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Lori Coyner has extensive experience developing health policy and implementing transformational changes in this era of healthcare reform. She has over 25 years of experience in Medicaid health policy, health analytics, performance metrics, value-based payment, managing large, complex, innovative programs involving multiple stakeholders and collaborating with payers, providers, and other stakeholders to embrace changes required for health system transformation.
Prior to joining HMA, Lori served as the state Medicaid director for Oregon. In this role at the Oregon Health Authority (OHA), she played a pivotal role in securing federal renewal of Oregon’s Medicaid 1115 Waiver that includes innovative strategies to incentivize investment in social determinants of health, value-based payment methods, and continues Oregon’s health system transformation. She oversaw the resetting of actuarially sound and federally approved rates for Oregon’s 16 Coordinated Care Organizations (CCOs) and helped address the Oregon Health Plan’s budget shortfall for the 2017-2019 biennium.
Lori previously served as OHA’s director of Health Analytics and director of Accountability and Quality. During that time, she led the development of the CCO quality metrics and incentive payment program, a Hospital Transformation Performance Program that paid for performance on quality metrics and created quality health system transformation dashboards. As director of Health Analytics, she developed a robust quality metrics incentive payment program to pay CCOs for value and quality instead of volume.
Prior to OHA, Lori served as director of Measurement and Reporting at the Oregon Health Care Quality Corp., a nonprofit entity funded by Oregon Health Plans and the Robert Wood Johnson’s Aligning Forces for Quality Program. An accomplished biostatistician, Lori was responsible for development of the organization’s quality and utilization reporting system, measure development, and public reporting of quality metrics at the clinic and provider level.
Lori served on the Institute of Medicine Consensus Committee on Core Metrics for Better Health at Lower Cost, which published Vital Signs: Core Metrics for Health and Health Care Progress. She is co-author of a chapter on development of and lessons learned from Oregon’s quality metrics program in, Health Reform Policy to Practice, published by Elsevier in August 2017. She also has presented at numerous national meetings on quality metrics, innovative payment methods for value-based payment and strategies to incent investment in social determinants of health.
In addition, Lori has many years of experience working in academic settings at Oregon Health & Sciences University (OHSU) and the University of New Mexico, School of Medicine. She maintains her faculty appointment in the OHSU Department of Public Health and Preventive Medicine where she teaches Introduction to Biostatistics.
Lori earned her Master of Arts degree in statistics from the University of New Mexico and her bachelor’s degree in chemistry and mathematics from the University of Puget Sound.