Oregon is set to undergo major changes to how its healthcare plan for low-income Oregonians are coordinated.  The State will have Coordinated Care Organizations that will help operate the Oregon Health Plan starting August first.  These CCO's will help coordinate care between hospitals, doctors and other providers for the state's 600,000 patients on the Oregon Health Plan.  Dr. Robin Henderson with the Central Oregon Health Council is encouraged we're getting off center.  “You've got to start somewhere.  While it's not perfect, it is good enough to get us moving.  And we can tweak and adjust as we need to.  But doing nothing wasn't going to get us anything.  We need to do something to get the conversation rolling.”  The Regional Coordinated Care Organization for Central Oregon has been approved and is set to begin operating and serving members on August first.