oregon health authority

PhRMA Fights Six-Month Delay of New Drugs for Medicaid Members

Rep. John Lively has proposed a cost-saving and drug-management measure that would allow the Oregon Health Authority to deny new drugs that have been approved by the FDA in the past six months, while PhRMA is fighting to strip the provision from legislation that passed the House unanimously. The measure does not impact CCOs, which can determine the suitability of most drugs.

The Pharmaceutical Research and Manufacturers of America is asking for a midstream change to legislation that allows the Oregon Health Authority to deny payment for high-priced blockbuster drugs for six months after they’ve been approved by the U.S. Food and Drug Administration.

Senate Health Passes Bill Giving Teeth to Nurse Staffing Law on 5-0 Vote

Under SB 469, hospitals will be bound by the recommendations of their nurse staffing committees, which craft plans for staffing levels. The bill now heads to the Committee on Ways & Means to provide more funding for state hospital audits that hold hospitals accountable for compliance.

Oregon hospitals look like they’ll be facing a tougher nurse staffing law after the Senate Health Committee approved Senate Bill 469 unanimously on Monday, sending the bill to the legislative budget c

Healthcare Industry Convinces Courtney to Kill Price Transparency Bill

A compromise measure from Sen. Steiner Hayward that would have opened up health insurance tools with price information to all consumers won the needed support of Sen. Monnes Anderson, but last-minute pressure on the state’s top lawmaker stopped the price transparency bill dead in its tracks.

Senate President Peter Courtney, D-Salem, halted a legislative effort to force hospitals and health insurers to be more candid about their prices following closed-door negotiations with their influential lobbyists.

The move rankled some in Courtney’s caucus who have been steeling for greater reforms after Oregon was given an F along with 44 other states by the Catalyst for Payment Reform, a national organization that scores states on price transparency.

House Paves the Way to Cover All Kids

HB 3517 fixes Oregon statutes to provide health coverage to more children

More children in Oregon could be protected under medical care coverage from the Oregon Health Authority with the passage in the House of House Bill 3517.

Public Meetings Set To Design 2017 Health Plans

Salem - Oregonians who want to participate in the process of setting the essential health benefits and standard plan design for 2017 health insurance plans can attend the first meeting of the Essential Health Benefits Rulemaking Advisory Committee. The first meeting is scheduled for 9:30 a.m.

Senate Passes Bill to Help CCOs Deal with OHA

The Legislature is considering a number of bills to improve the operations of the Oregon Health Authority. SB 833 gives CCOs time to review contracts. HB 2950 allows CCOs to assist their members with re-enrollment. SB 7 requires better oversight of new IT projects at the agency.

The Senate passed a bill Thursday that serves as exhibit A into how badly things were going last year at the Oregon Health Authority, requiring the agency to give the coordinated care organizations at least a month to review contracts before the deadline to sign them.

Hospitals Try to Avoid Price Transparency by Advancing Phony Bill

The Oregon Association of Hospitals and Health Systems appeared to outmaneuver the efforts of Sen. Elizabeth Steiner Hayward, SEIU and consumer advocates to demand the right to know what patients are being charged by getting the ranking members of the Senate Health Committee to sign onto a competing measure that does not disclose individual hospital information and provides only outdated average statewide data from the all-payer, all-claims database.

The Oregon Association of Hospitals and Health Systems is moving aggressively to stamp out legislation that would force its members to be transparent about their prices, and the association has introduced a transparency bill that provides them with political cover while doing little to help consu

State Policy Encourages Fuller Lives for Disabled, but Denies Them Equipment

Disabilities activist Joseph Lowe has appealed to the Legislature to require the Oregon Health Authority to provide the equipment people need to move around in their communities -- not just their homes -- so that others won’t have to fight for their right to participate as he did. Even as CCOs show a 9 percent profit margin, people with disabilities are being denied the wheelchairs and scooters they need to leave the house.

Joseph Lowe has been in a wheelchair since he was five years old, but he never had any persistent back pain until recently, when the state refused to pay for the durable medical equipment that his doctor prescribed to meet his needs.


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