On a 53-7 vote today, the Oregon House of Representatives passed SB 1580, the healthcare transformation bill.  The bill authorizes the establishment of Coordinated Care Organizations (CCOs).  CCOs are local healthcare delivery collaboratives that will improve coordination of physical, mental, dental and other health services for Medicaid patients.  The idea is that improved coordination of care will bring costs down by reducing catastrophic events, hospital visits, duplication and other inefficiencies in the delivery of care to this high risk population.  CCOs will look different in every community based on the structure of their healthcare delivery system and the players involved.  Business groups distributed this letter on the House floor during the debate over the bill.  Bringing down costs in the Oregon Health Plan-the fastest growing cost inside state government–is key for Oregon to get a handle on its budget and to ensure that we can invest in education in the future.