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FamilyCare, Oregon Health Authority Score Partial Wins In Ongoing Legal Wrangling

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A costly, long-running legal battle between a defunct health insurer and the state of Oregon is returning to court after a recent federal ruling delivered partial wins to both sides.

Bills Push Financial Transparency In Medicaid Model But Meet Resistance

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Sustainable growth and financial transparency are listed among the state’s priorities for coordinated care organizations vying for Oregon’s second round of Medicaid funding.

FamilyCare Calls Federal Court Order a Win

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The judge ordered the Oregon Health Authority to release documents related to coordinated care organization rate setting, though the legal dispute is far from over.

FamilyCare inched one step forward last Friday in its years-long series of legal disputes with the Oregon Heal

By the Metrics: FamilyCare vs Health Share

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Reports and surveys show the two CCOs achieving similar statistical results, but state officials acknowledge that current metrics need improvement. More FamilyCare members report poor mental health than Health Share members.

As tens of thousands of FamilyCare members receive letters about the end of their coordinated care organization and their pending switch to Health Share, state leaders have repeatedly emphasized that both Portland-area Medicai

State, FamilyCare, Burnt Through $1 Million in Tax Money Fighting Over Rates

Tax dollars that were intended to help poor people with cancer, Hepatitis C and chronic conditions were wasted in the legal battle between the Oregon Health Authority and the state’s second-largest coordinated care organization.

The state and the Portland-area coordinated care organization FamilyCare squandered nearly a million dollars fighting each other in a legal battle over the proper compensation that FamilyCare and other CCOs should receive for providing healthcare for poor and vulnerable Oregonians.

CCOs Fight Claw Back Provision in 2016 Contract

A new clause in their 2016 contracts will require CCOs to return any excess payments.

The state’s coordinated care organizations are poised to challenge a provision in their 2016 contracts requiring them to payback any excess revenue when legislators convene on Feb. 1.

FamilyCare, OHA in Mediation Over 2015 Contract

The legal opinion from the Legislative Counsel sided with FamilyCare.

FamilyCare still has not signed the 2015 contract amendment with the Oregon Health Authority and has refused to return the $55 million in supposed overpayments. But the CCO may have the law on its side.

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