Valley Med is a proud participant of several programs committed to fulfill a vision for better health, better care and lower costs for all Oregonians.
Certified Patient Centered Primary Care Home
The Patient-Centered Primary Care Home Program recognizes clinics as primary care homes and makes sure they meet the standards of care. The program is part of the Oregon Health Authority and one of the many efforts to help improve the health of all Oregonians and the care they receive.
Valley Med is recognized for their commitment to patient-centered care. As your primary care home, we will better coordinate your care to help get you the services you need, when you need them. If you have a special health concern or condition, your health care team will help connect you with other health professionals to get you the care you need. We will make prevention and wellness a top priority, and help you play an active role in your health.
Medicareʼs Primary Care First
Valley Med is a proud participant of Medicareʼs newest alternative payment model “Primary Care First” (PCF). Primary Care First aims to reduce unnecessary spending, improve quality and access to care for all beneficiaries, particularly those with complex conditions and serious illness. This program is intended to enhance the care you receive, and your Medicare benefits will not change.
The Centers for Medicare & Medicaid Services uses a focused set of clinical quality and patient experience measures to assess quality of care delivered at the practice. When a PCF practice meets standards that reflect quality care they are eligible for a positive performance-based payment.
Medicare Accountable Care Organization- Aledade
Accountable Care Organizations (ACOs) are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high-quality care to their Medicare patients. Valley Medʼs participation with Aledade doesnʼt limit your choice of health care providers, and does not change your Medicare benefits. The goal is to ensure patients get the right care at the right time, while avoiding unnecessary duplication of services, and preventing medical errors.
Working with a group like Aledade helps give you more coordinated care by keeping track of the care and tests that youʼve already had. It may also make it easier to spot potential problems before theyʼre more serious – like drug interactions that can happen if one doctor isnʼt aware of what another has prescribed.
ACOs are evaluated by Medicare every year. When an ACO succeeds both in delivering high-quality care and spending health care dollars more wisely, the ACO will share in the savings it achieves for the Medicare program and can earn a financial bonus.
You can make the most of getting care from an ACO by letting Medicare know who you consider your primary provider. Your primary clinician is the health care provider that you believe is responsible for coordinating your overall care. If you choose a primary clinician, that clinician may have more tools or services to help with your care. For step-by-step instructions on how to select or change a primary clinician, or to learn more, see the Voluntary Alignment Beneficiary Fact Sheet or visiting Medicare.gov and creating an account.
We value your privacy. ACOs must put important safeguards in place to make sure all your health care information is safe. We respect your choice on how your health care information is used for care coordination and quality improvement. If you donʼt want Medicare to share your health care information, call 1-800-MEDICARE (1-800-633-4227). Tell the representative that your health care provider is part of an ACO and you donʼt want Medicare to share your health care information. TTY users should call 1-877-486-2048. If you change your mind and want to let Medicare share your health information again, call 1-800-MEDICARE to let Medicare know. We arenʼt allowed to tell Medicare for you.
Even if you decline to share your health care information, Medicare will still use your information for some purposes, like assessing the financial and quality of care performance of the health care providers participating in ACOs. Also, Medicare may share some of your health care information with ACOs when measuring the quality of care given by health care providers participating in those ACOs.
If you have concerns about the quality of care or other services you receive from your ACO or provider, you can contact your Medicare Beneficiary Ombudsman who can assist you with Medicare-related questions, concerns, and challenges. The Medicare Beneficiary Ombudsman works closely with the Medicare program, including Medicare.gov, 1-800-MEDICARE, and State Health Insurance Assistance Programs (SHIPs), to help make sure information and assistance are available for you. Visit Medicare.gov for information on how the Medicare Beneficiary Ombudsman can help you.
If you suspect Medicare fraud or abuse from your ACO or any Medicare provider, we encourage you to make a report by contacting the HHS Office of Inspector General (1-800-HHS-TIPS) or your local Senior Medicare Patrol (SMP).