Healthcare System Struggles to Catch Up with Growing Central Oregon Latino Community

Deschutes County’s Hispanic community is much newer than the one in the Willamette Valley, creating a greater learning curve for healthcare providers to serve this population. After the Medicaid expansion provided care to most low-income people, immigration status remains a barrier to seeking care.

Few places have seen as sharp of recent growth in the Latino population as central Oregon. In 1990, there were just 1,500 people of Hispanic origin in Deschutes County -- but by the 2010 census, the county recorded 11,700 people.

State Hires Deloitte to Salvage Oracle Technology for Oregon Health Plan

The British consulting giant will be paid $18.4 million and tasked with taking the crippled technology infrastructure and making it usable for the state’s Medicaid program. Deloitte has been one of the more successful IT contractors working with the Affordable Care Act and worked as the systems integrator for Washington state’s successful exchange.

The state of Oregon has inked an $18.4 million contract with Deloitte LLP to oversee its attempts to salvage the flawed Oracle technology for use in enrolling people for the state’s Medicaid program, the Oregon Health Plan.

State Fixes Funding Problem for Poor Women’s Contraceptive Care

The Affordable Care Act expanded the state Medicaid program to 350,000 new members, but it didn’t pay providers as well as a separate reproductive health program for uninsured women, provoking concerns from Rep. Mitch Greenlick that the state may be inadvertently hurting Planned Parenthood and other women’s health providers.

The state has stepped in to solve an unintended consequence of the Affordable Care Act -- reproductive health providers had gotten paid less to cover women insured by Medicaid than they did from an existing state program designed specifically to offer free contraceptive services.

Access Problems Hamper CCOs in Lane and Klamath Counties

With close to 300,000 newcomers joining the ranks of Medicaid since January across Oregon, at least two CCOs are struggling to find primary care homes.

Editor's Note: This story has been corrected from its original version. Sky Lakes has seen a dramatic increase in ER visits, not total care, and most of these patients are not likely CCO members. We regret the errors.

New Clinic Serves Medicaid Patients Only

The Lund Report
Pendleton Primary Care may be the only clinic of its kind in the state


June 27, 2013 – While Oregon Health Plan patients often report difficulty finding providers who will treat them due to low reimbursement rates, a physician in Umatilla County has bucked the trend – opening a clinic that serves Medicaid patients exclusively.

‘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.


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