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Regence, PacificSource Among the Losers at PEBB: Providence, Moda, Kaiser and CCOs Win Favor

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It came as no surprise when the Public Employees Benefit Board decided to sign contracts with their current insurers – Providence Health Plan and Kaiser Permanente – rejecting a joint proposal by Regence BlueCross BlueShield and PacificSource – for the state’s 130,000 employees, their dependents and university employees.

It came as no surprise when the Public Employees Benefit Board decided to sign contracts with their current insurers – Providence Health Plan and Kaiser Permanente – rejecting a joint proposal by Regence BlueCross BlueShield and PacificSource – for the state’s 130,000 employees, their dependents and university employees.

Colonoscopy Bill Prohibits Extra Charges for Removing Polyps

Kaiser Permanente, Health Net, Cigna and Regence BlueCross BlueShield had been among the insurers to charge fees, though Regence said the charges had been a mistake and now supports the bill.

A divided Senate Thursday found an election-year issue it can get behind -- free colonoscopies, even if a physician has to remove polyps during the screening.

How Much do Oregon Insurance Executives Earn?

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Documents show CEOs such as Jack Friedman and Andrew McCulloch earned more than previously disclosed, but specifics are often hazy

The leaders of Oregon’s largest insurance companies are often paid far more than they tell regulators, according to a Lund Report review of public records.

Hospitals, Along with Providence and Regence, Stop Bill Requiring Telemedicine Payments

Portland clinic chain ZoomCare pushed a bill with the Telehealth Alliance of Oregon to require private insurance companies to pay for Skype diagnoses, but the hospital association succeeded in delaying the bill for another session. If the law were enacted, its members could end up with fewer emergency room visits, and a significant loss of revenue.

Update: This article was updated on Feb. 12 to reflect the legislative developments in SB 1560.

House Clears Way for Electronic Prescriptions of Powerful Drugs

Advocates of House Bill 4013 say that allowing doctors to prescribe Schedule II drugs electronically will make life easier for practitioners and pharmacists while cutting down on prescription forgeries.

The House unanimously passed its first healthcare bill of the 2014 session Thursday, a bipartisan measure that will allow physicians and nurse practitioners to file electronic prescriptions of Schedule II drugs, simplify

Kaiser Permanente Questions Appeals Process

When Kaiser turned someone down for insurance coverage because of a medical condition, they were told the Insurance Division would conduct an independent review but that didn’t occur.

 

July 15, 2013 -- Denying health insurance coverage for medical reasons will soon be a thing of the past when the Affordable Care Act comes into full swing January 1. But there are still many unanswered questions about what’s going to happen until then.

Shields Pushes to Empower DCBS as Effort to Put Insurance Under UTPA Flounders

Senate Bill 414 would give DCBS the authority to order insurance companies to pay meritorious claims to consumers, while House Bill 3160 — the push to put allow consumers and businesses to sue insurers for fraud under the Unlawful Trade Practices Act, which passed the House — is close to being dead in the Senate.

 

June 17, 2013 — Paul Terdal is not a lawyer, and he never intended on learning the Oregon insurance code backwards and forwards, but his sons have autism, and his health insurance company — Kaiser Permanente — wouldn’t pay for their prescribed treatment, applied behavioral analysis.

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