oregon health plan

Oregon Health Authority Swamped with Calls About OHP Enrollment

Ellen Pinney, the state’s ombudsperson, shared that information with Health Share of Oregon’s Community Advisory Council recently.

The Oregon Health Authority is receiving thousands of calls every day about Oregon Health Plan enrollment, OHP ombudsman Ellen Pinney told Health Share of Oregon’s Community Advisory Council last week.

Silver Alert Bill Passes Legislature, Protecting Missing Seniors

The Silver Alert bill requires police agencies to develop policies to find and assist seniors with dementia who get lost. The bill also orders the Oregon Health Authority to more proactively ward against Medicaid fraud. Several other bills passed the House Friday, including a bill to codify equipment testing protocol for dentists and one that will study giving parents the option of subsidized private insurance instead of the Oregon Health Plan for their children.

The Legislature has passed the Silver Alert Bill, tasking municipal police and county sheriff’s offices with developing a policy to find and assist senior citizens who go missing.

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

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

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

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

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

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

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

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

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.

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