Oregon’s Community Health Centers (CHCs) are at the forefront of delivering high-quality, cost-effective care to those who need it most. As the health care environment continues to shift—driven by changing patient needs, federal and state requirements, and health access imperatives—our care and payment models must evolve in tandem.

To illustrate OPCA’s strategy in helping Oregon’s CHCs lead innovation in value-based care and understand why investing in supportive payment systems is essential for the future of vital primary care services, I sat down with my colleagues on the Payment and Programs teams to learn about the Alternative Payment Methodology and Advanced Care Model (APCM) and Advanced Care Learning Community (ACLC).

Conversation with the Team

To start our conversation, I asked my colleagues to share a little about themselves:

Stephanie Castaño
Stephanie Castaño, Program Director

“I primarily support OPCA’s HRSA-funded activities as well as other state-funded activities, mostly around team-based care, nonclinical roles, and social determinants of health.

Torie Baldwin
Torie, Baldwin, APCM Manager

"I run the day-to-day administrative operations of [APCM], including the training and TA for our members." 


In summary,
OPCA has a long-standing commitment to innovation and data-driven solutions. Our dedication to these values can be seen, first, in how the APCM approach provides a stable source of funding due to its focus on recognizing the services provided by CHCs and rewarding them; and second, in support of APCM, ACLC allows health centers to reimagine how care is delivered by providing access to tools, best practices, and subject matter experts. Both programs provide the flexibility health centers need to meet current and emerging needs of their patients. By using data to guide care transformation, Oregon’s CHCs are leading the way toward a more cost-effective and sustainable health system. As we look ahead, OPCA remains steadfast in its role to support health centers in stewarding a community-driven approach to health care—one that inspires hope, fosters innovation, values collaboration, and expands health care access for all.

Health Center Spotlight

The following health centers participate in APCM as of July 16, 2025:

  • Adapt Integrated Health Care 
  • Aviva Health 
  • Clackamas County CHCs 
  • One Community Health 
  • Orchid 
  • OHSU Richmond 
  • CHCs of Benton and Linn 
  • La Clinica 
  • Scappoose 
  • Valley Family 
  • Multnomah County CHCs 
  • Neighborhood Health Center 
  • Northwest Human Services 
  • Lane County 
  • Mosaic 
  • Nehalem Bay Health Center & Pharmacy 
  • Rogue Community Health 
  • Virginia Garcia Memorial Health Center 
  • Wallace 
  • Waterfall 
  • Winding Waters 
  • Yakima Valley Farm Workers Clinic 

CHC Toolbox

Please contact OPCA’s APCM Manager, Torie Baldwin, at tbaldwin@orpca.org.

Please contact OPCA’s Program Director, Stephanie Castaño, at scastano@orpca.org.