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National Guidelines Call for Routine HIV Testing

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But Oregon is unlikely to fund the HIV/AIDS hotline after next March. which connects people with resources for follow-up testing

November 29, 2012 -- A new set of draft recommendations would make HIV tests as routine as blood sugar screenings or cholesterol tests – at least in theory. Earlier this month, the U.S. Preventive Services Task Force released draft recommendations that HIV testing become routine for everyone between the ages of 15 and 65 – regardless of whether they are considered high risk for infection.

Oregon Could Reduce Uninsured by 51 Percent Under Medicaid Expansion

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Within the context of the Affordable Care Act, a new analysis simulates the effects of expanding Medicaid eligibility on cost, enrollment and uninsured numbers. Findings show that a Medicaid expansion in Oregon would cut uninsured numbers by half, increase enrollees more than six-fold, and raise spending, though relatively modestly.

November 28, 2012 -- Just as Oregon and other states are weighing whether to expand Medicaid, a step made optional by the Supreme Court’s June 2012 ruling on the Affordable Care Act (ACA), findings from a new study detailing Medicaid expansion impacts on states may help inform their choices.

Fluoridation: Nature Thought of it First

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Over 3,000 studies have demonstrated that fluoridation is safe, effective, and socially equitable, according to the author

OPINION – November 28, 2012 -- I have been a general dentist for 36 years, graduating from Northwestern University Dental School in the fluoridated city of Chicago. I practiced in Chicago for 4 years before moving to Portland in 1980. I retired from my clinical practice at the end of 2008 and now devote my time volunteering my dental skills to low-income children and adults.

We Can Improve Healthcare by Exchanging Ideas

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The writer is hosting a State of Reform Health Policy Conference at the Oregon Convention Center Dec. 13

OPINION – November 26, 2012 -- If you had five minutes with the Governor to talk healthcare, what would you say? That’s the question we asked 17 healthcare, business, civic and legal executives from across four states: Washington, Oregon, Idaho and Alaska.

Dr. Martin Donohoe’s New Book Cites Major Advances in Public Health

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His website,, has gotten 575,000 hits since its inception in 2007, and focuses on public health and social justice issues

November 23, 2012 -- When you Google “public health and social justice,” the first thing that comes up is Portland Dr. Martin Donohoe’s expansive website.

Now Donohoe, 49, is turning his go-to resource into a book that also compiles the major advances in the public health field, but in a handy best-of format of a mere 656 pages for $85.

Recovery-Oriented Research Funded by Mental Healthcare Foundation

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Inspired by Robert Whitaker's 'Anatomy of an Epidemic,' the grants will aid investigation of care models that have helped patients overseas

November 21, 2012 -- The Wilsonville-based Foundation for Excellence in Mental Health Care – started last year to support a new model for mental health research – has awarded a $100,000 grant to research whether the Finnish “open dialogue” model can be implemented in the United States, and is both offering and seeking funds for other related grant projects.

Cambia/Regence Investment in CoPatient Raises Questions

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OSPIRG suggests there’s a potential conflict of interest between an insurer and a company designed to help people find errors and overcharges on their insurance bills

November 21, 2012 -- A potential conflict of interest exists between an organization set up to help people resolve their health insurance bills, known as CoPatient, and the non-profit parent corporation of an insurance company, Cambia Health Solutions which derives its income from the investment portfolio and surpluses of Regence BlueCross BlueShield of Oregon and other Regence plans in Washington, Idaho and Utah.

That’s the concern of Jesse Ellis O’Brien, the healthcare advocate for OSPIRG, a consumer group that stands up to powerful interests.

Tension Mounts in Klamath County Over CCO

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Cascade Health Alliance, which has been certified as the CCO, cannot move forward because of an impasse with county commissioners over mental health services

November 21, 2012 -- The movement to create coordinated care organizations throughout Oregon is riddled with tension in Klamath County where its commissioners are embroiled in a dispute with Cascade Health Alliance over who should be responsible for mental health services.

Salaries on the Rise Among Salem Hospital’s Top Executives

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Salem Health also has a Honolulu-based subsidiary, Willamette Valley Insurance Corp., which exists solely to provide insurance to its parent company

November 21, 2012 -- President Norman Gruber made $877,502 in the hospital’s 2011 fiscal year, up 10 percent from the previous year. Chief Medical Offer William Holloway’s compensation climbed 11.4 percent, to $576,945. Neither man has fully recovered from pay cuts experienced in 2010, when salaries of the hospital’s top paid employees fell 15 percent.

Culturally Appropriate Care Vital to CCO’s Success

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Lillian Shirley, the director of Multnomah County’s Public Health Department, believes it’s critical to understand where a patient is coming from

November 20, 2012 -- Oregon’s new coordinated care organizations should make important public health goals such as reducing diabetes and obesity top priorities, but they must realize that culturally appropriate care is essential if their messages are to be heard, a top public health official told The Lund Report.


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