inside the industry

Kaiser Permanente plans to switch Clark County members from PeaceHealth to Legacy Salmon Creek

Facility will expand to provide acute care to Kaiser patients
February 21, 2013 -- For the past 15 years, Kaiser Permanente's 100,000 members in Clark County have sought non-emergency hospital care at PeaceHealth Southwest Medical Center in Vancouver. Read More >>

Cambia Health Solutions Sued for $3 Million by Former Medical Director

Dr. Michael Kaufman filed the lawsuit in Multnomah County Circuit Court and is requesting a jury trial
February 22, 2013 -- A former medical director at Cambia Health Solutions has filed a $3 million lawsuit in Multnomah County Circuit Court, alleging he was abruptly fired without cause and is requesting a jury trial. Read More >>

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 >>

Health Reform Dependent on Good Information Technology, Says Abby Sears

Change may not happen at the speed stakeholders anticipate, she says – but being willing to learn from mistakes will be helpful
February 4, 2013 -- Healthcare reform – at both the state and federal level – won't be possible unless clinics and providers have good, up-to-date information on their patients. That in turn won't be possible without good information technology and appropriate supports, said Abigail Sears, CEO of the Oregon Community Health Information Network. Read More >>

High Blood Pressure May Go Unscreened in ZoomCare Visits

A 43-year-old ZoomCare patient’s high blood pressure went undetected until she surfaced at a safety-net clinic after the for-profit clinic skipped the basic check
January 28, 2013 -- Abigail Lawrence doesn’t have health insurance, a side effect of her career in community theater. The 43-year-old seldom seeks any medical care as a result, and had trouble recalling a doctor’s visit in the past 10 years. Read More >>

Cambia/Regence Investment in CoPatient Raises Questions

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. Read More >>

Kaiser Becomes First Health Insurer to Cover Autism Treatment

Paul Terdal, the father of two autistic boys, has worked behind the scenes to convince health insurers to cover Applied Behavioral Analysis therapy
November 13, 2012 -- Advocates scored a major victory when Kaiser Permanente announced it would provide coverage of Applied Behavioral Analysis (ABA) therapy for autism and neurodevelopmental disorders. Read More >>

Competition Heats Up Among Medicare Advantage Plans

Seniors will see lower rates for Medicare Advantage plans will open enrollment begins next Monday
October 11, 2012 – In an attempt to woo new members, health insurers in Oregon are offering lower rates to seniors who sign up for their Medicare Advantage plans. Open enrollment, which starts October 15, runs through December 7, and seniors are likely to be bombarded by mailings and advertisements by insurers. For a list of some of the Medicare Advantage plans available, including their benefit options and prices, click here. Read More >>

Kaiser Member Upset Over Hospital Charges

But after receiving a complaint, the Oregon Insurance Division insists the claim was processed correctly
October 11, 2012 -- Susan Chaney is convinced insurance companies are some of the highest profiting companies in America at the expense of people such as herself who deserve the right to affordable healthcare. Read More >>

Kaiser Bolsters Position as Oregon’s Largest Insurer

PacificSource sees largest growth in membership as it aims to become region’s leading plan
October 4, 2012 -- Kaiser Permanente has bolstered its newly won lead as the state’s top health insurer at the same time as long-time leader Regence BlueCross BlueShield has continued its slide. Read More >>
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