A federal court has rejected a request from Moda Health to consider its appeal in a case involving millions in federal funds that’s been bouncing around the courts for two years.
Speculation has swirled for years that Moda Health, Inc. would fail or be taken over.
Now it looks as if it will be the latter.
Mental health practitioners insist that Moda Health is holding up their claim payments, at times for up to 90 days, to make sure people haven’t canceled their insurance policy.
If that’s true, Moda would be in violation of the state’s prompt payment law requiring insurers to pay claims within 30 days.
The Oregon Educators Benefit Board has winnowed down its finalists for its revamped contract, calling back five health plans to be interviewed by the board members later this month.
The number of people who signed up for Moda Health’s coordinated care options through the Oregon Educators Benefit Board more than doubled this school year to nearly 38,000, up from 16,000 in 2015-2016.
Could OHSU and Moda be moving toward an equity arrangement? In emails obtained by The Lund Report under the Freedom of Information Act, Dr. Joe Robertson, president of OHSU, and Robert Gootee, CEO of Moda Health, could be headed in that direction.
Harder-nosed negotiations between the Public Employees Benefit Board and its insurers should allow the health plan for state workers and university employees to meet the budget limits set by the Legislature for the 2015-2017 biennium.
Moda Health can breathe a sigh of relief after the Oregon Insurance Division lifted the Feb. 6 consent order, which required the company to sell a variety of assets and take steps to improve its financial position so it could continue serving its members.
Moda Health Plan will resume selling individual and group health insurance in Oregon and Alaska under an agreement reached with regulators in three states, the Oregon Department of Consumer and Business Services said on Monday, less than two weeks after the insurer was placed under government sup