medicaid

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.

PeaceHealth Loses Medicaid Contract with Columbia United Providers in Washington

The Lund Report
Columbia United Providers lost its bid to participate in Medicaid by the Washington Health Care Authority

 January 25, 2012 – Regence Blue Shield isn’t the only insurance company in Washington that won’t participate in Medicaid during fiscal 2012-13.

Columbia United Providers and Premera Health Plan, which actually submitted bids on the proposed contract, have been forced out by the Washington Health Authority – unlike Regence which withdrew after providing care to pregnant women and children since 2002.

Legislators Express Concern about Non-Discrimination of Provider Groups

The Lund Report
When the coordinated care organizations begin delivering health care to people on the Oregon Health Plan, they need to mirror Medicaid law, according to Mike Bonetto

January 23, 2012— When the House Health Care Committee met earlier this week, concern was raised about how non-discrimination language would impact provider groups wanting to participate in coordinated care organizations (CCOs).

Starting in July, these CCOs are expected to integrate the physical, mental and dental care for more than 600,000 people on the Oregon Health Plan.

Senators Drawn Into Conflict Over Medicaid Policy

The Lund Report
A fund-raising event and public hearing on the controversy occurred on the same day, raising eyebrows.
June 2, 2010 -- A fund-raising event for two prominent Democratic senators – Alan Bates and Laurie Monnes Anderson – occurred the same day as a controversial hearing on the fate of more than 10,000 children enrolled in the Oregon Health Plan.

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