The Lund Report

Author Believes Clinically Aware Benefit Plans Are Advantageous

The Lund Report

OPINION -- February 22, 2012 -- Even before the Patient Protection and Affordable Care Act was written, coverage designed to avoid sick patients was becoming an unacceptable goal. A goal that most commercial benefit plans and claim processing systems use, assuming predominantly healthy populations, and preventing those that need the coverage the most from being adequately addressed.

State Over Billed The Feds for Family Planning

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The state refunds the federal government $1.7 million with another $3 million under review

February 22, 2011 -- A federal audit recently found the Oregon Health Authority improperly claimed $1.7 million in federal reimbursement for a program that offers family planning services to low-income Oregonians

A routine audit by the Office of Inspector General for the Department of Health and Human Services found the state had not properly verified the income or social security numbers of enrollees to an expanded Medicaid program known as Oregon Contraceptive Care also called the Family Planning Expansion Project

Dr. Jeffrey Weisz Has Big Plans for Kaiser Permanente

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He not only foresees membership growth, but plans to reduce outside referrals to OHSU and consider the role of nurse practitioners and physician assistants

February 22, 2012 – Dr. Jeffrey Weisz is a man on a mission. As the newly appointed president and executive medical director for the Northwest Permanente Medical Group, he’s setting his sights high.

Microsoft's Virtual Gold Mine: Health and Education Data

The Lund Report

OPINION -- February 17, 2012 -- If we open Microsoft®’s Health Vault, we’ll open Pandora’s box to cyber harms that cannot be undone. Microsoft, Google and Facebook seem to think data sharing makes them our blood brothers. That shouldn’t give them the right to torment us with personalized advertising and other threats as our new Big Brothers.

$100,000 PAC Contribution to Hospital Association Raises Questions

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Oregon Healthcare Enterprises, which is known for administering the hospital provider tax on behalf of the state, made the contribution last year to the hospital association’s PAC

February 17, 2012 -- Whenever an unusual campaign contribution shows up in a political action committee report, heads start turning, asking the pivotal question – what’s the intent behind this?

DOJ Memo Reveals Constitutional Concerns About Medical Liability Amendments

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It was enough to convince Sen. Betsy Johnson (D-Scappoose), who proved to be the swing vote that led to the passage of healthcare transformation

February 17, 2012—The vote of Sen. Betsy Johnson (D-Scappoose), a crucial swing vote when the Senate decided to allow the Oregon Health Authority to move ahead with creating coordinated care organizations (CCOs) and overhauling the Oregon Health Plan’s delivery system, changed at the last moment because memos from the Department of Justice and Oregon Health & Science University (OHSU) revealed serious constitutional concerns about the proposed medical liability language for Senate Bill 1580.

Legislation Giving Nurse Practitioners Equal Pay Appears Dead

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Although the bill sailed through the House Healthcare Committee, Rep, Jason Conger succeeded in getting the bill sent to the House Rules Committee, where bills usually die

February 17, 2012—Legislation that would reimburse nurse practitioners at the same rate as primary care doctors failed to pass on the House floor last week as expected, and instead was sent to the Rules Committee where such bills usually die.

The motion made by Rep. Jason Conger (R-Bend) seemed to catch people off guard, yet had bipartisan support with a 33-26 vote. Conger said House Bill 4010 needed to go to the Rules Committee because he was concerned about the definition of a nurse practitioner’s “service area.”

Weight Management Program for Teenage Girls Shows Long-Term Success

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The study emphasized lifestyle changes among the girls who were considered overweight or obese

February 16, 2012 -- Teenage girls lost weight and adopted healthier long-term habits when primary care providers, peers and family members were involved in their care, according to a study published in the journal Pediatrics. Funded by the National Institutes of Health and conducted by the Kaiser Permanente Center for Health Research, it's the first study to show long-term success from a weight management program specifically for teenage girls. The study followed 208 girls between the ages of 12 and 17 in Oregon and Washington.

Environmental Health Conference Focuses on How Toxic Chemicals Influence Obesity

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Known as obesogens, these chemicals influence weight gain by disrupting hormones that drive appetite and physical activity

February 17, 2012 -- Next time you struggle to put down that extra slice of pizza or get off the couch you might not feel so guilty about your lack of motivation, but new research suggests you may want to consider the role the environment may have played in your eating habits.

Health Insurers May No Longer Qualify for Lower Assessments

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The high risk pool has been offering lower assessments to health insurers if they deny coverage to fewer people, but that program could come to an end

February 16, 2012— Health insurers in Oregon may no longer be able to lower the assessments they pay into the high risk pool.

Up until now, insurers have been offered a 10 percent reduction if they could show, on average, that they denied coverage less than 20 percent of the time over the previous three years.

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