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The Values We Stand For
History of FamilyCare FamilyCare had two major operational objectives at its inception. The first was to provide an opportunity for physicians to successfully practice under a capitated payment system. FamilyCare was not the first to capitate primary care physicians but it was the first to capitate specialists in Oregon. The second objective was to create a management system that left physicians and providers in control of managing their patients. In addition to the capitated payment system, FamilyCare also created a program of educating physicians with regard to their utilization patterns so that they could more effectively manage their own practices. The overall result is that FamilyCare has maintained a very successful operation that relies on a streamlined management system, compensates its providers at an extremely attractive rate, and allows the provider and patients to make medical decisions for themselves. In 1988, FamilyCare purchased Evergreen Medical Systems, a Medicaid Managed Care program operated in Portland. In 1994, with the advent of the Oregon Health Plan, FamilyCare became a fully capitated health plan operating as an HMO. Once again, FamilyCare pioneered, in the area of capitated services, by becoming the first Oregon insurer to capitate hospitals. This completed the seamless system in most of our geographical areas, allowing providers to manage utilization among themselves without the case-by-case oversight of the health plan. FamilyCare applied for a FamilyCare Health Plans contract with the Centers for Medicaid and Medicare Services (CMS) in early 2005. We currently offer 4 Medicare Plans in Clackamas, Clatsop, Multnomah and Washington counties: PremierCare Choice, PremierCare Choice Rx, PremierCare Advantage Rx, and PremierCare Plus. We also offer PremierCare Plus in Umatilla and Morrow counties. |
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