oregon health authority

FamilyCare Gives 125 Percent Increase to Addictions and Behavioral Health Providers

The coordinated care organization also told its community advisory council of $3.35 million in grants to schools and nonprofits.

FamilyCare’s addictions and behavioral health providers will start receiving a retroactive 125 percent increase for services rendered starting Nov. 1, according to Cindy Becker, vice president of community and government relations.

FamilyCare, OHA in Mediation Over 2015 Contract

The legal opinion from the Legislative Counsel sided with FamilyCare.

FamilyCare still has not signed the 2015 contract amendment with the Oregon Health Authority and has refused to return the $55 million in supposed overpayments. But the CCO may have the law on its side.

FamilyCare and Health Authority Plan More Mediation over 2015 Rate Dispute

Mediation talks on Tuesday did not reach a conclusive outcome, requiring the Health Authority and the Portland-based CCO to call for a second round of discussion. The outcome of the mediation may determine whether FamilyCare will be able to continue as a CCO.

The feud between the Oregon Health Authority and FamilyCare will continue for another week after binding mediation talks over its 2015 reimbursement rates failed to produce a resolution on Tuesday.

Stakeholders Want Basic Health Option on Exchange for 2018

A legislature-commissioned workgroup has found a compromise solution that insurers, brokers and providers will be more likely to support, setting a highly-regulated and standardized basic health insurance plan on the exchange, provided by multiple companies and paying providers rates similar to Medicare, while still offering lower premiums and eliminating deductibles and coinsurance for consumers under 200 percent of poverty.

The Oregon Health Authority is putting the finishing touches on the state’s revised designs for a  Basic Health Plan, breaking considerably from earlier proposals that would have simply expanded the coordinated care organizations to cover more working-class adults.

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