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The state expects to have enough money to pay for the added members through March 31, thanks to emergency funding from the federal government.
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PacificSource fared well but so did PrimaryHealth of Josephine County, which came out on top in the grants but failed to win another CCO contract.
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Providers continue to question the Oregon Health Authority’s decision to let the for-profit company serve Medicaid members in the tri-county Portland area.
When it comes to health care, President Donald Trump has promised far more than he has delivered.
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Federal officials focused on four coordinated care organizations operating in 2016 and 2017. The Oregon Health Authority said it is now trying to hold them more accountable.
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An annual event by CCO Oregon drew key players, who discussed the challenges of plunging revenues, ensuring access to a vaccine when one is available and adapting to the changing health care landscape.
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The agency outlines changes that the coordinated care organization has to make to enter the Portland-area Medicaid market.
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The two-year proposal which would require an extra $1 billion in state general funding, includes increased spending on behavioral health care and children.
Oregon Health Plan membership has increased by more than 100,000 since the start of the COVID-19 pandemic but the state has enough extra funding to cover new members through the end of the year.
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The agency is bracing for the next two-year budget, which will be determined by lawmakers next year.
