Tag Archives: Medicaid

CCO that claimed Portland hospitals conspired against it is barred from metro-area market

Sweet victory has quickly soured for Trillium Community Health Plan as the state continues to reorganize its Medicaid health plans. State regulators late last week notified Eugene-based Trillium that they had rescinded their decision to allow the company to expand from its Lane County base into the Portland area. Source: CCO that claimed Portland hospitals […]
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Breaking News: State Blocks Trillium’s Medicaid Bid In Portland Area

The Oregon Health Authority has abruptly halted the controversial drive by Trillium Community Health Plan into the Portland-area Medicaid market for 2020. The state told Trillium in a Nov. 8 letter it cannot start managing Medicaid members in the Portland until at least next April 1, and then only if it proves it has contracted […]
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Trillium, Oregon Health Authority Give Erroneous Information To Medicaid Clients

Trillium Community Health Plan has been issuing erroneous and potentially deceptive information about its hospital provider network that could hurt Portland-area Medicaid patients who switch to Trillium’s insurance plan for next year. Request full-text (for State Agency patrons only) Source: Trillium, Oregon Health Authority Give Erroneous Information To Medicaid Clients

Laid-off Hewlett-Packard employee who shut down Oregon’s Medicaid computers gets home detention

“I can clearly see I didn’t think things through,’’ Hossein Heydari told the court. “I am deeply remorseful and regretful.’’ Source: Laid-off Hewlett-Packard employee who shut down Oregon’s Medicaid computers gets home detention

Healthcare Comparison Study | Opioid Addiction | Ambient Sounds – OPB’s Think Out Loud

Oregon Health and Science University has just released a new study comparing the medical care access of patients with private health insurance and access for similar care for Medicaid recipients. John McConnell tells us about the significant differences — and similarities — between the two groups, and why it matters. Opioid overdoses are a leading cause […]
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Trillium Accuses ‘Big Three’ Hospitals In Lawsuit Of Collusion To Keep It Out of Portland-Area Medicaid Market

Following through on earlier threats, Trillium Community Health Plan on Thursday filed a federal antitrust lawsuit against the Legacy, Providence and Oregon Health & Science University systems alleging they illegally colluded to block Trillium from the Portland-area Medicaid market. Request full-text (for State Agency patrons only) Source: Trillium Accuses ‘Big Three’ Hospitals In Lawsuit Of Collusion […]
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Oregon Health Authority lowers hammer on Health Share for transportation problems

Medicaid enrollees have complained of late or canceled rides, and drivers have said they haven’t been paid by Health Share’s vendor. After Medicaid enrollees in the Portland area complained of problems with Health Share of Oregon’s nonemergency transportation program, the Oregon Health Authority issued a corrective action plan this week. The plan requires Health Share, […]
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Bill would lower medical costs for Jackson County Jail

People lodged in the Jackson County Jail while awaiting trial would no longer lose their federally funded health insurance under a bill introduced this week by Sen. Jeff Merkley, D-Oregon. If approved by Congress, the bill could help ease the financial burden Jackson County takes on when inmates lose Medicare, Medicaid and veterans’ benefits. Source: […]
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Trillium making inroads in signing up providers for Medicaid patients

Despite major setbacks in signing up hospital systems, Trillium Community Health Plan is making progress in building out its provider network for Medicaid. Source: Trillium making inroads in signing up providers for Medicaid patients 

OSU Study Suggests Oregon Medicaid System Is Cutting Needless Hospital Visits

Oregon’s Medicaid program is helping to cut expensive unscheduled trips to the hospital by low-income, government-insured patients, an Oregon State University study says. The researchers studied the files of more than 86,000 Medicaid-eligible women ages 15-44 from 2011 to 2013 looking at total hospital admissions, scheduled, unscheduled and preventable, OSU said. Request full text (State […]
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