The Oregon Health Authority will pay coordinated care organizations 4.2 percent more for Medicaid patients in 2019 than in 2018, missing its goal of keeping cost increases to 3.4 percent or less.
The CEO of Health Share, Oregon's largest Medicaid provider, has resigned.
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Oregon’s facing an $8 billion question: Can state bureaucrats and politicians reinvent the health insurance program that
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.
Rep. Mitch Greenlick, D-Portland, rolled out his coordinated care organization reform bill on Monday with the support of House Speaker Tina Kotek, D-Portland.
Greenlick intends to build on the success of locally driven reforms to the state Medicaid program by requiring CCOs to be more transparent and more accountable while protecting the public investment in the health of the state’s children, low-income adults and disabled people.
The Oregon Health Authority reviewed how each of the state’s 16 CCOs performed on 17 incentive metrics, a report called “Oregon's Health System Transformation: CCO Metrics 2015 Mid-Year Update,” released earlier this week.
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Oregon’s coordinated care organizations are moving forwards, backwards and sideways in their efforts to measure improvements to the care they provide, according to a state snapshot of performance metrics released this month.
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The Oregon Health Authority issued its final Oregon Health Plan rates for 2015, assigning the coordinated care organizations with figures that veer dramatically from their 2014 rates and create both winners and losers as the dust is settled.
