medicaid

‘Churn Bill’ Looks to Help People Switching from Medicaid to Cover Oregon

The Lund Report
Starting in 2016, 60,000 Oregonians may find themselves moving between the Oregon Health Plan and Cover Oregon, and potentially losing access to their doctors or coverage of ongoing procedures. HB 2132 requires the OHA and Cover Oregon to take steps to alleviate this problem.

 

April 24, 2013 — Next year, the Affordable Care Act will allow people whose income falls below 138 percent of the federal poverty level to receive coverage through the Oregon Health Plan.

Uninsured Charged Much More Depending on the Clinic

The Lund Report
The prices for cataract surgery for an uninsured patient vary from $2,500 to more than $8,000 depending on whether the clinic is located in Bend, Portland or Salem

February 25, 2013 -- At 63 and self-employed, I'm too young for Medicare, I make too much money to qualify for Medicaid, but I don't make nearly enough to afford an individual insurance policy.

FamilyCare Bumps up Primary Care Reimbursement Rate

The Lund Report
CEO Jeff Heatherington hopes that means more providers will see more Medicaid patients as a result

February 13, 2013 – Doctors and nurse practitioners who provide primary care to patients enrolled in FamilyCare will soon get a little more money for their time in the office.

Regence Regains its Lead While Losing Individual Members

The Lund Report
At the same time, Regence is the only nonprofit insurer in Oregon not participating in coordinated care organizations, which provide services to people on Medicaid

January 2, 2013 -- Regence BlueCross BlueShield took back its spot as Oregon’s top provider of health insurance, though its ongoing battle for market dominance remains a near-tie with previous leader Kaiser Permanente. Oregon’s health reform efforts played a major role pulling Kaiser down from the top position.

People on Medicaid Struggle with Mental Health, Substance Abuse Problems

The Lund Report
Health Share of Oregon board members rely on their prior experiences to help bridge the gap between physical and mental health

November 8, 2012 – There’s a very high preponderance of people on the Oregon Health Plan who have a mental health or substance abuse problem, according to Mary Monnat, president and CEO of LifeWorks NW. In the Portland metropolitan area, such problems affect 70 percent of that population.

Immigrants Barred from Healthcare Coverage

The Lund Report
Some counties in Oregon provide pregnant women primary care, but advocates demand more services

June 13, 2012 -- Immigration status puts another layer of complexity on an already overly complex system for medical insurance coverage in Oregon and across the U.S.

Oregon’s rate of uninsured children is lower than the nation’s average after the Healthy Kids program expanded coverage to virtually all minors, but there are still residency requirements attached to the program, so undocumented kids are relegated to emergency
medical coverage only.

Oregon Governor John Kitzhaber and Obama Administration Announce Agreement to Improve Care for Oregonians on Medicaid

The Lund Report
Care coordination will improve health, achieve $11 billion in savings. Innovations mirror national reforms made possible by Affordable Care Act

May 3, 2012 --Governor Kitzhaber and the Obama Administration today announced an agreement in principle to coordinate care for Medicaid beneficiaries in Oregon, through a new model of care that will reduce the cost trend in Oregon’s Medicaid program by at least two percentage points within two years while improving health outcomes.

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