Inside the Industry

Only 15 percent of Oregon Health Plan income-based members have seamless coverage at renewal time. Rep. Cedric Hayden wants to pull enrollment from OHA and give it to DHS, and require that lapsed members be put immediately back into the CCO that was serving them.

Medicaid members must renew each year.

May 22 2017
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As they jump through a difficult re-enrollment process, 147,000 Medicaid members have been caught outside coordinated care organizations with little access to care, which could cause the state and CCOs to lose $200 million per year in Medicaid funding, mostly from federal sources.

The Oregon Health Authority’s Medicaid renewal plan is marooning recipients for weeks or months in a separate system outside the state’s coordinated care organizations, limiting members access to care and keeping funds away from the local CCOs

May 22 2017
Hospitals should use their profits to supply housing, a 15-year veteran of the street newspaper movement told more than 100 people who attended an OHSU School of Public Health event, and some 3,000 others who watched online.

Last February, Cameron Foster and her four daughters found themselves homeless. A shelter for those fleeing domestic violence served as housing for the first three months.

May 19 2017
An audit by the Oregon Secretary of State’s office found that health officials may not have adequately checked to see if people met Medicaid requirements before enrolling them in health plans. But the health authority says the audit missed key context, including a federal waiver governing Medicaid renewals.

Two powerful Oregon agencies are butting heads over whether the state is using federal Medicaid dollars correctly.

May 17 2017
Marylhurst University has been offering academic programs in art therapy for 30 years, but without a license, anyone can claim to be an art therapist, even people with little to no hands-on training in the therapeutic practice.

After a lively debate, the Senate voted 23-7 on Monday to approve a bill that will license art therapists, which will sanction the integrity of art therapy and ward off unqualified practitioners from using the term.

May 17 2017
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Proposals submitted this week would have rates climb as much as 20.7 percent on the individual marketplace, with nearly all silver-level plans now costing over $400 per month. Small businesses face smaller increases of 2 percent to 8.5 percent, with most small group plans still below $400 per member per month.

Uncertainty in the insurance industry is again pushing up the cost of health coverage for individuals and small businesses, according to rate requests submitted to the Oregon Department of Consumer and Business Services this week.

May 17 2017
In 2014, estimates suggest Oregon saved $13.7 million on fee-for-service Medicaid prescriptions because of its medical marijuana program.

States like Oregon that have legalized medical marijuana are saving a significant amount of money on Medicaid and Medicare prescription costs, according to a new study released in the April edition of Health Affairs.   

May 17 2017

People living in sparsely populated areas who shopped for coverage on the state health insurance marketplaces in 2017 frequently had just one or two insurers from which to pick and often faced significantly higher premiums than did people in more urban areas, according to 

May 12 2017

The AARP called the health bill that House Republicans narrowly approved Thursday “deeply flawed” because it would weaken Medicare and lead to higher insurance premiums for older Americans.

May 5 2017

After weeks of will-they-or-won’t-they tensions, the House managed to pass its GOP replacement for the Affordable Care Act on Thursday by a razor-thin margin. The vote was 217-213.

May 5 2017

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