The State of Oregon has radically transformed its Medicaid system through the creation of new payment and delivery model called the Coordinated Care Model. In the model, community-governed health plans, known as Coordinated Care Organizations or CCO's provide coverage of medical, behavioral health and oral care services. Local providers, elected officials, and even members govern the plans to ensure the needs of the community are met. CCO's have catalyzed the adoption of value-based care, quality measurement and health information technology across all populations in the state beyond Medicaid, including commercially insured individuals. In his talk, Dr Rickards will share how the power of community and relationships serve as a foundational element in driving healthcare transformation.