Today is Medicare and Medicaid’s 50th anniversary.
Sweeping proposals disclosed Tuesday would create profit guidelines for private Medicaid plans as well as new standards for the plans’ doctor and hospital networks and rules to coordinate Medicaid insurance more closely with other coverage.
The House Rules Committee appears ready to pass a bill that would force primary care doctors to see Medicaid patients in Lane County if they want to also care for more lucrative patients from the Oregon Educators Benefit Board and the Public Employees Benefit Board.
A bill making its way through the House should ensure that people leaving prison and the state hospital have immediate access to Medicaid, and allow the state to save millions each year by charging the federal health program for hospital care provided to inmates outside of state institutions.
A federal law that passed in 2008 was supposed to ensure that when patients had insurance benefits for mental health and addiction treatment, the coverage was on par with what they received for medical and surgical care.
When Lynne Saxton accepted former Governor John Kitzhaber’s request to become the next administrator of the Oregon Health Authority, she realized the job would not come without its foibles.
Oregon’s coordinated care organizations continue to manage a delicate balance: keeping costs down at the same time they are providing coverage to more and more Medicaid patients as a result of the Affordable Care Act.