The Central Oregon Health Council (COHC) is a not-for-profit, tax-exempt public and private community governance entity. The COHC is dedicated to improving the health of the region and providing oversight of the Medicaid population and Coordinated Care Organization (CCO). COHC was officially created by Senate Bill 204 in 2011 to promote the health of the region’s residents and seeks to achieve the Triple Aim of improving health outcomes, increasing satisfaction with the health system, and reducing cost. The COHC’s mission is to serve as the governing Board for the CCO and to connect the CCO, patients, providers, Central Oregon, and resources. The COHC and Central Oregon’s CCO, PacificSource Community Solutions (PSCS), work together to transform health care in the region and to use integrated and coordinated health care systems to improve health; increase quality, reliability, availability, and continuity of care; and reduce the cost of care.