: 541-410-9207, lraff@bendbulletin.com.

A three-part Bulletin series: Oregon is conducting a unique experiment on Medicaid, to see if a regional system of “coordinated care organizations” can improve health care, improve health and lower costs.

Today: The Bulletin explores how reforms are changing health care.

Saturday: We examine how reform affects actual health — and how to measure that.

Sunday: We investigate how money is being spent differently.

Photo by Alysha Beck / For The Bulletin Registered nurse Dawn MacDonald finishes bandaging the foot of Charley Jones Jr. during a checkup at Bay Area Hospital's wound clinic in Coos Bay on May 31. Jones shattered his heel bone after jumping over a fence and landing on it in October 2012.
Photo by Alysha Beck / For The Bulletin Charley Jones Jr. points to his scar from the metal plate doctors inserted after he shattered his heel bone by jumping over a fence and landing on it in October 2012. The wound became infected with gangrene and Jones' foot was almost amputated.
Photo by Alysha Beck / For The Bulletin Joel "Charley" Jones sits outside the trailer he lives in with his girlfriend at Robbinís Nest RV Park in Bandon on Jan. 23. Jones shattered his heel bone in October 2012 and almost had his foot amputated after it became infected with gangrene. Jones was homeless at the time but received care from doctors in Coos County's Coordinated Care Organization, which serves people who receive Medicaid.
Photo by Alysha Beck / For The Bulletin Charley Jones Jr. walks with a cane his sister's boyfriend made from driftwood after he shattered his heel bone in October 2012.
Photo by Alysha Beck / For The Bulletin Joel "Charley" Jones stands outside the trailer he lives in with his girlfriend at Robbinís Nest RV Park in Bandon on Jan. 23. Jones shattered his heel bone after jumping over a fence in October 2012 and almost had his foot amputated after it became infected with gangrene. Jones now needs a cane to walk, but his foot was salvaged because of the care he received from doctors in Coos County's Coordinated Care Organization.
Dr. Dan Murphy, of St. Charles Family Care in Redmond
Dr. Robert Ross, medical director of community health strategy for St. Charles Health System.