The Lund Report
November 29, 2011—The Oregon Nurses Association (ONA) is trying to convince legislators that insurance companies should pay nurse practitioners the same amount as primary care physicians for the same services.
But the association’s president, Susan King, said its efforts are being stonewalled by some insurance carriers. After meeting with representatives from five insurers over the past few months, the information they’re sharing about their reimbursement policies is opaque, at best.
November 30, 2011 – The Centers for Medicare and Medicaid Services has imposed a $100,000 civil penalty against The Regence Group for failing to provide accurate information to its Medicare Advantage members. The Regence Group is the holding company for the company’s insurance products in Oregon, Washington, Idaho and Utah.
OPINION – November 22, 2011 -- Recent articles and blog postings have indicated some questions and confusion regarding our structure and recent internal capital movement. I hope the following will help clarify.
For many years, Regence has been structured as a nonprofit holding company system. This means that none of our capital is paid out to shareholders, but instead stays within the holding company system to grow and improve the business and to provide value to our members and the communities we serve.
November 22, 2011 -- The Northwest Mothers Milk Bank is halfway toward its fundraising goal of $400,000 – the amount the organization needs to open a physical location to process donations.
The bump is thanks to a $125,000 donation from Oregon Health Insurers Partnering for Prevention (OHIPP), a group of health insurers convened by the Oregon Public Health Institute.
November 21, 2011—A mental health organization is leading the charge toward transformation. Greater Oregon Behavioral Healthcare, Inc., (GOBHI), based in The Dalles, is in active discussions with a multitude of healthcare providers to become a coordinated care organization (CCO) by next July.
CEO Kevin Campbell has been meeting with federally qualified health centers, rural health clinics, public health departments, hospitals, county commissioners and primary and dental care providers in 17 rural counties -- many of which are east of the Cascades.
November 17, 2011 – Nine healthcare organizations – most of which advocate for people with chronic illnesses – are speaking up about proposed cuts to Medicare.
A federal deficit “supercommittee” has one week left to cut $1.2 trillion within the next decade. While that committee may or may not meet its November 23 deadline, Medicare cuts are on the table.
November 17, 2011—Not mincing words, provider groups worried they’ll be left out of the coordinated care organizations (CCOs) took their case to the Oregon Health Policy Board last week. But they came away without any assurance.
OPINION – November 16, 2011 – I wanted to follow up on your article titled “Regulators Didn’t Question $56 million payout by Regence BlueCross BlueShield” because I am concerned the article is misleading and does not provide the public with accurate information.
November 16, 2011 -- Surveys of doctors show that now more than half think that providing higher-quality medicine may lead to losses in their earning power, a belief that may help explain why an exceptionally high number of patients don’t get recommended care, according to Dr. David Reuben MD, who spoke at the OHSU Foundation for Medical Excellence annual lecture earlier this week.