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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 Trial Against Oregon Health Authority Delayed Up To Three Years

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A defunct Oregon Medicaid provider involved in a long-running, rate dispute with the Oregon Health Authority may have to wait up to three years to go to court.

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.

FamilyCare CEO Insists His Organization Isn't Going Anywhere

In the continued battle between the state and Oregon’s second-largest Medicaid provider over reimbursement, the Health Authority is soliciting a backup CCO that could undercut FamilyCare. Meanwhile, the 2016 rates for the CCOs show a pattern of higher payment for those with hospital monopolies.

In the latest salvo in its chess game with the Portland-area coordinated care organization FamilyCare, the Oregon Health Authority issued a memorandum on the eve of Thanksgiving to the other 15 CCOs asking for takers to displace FamilyCare in case of an emergency.

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