Coordinated care organization reimbursement rates that were announced this week included a hike in how much FamilyCare will receive in 2018 – but not enough to appease the leaders of the Portland-area CCO, who say low reimbursements are putting their nonprofit organization at risk.
Inside the Industry
The Cover Oregon debacle continues to dog the Oregon Health Authority. Actuaries have newly discovered that more than 41,000 people were miscategorized over three years, which caused the state to draw down $74 million more federal dollars than it was allowed.
OHSU President Joe Robertson will retire at the end of the month, but plans to continue working in a slightly scaled back capacity, as he begins treatment following a recent diagnosis of multiple sclerosis, he announced this week.
Where President Trump plans cuts, Oregon plans to fill in the gaps, with $1.8 million in support for the 2018 health insurance open enrollment period, which starts in less than two weeks on Nov. 1, and runs through Dec. 15.
The U.S. Attorney’s Office has closed its investigation into Zoom Management Inc.
After nearly two months of negotiations, key senators said Tuesday they have reached a bipartisan deal on a proposal intended to stabilize the Affordable Care Act’s insurance market, which has been rocked by recent actions by President Donald Trump.
Oregon insurance officials announced Friday that they will jack up premiums for silver-rated individual health plans an additional 7.1 percent, roughly doubling the rate increase for these 2018 plans compared to 2017 plans.
The founders of Zoom Health Plan have reached a settlement agreement with state insurance regulators, agreeing to pay fines while avoiding criminal liability after getting into hot water over their failed health plan – though a federal investigation appears to still be ongoing.
Just four hours earlier, Sallie Cutler had been sharing Mother’s Day lunch with her mom, Alyce Cheatham.
Then, that same evening, Cheatham, 96, landed in a Portland, Ore., emergency room, lethargic, unable to speak and paralyzed on her right side by a massive stroke.