oregon health plan

Steiner Hayward Wants to Let Parents Take Kids Out of OHP and onto Cover Oregon

The Lund Report
Senate Bill 1526 would order the state to seek a federal waiver to let Oregon redirect money from coordinated care organizations to private insurance companies and help bail out Cover Oregon by allowing it to collect a commission.

Sen. Elizabeth Steiner Hayward, D-Portland, released a bill Tuesday that could allow parents who qualify for Cover Oregon subsidies to take their kids out of the Oregon Health Plan and instead buy subsidized insurance on the exchange for them.

Autism Coverage Doubtful for Older Kids on Oregon Health Plan

The Lund Report
Applied behavior analysis has been used most prominently in younger children, but experts testify that less-intensive treatment could provide relief to older kids with autism as well.
An evidence subpanel of the powerful Health Evidence Review Commission appeared poised last week to recommend applied behavior analysis for younger kids on the Oregon Health Plan, but at the same time stuck to denying treatment for children older than 12.
 

New Clinic Serves Medicaid Patients Only

The Lund Report
Pendleton Primary Care may be the only clinic of its kind in the state

 

June 27, 2013 – While Oregon Health Plan patients often report difficulty finding providers who will treat them due to low reimbursement rates, a physician in Umatilla County has bucked the trend – opening a clinic that serves Medicaid patients exclusively.

Outreach, Talk of Transparency Take Stage at Health Share's Community Advisory Council

The Lund Report
Board meetings will have 'open sessions by invitation' and board meeting minutes will be available by request

May 8, 2013 – Following a relatively brief discussions of the ongoing Community Health Needs Assessment, the Mental Health and Addictions Committee and an update from CEO Janet Meyer – and a preview of the new member handbook – Health Share of Oregon's community advisory council went into an exec

‘Churn Bill’ Looks to Help People Switching from Medicaid to Cover Oregon

The Lund Report
Starting in 2016, 60,000 Oregonians may find themselves moving between the Oregon Health Plan and Cover Oregon, and potentially losing access to their doctors or coverage of ongoing procedures. HB 2132 requires the OHA and Cover Oregon to take steps to alleviate this problem.

 

April 24, 2013 — Next year, the Affordable Care Act will allow people whose income falls below 138 percent of the federal poverty level to receive coverage through the Oregon Health Plan.

Senate Health Committee Approves Treatment for Autistic Children

The Lund Report
Private insurers and public health plans will be required to cover applied behavior analysis after a deal is reached between autism advocates, insurers and Sen. Alan Bates, a Medford physician.

 

April 19, 2013 — A landmark bill regarding autism passed the Senate Health Committee unanimously Thursday, paving the way for insurance coverage of a specialized treatment that supporters say will help severely handicapped autistic children live more functional lives.

House Committee Votes to Require Insurers to Pay for Court-Ordered Treatment

The Lund Report
Regence BlueCross BlueShield opposes the provision, arguing to keep current law where private insurers have the option to deny claims for alcohol or drug treatment if it’s a result of a DUII or other conviction

 

March 29, 2013 — People with drug and alcohol addictions who end up in treatment as a result of a DUII will get their treatment picked up by insurance if a bill sponsored by Rep. Phil Barnhart, D-Eugene, becomes law.

FamilyCare Bumps up Primary Care Reimbursement Rate

The Lund Report
CEO Jeff Heatherington hopes that means more providers will see more Medicaid patients as a result

February 13, 2013 – Doctors and nurse practitioners who provide primary care to patients enrolled in FamilyCare will soon get a little more money for their time in the office.

Oregon Midwives Face New Regulation

The Lund Report
Meanwhile, they continue to push for broader Oregon Health Plan coverage

January 30, 2013 -- Practitioners of one of medicine’s oldest professions could face new regulation in Oregon after this coming legislative session. And implementation of the Affordable Care Act could bring even more changes – though that remains far from clear. What is certain is that many midwives across the state are worried.

The issues are twofold:

State Officials Insist Hospitals Not Overpaid Under Provider Tax

The Lund Report
But the specific amount of money that hospitals get back is not open to public disclosure, according to Judy Mohr-Peterson

November 29, 2012 -- Poor Oregonians will receive an extra $2.033 billion in healthcare from mid-2011 through mid-2013, according to the latest estimates of the impact of a state tax on hospitals. Yet even many within the industry still don’t understand the state’s so-called provider tax, according to Judy Mohr-Peterson, director of medical assistance programs with the Oregon Health Authority.

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