oregon health authority

Patients, Experts Warn That Plan to Cut Opioids Could Mean More Pain

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Oregon is considering a proposal that would force Medicaid chronic pain patients to cut opioids entirely.

Evelyn Blackburn suffers from severe pain caused by a spinal cord condition.  

By: 
Jessica Floum

Behavioral Health Director to Leave Oregon Health Authority

Word of Royce Bowlin’s planned departure comes shortly after OHA Director Patrick Allen announced a reorganization of the agency.

The Oregon Health Authority’s behavioral health director, Royce Bowlin, is resigning effective July 3, prompting concern from advocates that high turnover in recent years is detracting from efforts to address addiction and mental health in the state.

By: 
Courtney Sherwood

OHA Calls Back Another $41 Million in Overpayments from CCOs

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The state had originally said it would not seek repayments from 2014 and 2015 for elderly adults who were misclassified as younger adults. But as political pressure mounted, OHA is now ordering its Medicaid contractors to square up their books.

The Oregon Health Authority is calling back $41 million in overpayments it made to the state’s Medicaid contractors in 2014 and 2015 due to classification errors.

By: 
Chris Gray

FamilyCare Calls Federal Court Order a Win

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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.

FamilyCare inched one step forward last Friday in its years-long series of legal disputes with the Oregon Heal

By: 
Diane Lund-Muzikant and Courtney Sherwood

State Official Sues FamilyCare in Federal Court

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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.

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.

By: 
Courtney Sherwood

‘We’re Going to Have Problems’: Oregon Health Authority, Health Share Prepare for End to FamilyCare

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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.

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.

By: 
Courtney Sherwood

Digging into FamilyCare’s Rates: Was the CCO Paid Enough?

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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.

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

By: 
Courtney Sherwood

A Letter to The Oregon Health Authority

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

By: 
Susan Wolfer

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