The Lund Report

High-Ranking Executive Leaves Cambia Health Solutions

The Lund Report
Dr. Ralph Prows, who left on March 31, had been chief medical officer of the four-state region

April 13, 2012 – Cambia Health Solutions, the parent company of Regence BlueCross BlueShield of Oregon, has lost one of its top executives.

Dr. Ralph Prows had been chief medical officer for Regence’s four-state region, including Washington, Idaho, Utah and Oregon since September 2010. In that capacity, he led Regence’s medical strategy, maintaining the company’s medical policies and standards while providing oversight to all clinical operations. In September 2004, Prows joined Regence BlueCross BlueShield of Oregon as its medical director.

Oregon Health Plan Members Still Puffing Away

The Lund Report
But, at the same time, Oregon is known nationally for helping people quit the habit

April 12, 2012 -- Oregon has one of the strongest programs in the country to help people stop puffing on cigarettes, yet its preponderance of low-income smokers remains high. A survey conducted last year found that 31 percent of people on the Oregon Health Plan are smokers, roughly 201,000 Oregonians, compared to a 15 percent rate among the general public.

Steve Ferree Balances Business and the Need for Health Reform

The Lund Report
Although he's vice chair of Oregon’s chapter of the NFIB, which opposed President Obama’s Affordable Care Act at the national level, he understands both sides of the coin when it comes to health reform

April 12, 2012—Steve Ferree is vice-chair of Oregon’s chapter of the National Federation of Independent Business (NFIB). The national organization was the only group to join 26 states in opposing President Obama’s Patient Protection and Affordable Care Act during arguments heard before the U.S. Supreme Court two weeks ago.

But as the owner of Gladstone-based Mr. Rooter Plumbing, a small business, and as vice-chair of the state health insurance exchange’s consumer advisory committee, he understands both sides of the coin when it comes to arguments about reforming healthcare.

CDC Reduces Funding for HIV Prevention

The Lund Report
Funding drop is due to low HIV prevalence in Oregon, while the number of people being diagnosed hasn’t changed very much in the last decade

April 12, 2012 -- Oregon ranks in the lowest quartile in the nation in terms of HIV pr

CUP Awaits Ruling in HCA Medicaid Case

The Lund Report
Program exclusion prompts reaction from legislative delegation

April 12, 2012 -- For nearly two decades, Columbia United Providers (CUP) has prided itself on creating a healthcare model that works for patients and providers in the most cost-effective manner possible.

Policy Board Voices Little Concern About CCO Letters of Intent

The Lund Report

April 12, 2012—A presentation about the number of organizations intending to become coordinated care organizations (CCOs) by August drew little discussion from the Oregon Health Policy Board on Tuesday.

The authority received 47 letters of intent from every county and area of the state. “We look at that as being an enthusiastic response,” Judy Mohr Peterson, the authority’s director of medical assistance programs, told the board. “We have a lot of interest.”

Deschutes County Audit Could Result in Medicaid Payback

The Lund Report
An audit conducted by Accountable Behavioral Health Alliance revealed errors in patient records by Deschutes County Health Services

April 9, 2012—An August 2011 audit performed by Accountable Behavioral Health Alliance on Deschutes County Health Services is showing how difficult it is for some organizations to meet the requirements and provide the type of care expected of coordinated care organizations (CCOs).

Medicaid Collaborative Emerges to Create Coordinated Care Organization in Tri-County

The Lund Report
But UnitedHealth and ODS Health Plan also want to compete in the same market and have filed their letters of intent with the Oregon Health Authority

April 4, 2012 -- Transforming Oregon’s healthcare system took a decisive step forward when a collaborative led by Dr. George Brown signaled that it’s prepared to take the lead in caring for the Medicaid population in the tri-county area.

Pages

Subscribe to The Lund Report