family care health plans

Next Monday, the Oregon Health Authority plans to release the rates for all 16 coordinated care organizations.

Health Share CEO Janet Meyer refutes the idea that profits in the Health Share system raised its costs. Rep. Mitch Greenlick said the state should move away from basing rates on cost data for 2016 and appeal to CMS that rolling back the 2015 rates to January will badly disrupt Oregon’s healthcare transformation.

Sen. Alan Bates plans to meet with Gov. Kate Brown as a controversy has erupted over the revised 2015 payments to coordinated care organizations that cut the Medicaid program rather than give the organizations the 3.4 percent increase promised. The state’s order to FamilyCare that it return 9 percent of its current revenues -- $55 million -- would wipe out its profit for the year, and put it on rocky footing going forward. Rep. Mitch Greenlick agreed with some of the calculations but argued that the rates for the Medicaid expansion were more arbitrary and could threaten the CCOs’ ability to innovate and transform the delivery system.