medicaid

Insurers Fall Short in Catching, Reporting Medicaid Fraud, Inspectors Find

A federal report says that Medicaid insurers are lax in telling state authorities about fraud.

Despite receiving billions of dollars in taxpayer money, Medicaid insurers are lax in ferreting out fraud and neglect to tell states about unscrupulous medical providers, according to a federal report released Thursday.

Digging into CCO Reimbursements

The Lund Report spoke with experts at the Oregon Health Authority to dig into recent rate increases announced for the state’s Medicaid-funded coordinated care organizations. Here’s what they had to say.

Oregon’s coordinated care organizations are getting a raise from the state – about $8 more per Medicaid member per month than they expected to receive in 2018.

Nurses Association Supports Drive to Amend Constitution

Red-shirted citizen activists of Health Care for All Oregon packed the hearing room in a special evening meeting of the House Health Committee to lend support to Rep. Mitch Greenlick’s ballot push to declare healthcare a fundamental right for Oregonians.

As she testified Wednesday night, Carolanne Fry said it should’ve been her mother’s 53rd birthday. Instead, it was the third anniversary of her funeral, her life cut short of cancer, a condition she only learned of a few months before her death.

COFA Islanders Rush to Enroll, but Face Obstacles in Special Insurance Program

A tight deadline has insurance brokers working overtime to help a group of Pacific Islanders to get insurance, but a rule requiring them to pay deductibles upfront has some members facing collection agencies.

The state is aggressively signing up people for a special health insurance program for Pacific Islanders, but the design of the program has barriers that are making it hard for the recipients to use their care, and some have been sent to collections.

Lori Coyner Out as Oregon Medicaid Director

Coyner left voluntarily, the Oregon Health Authority says. Her departure after a year and a half in the job follows heavy criticism of the state’s Medicaid re-enrollment process.

A year and a half after being named Oregon’s state Medicaid director, Lori Coyner has left state government—leaving David Simnitt, who has been the Oregon Health Authority’s health policy director, to fill the role on an interim basis until a new Medicaid director is hired.

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