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Federal Officials Penalize 5 Oregon Hospitals For Patient Complications

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Medicare is penalizing five Oregon hospitals this year for having above-average rates of infections and other hospital-acquired complications.

Providence, SEIU Clash Over High Exec Pay, Union Push

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An Oregon labor union is embroiled in a dispute with Providence Health & Services over millions of dollars in Providence executive pay while trying to win representation for hundreds of lower-paid workers.

Open Enrollment Set for Nov. 1 as State Agency Targets Uninsured

The new Oregon Health Insurance Marketplace is targeting counties in northwest Oregon to get at the 116,000 people who could be buying plans on the federal exchange but remain uninsured. While some consumers may re-enroll automatically, massive price spikes at Moda Health and Lifewise may cause a massive shift in the market as consumers opt for cheaper plans at Kaiser, the Oregon Health CO-OP and Providence.

The remaining operations for the state’s insurance exchange appear to have shifted tranquilly from the wreckage of Cover Oregon over to the Department of Consumer and Business Services, with 2015 enrollment at 107,000 people -- up from 70,000 in 2014.

OHSU, Salem Health Spread Their Wings

The looming question is which other hospitals will join the newly created OHSU Partners.

Now that OHSU, Salem Health and Tuality Healthcare are joining hands to create a new endeavor, is there another hospital or two waiting in the wings?

Hospitals, Ambulatory Surgery Centers, Specialists Drive up Costs

Jack Friedman, who stepped down as CEO of Providence Health Plan, said a deal had been in the works to merge with PacificSource earlier this year.

Commercial insurance companies are making high margins on the business side, while healthcare costs are way out of control, according to Jack Friedman, the former CEO of Providence Health Plan.

Intel Breaks New Ground by Contracting Directly with Kaiser, Providence

The computer chip maker’s new healthcare delivery model has already attracted interest from other self-insured employers and the state and federal government.

One of the largest self-insured employers in Oregon has embarked on a novel approach that bypasses insurance companies. Intel, with 17,500 employees and their 33,000 dependents, is determined to create a healthier work force and, at the same time, keep costs under control. 

Internal Memo Grants Autism Coverage to Providence Employees

Separately, proposed rules from the Insurance Division on Friday to make insurance companies comply with the recent court decision against Providence forces insurers to pay for claims back to 2008 and lifts a 25-hour cap on coverage for applied behavior analysis.

Providence employees will now have comprehensive autism treatment covered, according to an internal memo to “Providence caregivers” obtained by The Lund Report.

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