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.
Medicaid covers the cost of 51 percent of all the babies born in Oregon, according to Dr. David Labby, chief medical officer of Health Share of Oregon. “If you want to move upstream, start at the beginning.”
Kentucky, long the butt of many a joke, was the surprising success story during the rollout of the Affordable Care Act.
The state is backing away from any involvement with new Obamacare health enrollments come Nov.
The feds backed down from their criticism of Oregon’s handling of the state Medicaid system, stepping away from a position that could have upended the whole transformation of the Oregon Health Plan into coordinated care organizations.
Obamacare has meant that the Oregon Health Plan, which had been limited to a lottery for low-income adults last year is now open to 365,000 people.
Cover Oregon is still having problems getting insurance agents the money they’ve earned, and the exchange has yet to collect a dime from the insurance companies that owe it an assessment on every policy sold.