Sen Elizabeth Steiner Hayward MD is a US Senator within the state of Oregon and an active health care reformer. One of her chief achievements has been in championing Oregon’s Coordinated Care Organisations (CCOs), an approach which has streamlined and integrated health systems to deliver healthcare more efficiently. These changes represent one of the most ambitious efforts of any health system to slow health spending and transform the delivery system. Key features involve local governance structures including health care providers and community members; a whole-person approach; one global population-based budget that grows at a fixed rate, and accountability for quality and access. This has resulted in significant containment of health spending, and Medicaid beneficiaries enrolled in CCOs reported better access to care, better quality care, and better connections to primary care than Medicaid FFS or uninsured persons.
Senator Steiner Hayward is an Adjunct Associate Professor of Family Medicine at OHSU and has served as the State Senator for Northwest Portland and Beaverton since 2012. She is a Senate Co-Chair of the Full Ways & Means Committee, which oversees Oregon's state budget. She is also a member of the Capital Construction Sub-Committee and the Legislative Audits Committee, both of which address portions of the budget. Senator Steiner Hayward also serves as Deputy Majority Leader of the Oregon Senate Democrats. She currently serves as a member of the Governor's Children's Cabinet and on several health related task forces, addressing vaccination rates, the opioid epidemic and pharmaceutical drug prices.