medicaid

Oregon’s Health Insurance “Experiment” Must Lead to Improved Health Outcomes

Oregon’s Health Insurance “Experiment” Must Lead to Improved Health Outcomes

The medical director of the North by Northeast Medical Center has declared her center a heart attack and stroke-free zone.
OPINION – May 10, 2013 -- There has been a lot of attention paid this week to “Oregon’s Health Insurance Experiment.” The term refers to a study, published in the May 2, 2013 New England Journal of Medicine, which set out to calculate the effect of Medicaid coverage on health behaviors and health outcomes. Differences were examined between about 6,000 low-income Oregonians randomly selected by lottery for coverage under the Oregon Health Plan (Medicaid) and another approximately 6,000 who were not selected and went without health insurance. Read More >>


‘Churn Bill’ Looks to Help People Switching from Medicaid to Cover Oregon

‘Churn Bill’ Looks to Help People Switching from Medicaid to Cover Oregon

Starting in 2016, 60,000 Oregonians may find themselves moving between the Oregon Health Plan and Cover Oregon, and potentially losing access to their doctors or coverage of ongoing procedures. HB 2132 requires the OHA and Cover Oregon to take steps to alleviate this problem.
April 24, 2013 — Next year, the Affordable Care Act will allow people whose income falls below 138 percent of the federal poverty level to receive coverage through the Oregon Health Plan. Read More >>


Uninsured Charged Much More Depending on the Clinic

Uninsured Charged Much More Depending on the Clinic

The prices for cataract surgery for an uninsured patient vary from $2,500 to more than $8,000 depending on whether the clinic is located in Bend, Portland or Salem
February 25, 2013 -- At 63 and self-employed, I'm too young for Medicare, I make too much money to qualify for Medicaid, but I don't make nearly enough to afford an individual insurance policy. Read More >>


FamilyCare Bumps up Primary Care Reimbursement Rate

FamilyCare Bumps up Primary Care Reimbursement Rate

CEO Jeff Heatherington hopes that means more providers will see more Medicaid patients as a result
February 13, 2013 – Doctors and nurse practitioners who provide primary care to patients enrolled in FamilyCare will soon get a little more money for their time in the office. Read More >>


Regence Regains its Lead While Losing Individual Members

Regence Regains its Lead While Losing Individual Members

At the same time, Regence is the only nonprofit insurer in Oregon not participating in coordinated care organizations, which provide services to people on Medicaid
  January 2, 2013 -- Regence BlueCross BlueShield took back its spot as Oregon’s top provider of health insurance, though its ongoing battle for market dominance remains a near-tie with previous leader Kaiser Permanente. Oregon’s health reform efforts played a major role pulling Kaiser down from the top position. Read More >>


People on Medicaid Struggle with Mental Health, Substance Abuse Problems

People on Medicaid Struggle with Mental Health, Substance Abuse Problems

Health Share of Oregon board members rely on their prior experiences to help bridge the gap between physical and mental health
November 8, 2012 – There’s a very high preponderance of people on the Oregon Health Plan who have a mental health or substance abuse problem, according to Mary Monnat, president and CEO of LifeWorks NW. In the Portland metropolitan area, such problems affect 70 percent of that population. Read More >>


Q&A with Governor Kitzhaber: In Oregon, a $1.9 Billion Medicaid Experiment

Q&A with Governor Kitzhaber: In Oregon, a $1.9 Billion Medicaid Experiment

September 26, 2012 -- Oregon has promised the Obama administration that it can slow Medicaid's growth to a rate comparable to the rest of the economy over the next two years. That means reducing Medicaid cost growth, on a per capita basis, by 2 percent. Read More >>


Immigrants Barred from Healthcare Coverage

Immigrants Barred from Healthcare Coverage

Some counties in Oregon provide pregnant women primary care, but advocates demand more services
June 13, 2012 -- Immigration status puts another layer of complexity on an already overly complex system for medical insurance coverage in Oregon and across the U.S. Read More >>


Oregon Governor John Kitzhaber and Obama Administration Announce Agreement to Improve Care for Oregonians on Medicaid

Oregon Governor John Kitzhaber and Obama Administration Announce Agreement to Improve Care for Oregonians on Medicaid

Care coordination will improve health, achieve $11 billion in savings. Innovations mirror national reforms made possible by Affordable Care Act
May 3, 2012 --Governor Kitzhaber and the Obama Administration today announced an agreement in principle to coordinate care for Medicaid beneficiaries in Oregon, through a new model of care that will reduce the cost trend in Oregon’s Medicaid program by at least two percentage points within two years while improving health outcomes.   Read More >>


Additional Medicaid Funds Available to Oregon’s Recognized Primary Care Providers

Additional Medicaid Funds Available to Oregon’s Recognized Primary Care Providers

The funds will help recognized providers deliver care that is more patient-centered
March 26, 2012 -- Healthcare clinics across Oregon that are recognized as “primary care homes” can now apply to receive additional Medicaid funding to support the comprehensive, coordinated and patient-centered care they offer patients and communities.  Read More >>


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