Last edited by Faugis
Saturday, May 2, 2020 | History

1 edition of Oregon Medicaid reform demonstration found in the catalog.

Oregon Medicaid reform demonstration

Oregon Medicaid reform demonstration

a waiver amendment request to add persons 65 or older, persons with disabilities, and children in foster care to the demonstration

by

  • 244 Want to read
  • 30 Currently reading

Published by Office of Medical Assistance Programs, Oregon Dept. of Human Resources in [Salem, Or.] .
Written in English

    Places:
  • Oregon.
    • Subjects:
    • Medicaid -- Law and legislation -- Oregon.,
    • Older people -- Medical care -- Law and legislation -- Oregon.,
    • People with disabilities -- Medical care -- Law and legislation -- Oregon.,
    • Foster children -- Medical care -- Law and legislation -- Oregon.

    • Edition Notes

      Statementprepared for the Health Care Financing Administration, US Department of Health and Human Services ; submitted by Office of Medical Assistance Programs, Oregon Department of Human Resources.
      ContributionsOregon. Office of Medical Assistance Programs., United States. Health Care Financing Administration.
      Classifications
      LC ClassificationsKFO2741.5.P65 O74 1993
      The Physical Object
      Pagination1 v. (various pagings) :
      ID Numbers
      Open LibraryOL1239381M
      LC Control Number94620713
      OCLC/WorldCa29810993

      The Medicaid and CHIP Payment and Access Commission is a non-partisan legislative branch agency that provides policy and data analysis and makes recommendations to Congress, the Secretary of the U.S. Department of Health and Human Services, and the states on a wide array of issues affecting Medicaid and the State Children’s Health Insurance Program (CHIP).   Prior to , Medical Assistance in Minnesota was available to parents with dependent children if their household income was up to percent of poverty, and to adults without dependent children if their household income was up to 75 percent of poverty. Minnesota was already very progressive in providing Medicaid access for most of the state's low-income .   The Forum's work related to Medicaid and CHIP included monitoring of state health coverage initiatives through section waivers, state-federal relationships and budget concerns, and delivery system innovations, as well as providing information about the group of individuals who are dually eligible for both Medicare and Medicaid. The necessary federal waiver process has been sped up enormously under the new administration. Oregon finally received its waiver on Ma , to expand its Medicaid benefits to more Oregonians by prioritizing treatments. Hawaii received a Medicaid waiver to proceed with a demonstration of its new Health Quest program in late summer


Share this book
You might also like
NCHSR extramural research.

NCHSR extramural research.

Therapeutic microwave and shortwave diathermy

Therapeutic microwave and shortwave diathermy

Visitor impacts on national parks

Visitor impacts on national parks

current trends in port pricing.

current trends in port pricing.

Lease and transfer of tobacco acreage allotments :#bhearings before the Subcommittee on tobacco ... Eighty-seventh Congress, first session, on H.R. 1022. June 22 and July 25, 1961.

Lease and transfer of tobacco acreage allotments :#bhearings before the Subcommittee on tobacco ... Eighty-seventh Congress, first session, on H.R. 1022. June 22 and July 25, 1961.

Bent Copper

Bent Copper

cross word puzzle book for children no. 1

cross word puzzle book for children no. 1

Strictures on Mr. Ballous sermon, delivered at the Second Universalist meeting in Boston, on the evening of the first sabbath in January, 1818

Strictures on Mr. Ballous sermon, delivered at the Second Universalist meeting in Boston, on the evening of the first sabbath in January, 1818

Tepee, sun and time

Tepee, sun and time

Surveying US and Canadian welfare reform

Surveying US and Canadian welfare reform

Surface structure and mechanisms of gasification catalyst deactivation

Surface structure and mechanisms of gasification catalyst deactivation

Dancing and dancers of today

Dancing and dancers of today

Why you should be a socialist

Why you should be a socialist

Trinity College

Trinity College

A troopers narrative of service in the anthracite coal strike, 1902

A troopers narrative of service in the anthracite coal strike, 1902

Problems and methods in enzyme research

Problems and methods in enzyme research

Oregon Medicaid reform demonstration Download PDF EPUB FB2

The Oregon Health Plan (OHP) provides health care coverage for Oregonians from all walks of life. This includes working families, children, pregnant women, single adults and seniors. Apply for OHP today. Check out the OHP handbook to learn about how to use your benefits.

Interested in public charge. You can read more about the federal rule. The Oregon Health Authority is closely monitoring an outbreak of respiratory illness caused by a novel (new) coronavirus first identified in Wuhan, Hubei Province, China.

You can now explore the Junction City and Salem campuses through a new series of degree photos and videos on the OSH website. You’ll learn about daily life, treatment. Critics counter that 60 percent of non-disabled Medicaid recipients work already, 43 percent in Oregon.

Furthermore, they contend the policy could backfire by depriving economically vulnerable. The Evaluation of the Oregon Medicaid Reform Demonstration (), the Evaluation of the State Medicaid Reform Demonstrations (in Hawaii, Rhode Island, and Tennessee) (), and the Evaluation of the State Medicaid Reform Demonstrations (in Kentucky; Los Angeles County, California; Minnesota; New York; and Vermont) () are three such.

Oregon Health Plan and Medicaid Reform. Oregon Medicaid reform demonstration book Medicaid program underwent a major reform beginning February 1,with implementation of its section Medicaid demonstration project under the Oregon Health Plan (OHP).

At that time, the program was expanded to cover persons with incomes below the Federal poverty by:   The recent study of Oregon's experience affirms what previous research had already shown: Medicaid enrollees use the emergency room about 40 percent more than the uninsured.

So traffic to our. Whatever the case, “if Oregon is any example, [the federal waiver process] has the potential to have a chilling effect 11 on state efforts to reform health care, said Lynn Read, director of the Cited by: The Oregon Plaif s Impact On the Future of Healthcare Reform BY JANE H.

WHITE O a August 3,after nearly a year of Oregon Medicaid reform demonstration book, Secretary of Health and Human Services (HHS) Louis W. Sullivan, MD, denied the federal waiver Oregon needed to proceed with the Medicaid por­ tion of its broad-ranging healthcare reform plan.

Oregon Office of Medical Assistance Programs: The Oregon Health Plan Medicaid Demonstration Phase II Training Resource Book.

Office for Oregon Health Plan Policy and Research: Assessment of the Oregon Health Plan Medicaid Demonstration, February 67th Oregon Legislative Assembly: Senate BillSect Subsection 2.

Most recently Zimmerman has been working as a Vice President at Hennepin Healthcare, but prior to that she served as Minnesota s State Medicaid Director for 4 years, and several roles at DHS over the past decade that included leading the development and launch of the department s purchasing reform initiatives including direct provider.

A Medicaid and CHIP state plan is an agreement between a state and the Federal government describing how that state administers its Medicaid and CHIP programs.

It gives an assurance that a state will abide by Federal rules and may claim Federal matching funds for its program activities. For purposes of Medicaid, telemedicine seeks to improve a patient's health by permitting two-way, real time interactive communication between the patient, and the physician or practitioner at the distant site.

This electronic communication means the use of interactive telecommunications equipment that includes, at a minimum, audio and video equipment. Medicaid, the provider of health insurance coverage for about one in five Americans and the largest payer for long-term care services in the community and nursing Oregon Medicaid reform demonstration book, continues to Author: Robin Rudowitz.

Medicaid is the primary payer for long-term services and supports, including nursing home care and home health services, the need for which is expected to grow considerably as the population ages.

Using Medicaid’s flexibility — including a number of new state options created by the ACA — states have greatly expanded home- and community. Chapter of the Oregon Laws established the Patient Centered Primary Care Home (PCPCH) Program by the Office for Oregon Health Policy and h this program, the Office shall: Define core attributes of the patient centered primary care home; Establish a simple and uniform process to identify patient centered primary care homes that meet the core.

The Oregon Health Authority is overseen by the Oregon Health Policy Board (OHPB), a nine-member citizen board. OHA is responsible for the many of the state’s major health systems including the Medicaid program known as the Oregon Health Plan, the Oregon State Hospital, public health, behavioral health, and the Public Employees Benefit Board and Oregon.

K. John McConnell is director of the Center for Health Systems Effectiveness and professor in the Department of Emergency Medicine at Oregon Health & Science University. His research has focused on the Medicaid program and on payment and delivery system reform, with particular attention to the ways that reforms can address behavioral health, social Author: Jonah Kushner, K.

John McConnell. A comprehensive reform of the Medicaid program was recommended by an ad hoc committee, which I chaired, of the Health Policy Agenda for the American People.

The committee cited wide variations in eligibility, benefits, and payment levels as the principal deficiency in : Tallon. Medicaid Program Changes: Analysis of Potential Savings and Considerations 5/2/17 Health Management Associates 4 Medicaid Redesign: Benefits and Benefits Administration The cost of administering a State Medicaid program is related to the number of beneficiaries, the services provided and the prices associated with covered Size: KB.

Oregon Health Plan Accomplishments: n Immediately covereduninsured people by expanding eligibility to % FPL n Reduced uninsured from 18% to 8% of adults. Oregon Health System Transformation Mid-Year Performance Report Oregon Health Authority CCO Report Showing Decreased Emergency Department Use National Academy for State Health Policy (NASHP) OR ACO Demonstration Summary.

Medicaid expansion is voluntary and has become a highly discussed topic in state legislatures across the country. As of Septem31 states and the District of Columbia have expanded Medicaid, and 19 states have not participated in expansion.

KanCare: Medicaid in Kansas. Kansas participates in Medicaid, but has notFile Size: 1MB. In addition to cost issues, like elsewhere, health care quality was uneven at best and the health care system was difficult to navigate and increasingly complex.

Oregon had a long history of progressive health reform and the election of a Governor with a track record of effective health reform set the stage for : Bruce Goldberg, Ron Stock, Ron Stock.

Healthcare reform in the United States has a long s have often been proposed but have rarely been accomplished. Inlandmark reform was passed through two federal statutes enacted in the Patient Protection and Affordable Care Act (PPACA), signed Maand the Health Care and Education Reconciliation Act of (), which amended.

Changes in Per Member Per Month Expenditures after Implementation of Florida’s Medicaid Reform Demonstration. Harman J, Lemak C, Al-Amin M, Hall A, Duncan R. Health Serv Res. Jun; 46(3): This study analyzed the impact of Florida’s Medicaid Reform Demonstration (Section Waiver) on per member per month (PMPM).

Downloadable. Oregon is using a Medicaid Section demonstration waiver to redesign the structure of its Medicaid delivery and payment systems and to drive transformation of the state’s health care system.

This report summarizes the results of a midpoint evaluation of Oregon’s demonstration and the introduction of coordinated care organizations (CCOs). Member of the Technical Advisory Panel for the Evaluation of the Oregon Medical Reform Demonstration (for the Health Care Financing Administration), February February Member of the Technical Advisory Panel for the MEPS/NMES-3 for the Agency for Health Care Policy and Research, July September Another feature of Oregon’s Medicaid model that fosters community engagement to support the Triple Aim of better health, better care, and lower costs is an annual financial pool or “quality pool,” established through Oregon’s demonstration waiver that rewards CCOs for the quality of care provided to Oregon Health Plan : Chris DeMars.

Medicaid Source Book: Background Data and Analysis (A Update), House Commerce Committee Print A, January, pp. General Accounting Office. Robert Berenson is an institute fellow at the Urban Institute.

Berenson completed a three-year term on the Medicare Payment Advisory Commission inthe last two as vice-chair. From tohe was in charge of Medicare payment policy and private health plan contracting in the Centers for Medicare and Medicaid by: 1. Purpose: Money Follows the Person (MFP) is a Medicaid Demonstration Project that assists eligible individuals in transitioning from qualified long-term care facilities into their homes and communities with appropriate support.

As a demonstration project, MFP also examines and works to improve functions, processes and expectations related to. We pledge to put patients first in all of our programs – Medicaid, Medicare, and the Health Insurance Exchanges.

To do this, we must empower patients to work with their doctors and make health care decisions that are best for them. This means giving them meaningful information about quality and costs to be active health care consumers. Use states’ policy and contracting levers to address prevention and health-related social needs in payment and delivery reform.

States can leverage Medicaid managed care contracting, build on the flexibility available through Section demonstration waivers, and maximize State Innovation Model (SIM) investment in population health to focus.

It looks like at least one little corner of the epic ObamaCare disaster might result in criminal charges, as the Oregonian reports “the U.S.

Attorney’s office issued broad subpoenas seeking information from Cover Oregon and the Oregon Health Authority”: While the Federal Bureau of Investigation’s interest in the exchange debacle had been previously reported, the.

Value-based programs reward health care providers with incentive payments for the quality of care they give to people with Medicare. These programs are part of our larger quality strategy to reform how health care is delivered and paid for.

Value-based programs also support our three-part aim: Better care for individuals. Arizona Health Care Cost Containment System (AHCCCS) is Arizona's Medicaid agency that offers health care programs to serve Arizona residents. Individuals must meet certain income and other requirements to obtain services.

Wikimedia Commons has media related to Centers for Medicare and Medicaid Services. This category contains articles that refer to two government-run health insurance programs in the United States, Medicare and Medicaid. To support demonstrations to integrate Medicare and Medicaid for dual eligibles, the Centers for Medicare and Medicaid Services (CMS) offering state Medicaid agencies grants of up to $15 million each.

The funds are for implementation of CMS approved designs to integrate care for Medicare-Medicaid enrollees. Most of the state demonstrations involve the use of integrated [ ]. February 1, CMS Approves Request to Amend New Hampshire's Building Capacity for Transformation Waiver. The Centers for Medicare & Medicaid Services (CMS) has approved New Hampshire's request to amend to its section l l l 5(a) demonstration titled, "Building Capacity for Transformation" (BCT) (Project Number l l-W/1).

The “enhanced” Federal Medical Assistance Percentages (FMAPs) for the Medicaid expansion in the original bill (P.L.§ and §) were modified in the “reconciliation” bill.

Byevery hospital emergency room in Illinois must have staff that can provide specialized care to victims of sexual assault. This new requirement is the result of HBa bill passed unanimously by the General Assembly and signed into law this the law, a trained provider will have to be present in the emergency room within 90 minutes of the patient .What Oregon wants from the federal government (through the Health Care Financing Administration) is a waiver of the Medicaid requirements defining the amount, duration, and scope of benefits provided.Achieving the President’s goals to reform Medicaid will require providing States with more flexibility to improve healthcare delivery to meet the needs of their unique populations.

Direct Primary Care practices, in which physicians offer primary care services to patients at a set price, generally without payer or insurer involvement, are a Author: Office of Budget (OB).