The judge ordered the Oregon Health Authority to release documents related to coordinated care organization rate setting, though the legal dispute is far from over.
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Although FamilyCare stopped operating as a coordinated care organization on Jan. 31, it is still suing the Oregon Health Authority in state court over rate-setting for Medicaid. Now the Oregon Health Authority’s director has filed a federal lawsuit challenging the nonprofit.
By:
Courtney Sherwood
The Oregon Health Authority has sued FamilyCare in federal court, out of apparent concern that the former coordinated care organization’s continuing dispute with the state could jeopardize 2018 Medicaid agreements with Oregon’s 15 surviving CCOs.
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OHA lost $15 million in expected hospital revenue because of the referendum. The state cannot collect those funds even if the tax package passes on Jan .23.
By:
Chris Gray
The Oregon Health Authority reported a $30.5 million general fund shortfall as it sought to balance its books for 2017.
At two town-hall meetings this weekend, officials will meet with medical providers to answer questions about the closure of the state’s second-largest coordinated care organization at the end of January.
By:
Courtney Sherwood
As the state's second-largest coordinated care organization exits the Medicaid market and transfers its roughly 115,000 members to other CCOs, it’s inevitable that some patients and providers will experience a bumpy transition, Oregon Health Authority Director Patrick Allen said on Thursday.
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The Oregon Health Authority says each CCO is free to set its own provider payment rates. But a $26.2 million cut to FamilyCare’s base reimbursements would have forced the Medicaid provider to make cuts it was not willing to consider. Instead, it will shut down at the end of January.
By:
Courtney Sherwood
Months before FamilyCare announced its plans to shut down rather than accept the Oregon Health Authority’s reimbursement rates, the Portland-based coordinated care organization’s leaders argued that they were being treated unfairly by the state, thanks to payments that were much lower than the ot
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By:
Susan Wolfer
At the stroke of midnight, December 31, 2017, about 120,000 Oregonians will have to find all new healthcare providers within HealthShare if the inequity in funding FamilyCare is not addressed.
It Doesn’t Make Sense
After a testy meeting between FamilyCare’s leader, the Oregon Health Authority and Governor Kate Brown, state officials say they are planning for transition. Meanwhile, providers and patients are confused about their fate. And now Jeff Heatherington says he may keep his nonprofit operating for 90 more days – if his board agrees.
By:
Courtney Sherwood
FamilyCare President and CEO Jeff Heatherington promised Wednesday night to discuss with his board the possibility of staying open for three more months rather than shutting down at the end of this year as he earlier had said he would do, after dozens of angry and concerned physicians and mental
An examination of records by the new leadership at the Oregon Health Authority discovered that an error in the Cover Oregon process caused the state to categorize older, Medicare-eligible adults in the Medicaid expansion.
By:
Chris Gray
The Cover Oregon debacle continues to dog the Oregon Health Authority. Actuaries have newly discovered that more than 41,000 people were miscategorized over three years, which caused the state to draw down $74 million more federal dollars than it was allowed.
By:
Oregon Health Authority
The Oregon Health Authority (OHA) and Oregon Housing and Community Services (OHCS) are collaborating to sponsor a Statewide Supportive Housing Strategy Workgroup.
FamilyCare insists the OHA asked other CCOs to intervene in the ongoing lawsuit; a claim the OHA flatly denies.
By:
Diane Lund-Muzikant
The contentious battle between FamilyCare Health and the Oregon Health Authority shows no signs of letting up.
