2013 ORS § 414.739¹
Circumstances under which fully capitated health plan may contract as physician care organization
(1) A fully capitated health plan may apply to the Oregon Health Authority to contract with the authority as a physician care organization rather than as a fully capitated health plan to provide services under ORS 414.631 (Mandatory enrollment in coordinated care organization), 414.651 (Coordinated care organization contracts) and 414.688 (Commission established) to 414.745 (Liability of health care providers and plans).
(2) The Office for Oregon Health Policy and Research shall develop the criteria that the authority must use to determine the circumstances under which the authority may accept an application by a fully capitated health plan to contract as a physician care organization. The criteria developed by the office shall include but not be limited to the following:
(a) The fully capitated health plan must show documented losses due to hospital risk and must show due diligence in managing those risks; and
(b) Contracting as a physician care organization is financially viable for the fully capitated health plan. [2003 c.810 §5a; 2009 c.595 §333]
Note: 414.739 (Circumstances under which fully capitated health plan may contract as physician care organization) is repealed July 1, 2017. See section 64, chapter 602, Oregon Laws 2011, as amended by section 70, chapter 602, Oregon Laws 2011, and section 23, chapter 8, Oregon Laws 2012.