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But legislators are unlikely to take action because of the strong lobbying efforts by insurance companies

November 29, 2011—The Oregon Nurses Association (ONA) is trying to convince legislators that insurance companies should pay nurse practitioners the same amount as primary care physicians for the same services.

But the association’s president, Susan King, said its efforts are being stonewalled by some insurance carriers. After meeting with representatives from five insurers over the past few months, the information they’re sharing about their reimbursement policies is opaque, at best.

Nov 30 2011
The Lund Report
The board members of The Regence Group listed below represent the company’s four states – Oregon, Washington, Idaho and Utah

November 30, 2011 – The Centers for Medicare and Medicaid Services has imposed a $100,000 civil penalty against The Regence Group for failing to provide accurate information to its Medicare Advantage members. The Regence Group is the holding company for the company’s insurance products in Oregon, Washington, Idaho and Utah.

Nov 29 2011
The Lund Report

November 29, 2011 -- On Thursday, December 15, the public is invited to an open house from 4-6 p.m. at Central City Concern’s new healthcare facility located at 33 NW Broadway. The event celebrates the integration of primary healthcare with behavioral care under one roof. Guided and self-directed tours will be available.

Nov 29 2011
The Lund Report
Copay ‘Kickbacks’ Banned in Medicare, Unregulated in Oregon

November 29, 2011 -- The proliferation of brand drug “copay coupon” promotions, which lure insured consumers from generics to more expensive brands, will increase costs by $338 million in Oregon over the next decade for employers, unions, and state employee plans, according to new research from Visante and released by the Pharmaceutical Care Management Association (PCMA).

The use of these promotions by state and local government workers alone will cost Oregon taxpayers an extra $58 million over ten years.

Nov 29 2011
The Lund Report

November 23, 2011 -- Oregon voted “no” Tuesday on a National Association of Insurance Commissioners (NAIC) resolution that recommends changes to how agent commissions are considered in the medical loss ratio provisions of the Affordable Care Act.

The medical loss ratio calculation requires that insurance companies spend a certain percentage of premium dollars on medical care versus administrative costs and profit. Companies that fail to do so must provide rebates to their policyholders.

Nov 23 2011
The Lund Report

November 23, 2011 -- On Friday, November 4, 2011, the Oregon Nursing Leadership Collaborative (ONLC) announced the formation of two workgroups dedicated to implementing changes recommended in the 2011 Institute of Medicine (IOM) “Future of Nursing” report. One group will focus on increasing the number of baccalaureate-educated nurses and the other will focus on preparing and enabling nurses to lead change. The groups will develop action plans that will affect the way nurses participate in health care transformation and provide care throughout Oregon.

Nov 23 2011
The Lund Report

OPINION – November 22, 2011 -- Recent articles and blog postings have indicated some questions and confusion regarding our structure and recent internal capital movement. I hope the following will help clarify.

For many years, Regence has been structured as a nonprofit holding company system. This means that none of our capital is paid out to shareholders, but instead stays within the holding company system to grow and improve the business and to provide value to our members and the communities we serve.

Nov 22 2011
The Lund Report
The group needs to purchase lab equipment before it can start processing donations locally

November 22, 2011 -- The Northwest Mothers Milk Bank is halfway toward its fundraising goal of $400,000 – the amount the organization needs to open a physical location to process donations.

The bump is thanks to a $125,000 donation from Oregon Health Insurers Partnering for Prevention (OHIPP), a group of health insurers convened by the Oregon Public Health Institute.

Nov 22 2011
The Lund Report
Oregon Public Health pilot program shows that word of mouth is the best way to encourage people to get screened to help prevent colorectal cancer

November 21, 2011 -- Oregon Health Authority’s Public Health Division and its county health partners launched a new statewide campaign today to increase colorectal cancer screening among Oregonians over age 50 (over 45 for African Americans). Guided by a research finding that people are much more likely to get screened if they are encouraged by someone they know and trust, the campaign takes an innovative approach by empowering already screened men and women to serve as champions and to encourage people they know to get screened.

Nov 21 2011
The Lund Report
GOBHI, which provides mental health benefits in 17 rural counties, has been leading discussions with physical and dental organizations, to create a coordinated care organization

November 21, 2011—A mental health organization is leading the charge toward transformation. Greater Oregon Behavioral Healthcare, Inc., (GOBHI), based in The Dalles, is in active discussions with a multitude of healthcare providers to become a coordinated care organization (CCO) by next July.

CEO Kevin Campbell has been meeting with federally qualified health centers, rural health clinics, public health departments, hospitals, county commissioners and primary and dental care providers in 17 rural counties -- many of which are east of the Cascades.

Nov 21 2011

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