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Book Oregon s Health Insurance Rate Review Process

Download or read book Oregon s Health Insurance Rate Review Process written by Janet L. Kaminski Leduc and published by . This book was released on 2011 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Discusses Oregon's health insurance rate review process and whether state law requires public hearings as part of the process.

Book Consumer Guide to Health Insurance Rate Review in Oregon

Download or read book Consumer Guide to Health Insurance Rate Review in Oregon written by and published by . This book was released on 2014 with total page 16 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book The Oregon Health Plan

    Book Details:
  • Author : Manufacturers' Alliance for Productivity and Innovation
  • Publisher :
  • Release : 1993
  • ISBN :
  • Pages : 11 pages

Download or read book The Oregon Health Plan written by Manufacturers' Alliance for Productivity and Innovation and published by . This book was released on 1993 with total page 11 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Report and Recommendation of the Oregon Health Resources Commission

Download or read book Report and Recommendation of the Oregon Health Resources Commission written by Oregon Health Resources Commission and published by . This book was released on 1993 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Evaluation of the Oregon Medicaid Proposal

Download or read book Evaluation of the Oregon Medicaid Proposal written by United States. Congress. Office of Technology Assessment and published by . This book was released on 1992 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt: As part of an eventual statewide set of health insurance reform measures, the State of Oregon has proposed implementing a demonstration program, with Federal cofunding, that would change the State's existing Medicaid program in three fundamental ways. It would: 1) expand coverage to include all persons with incomes up to 100 percent of the Federal poverty level; 2) enroll all covered persons in some form of managed care, such as with a health maintenance organization or a "gatekeeper"primary care physician; and 3) determine acute and primary health care benefits according to a ranked list of services, with actual benefits dependent on the level of program funding. [Foreword, p. III]

Book The Medicare Handbook

Download or read book The Medicare Handbook written by and published by . This book was released on 1989 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Health Care Utilization as a Proxy in Disability Determination

Download or read book Health Care Utilization as a Proxy in Disability Determination written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-04-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

Book Moral Hazard in Health Insurance

Download or read book Moral Hazard in Health Insurance written by Amy Finkelstein and published by Columbia University Press. This book was released on 2014-12-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: Addressing the challenge of covering heath care expenses—while minimizing economic risks. Moral hazard—the tendency to change behavior when the cost of that behavior will be borne by others—is a particularly tricky question when considering health care. Kenneth J. Arrow’s seminal 1963 paper on this topic (included in this volume) was one of the first to explore the implication of moral hazard for health care, and Amy Finkelstein—recognized as one of the world’s foremost experts on the topic—here examines this issue in the context of contemporary American health care policy. Drawing on research from both the original RAND Health Insurance Experiment and her own research, including a 2008 Health Insurance Experiment in Oregon, Finkelstein presents compelling evidence that health insurance does indeed affect medical spending and encourages policy solutions that acknowledge and account for this. The volume also features commentaries and insights from other renowned economists, including an introduction by Joseph P. Newhouse that provides context for the discussion, a commentary from Jonathan Gruber that considers provider-side moral hazard, and reflections from Joseph E. Stiglitz and Kenneth J. Arrow. “Reads like a fireside chat among a group of distinguished, articulate health economists.” —Choice

Book Evaluation of the Oregon Medicaid Proposal

Download or read book Evaluation of the Oregon Medicaid Proposal written by and published by . This book was released on 1992 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Technical Assistance Report For  Oregon Health Insurance Marketplace  Cover Oregon

Download or read book Technical Assistance Report For Oregon Health Insurance Marketplace Cover Oregon written by Centers for Medicare & Medicaid Services (U.S.) and published by . This book was released on 2014 with total page 29 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides the findings and recommendations from the Centers for Medicare and Medicaid Services (CMS) State Engagement (SE) Team's review and assessment of the Cover Oregon (CO) HIX System. Contains the approach used for capturing observations based on inputs from the CO stakeholders and provides suggested actions to CO on how to improve specific areas of the system engineering solution.

Book A Comprehensive Assessment of Four Options for Financing Health Care Delivery in Oregon

Download or read book A Comprehensive Assessment of Four Options for Financing Health Care Delivery in Oregon written by Chapin White and published by . This book was released on 2017 with total page 147 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report describes four options for financing health care for residents of the state of Oregon and compares the projected impacts and feasibility of each option. The Single Payer option and the Health Care Ingenuity Plan would achieve universal coverage, while the Public Option would add a state-sponsored plan to the Affordable Care Act (ACA) Marketplace. Under the Status Quo option, Oregon would maintain its expansion of Medicaid and subsidies for nongroup coverage through the ACA Marketplace. The state could cover all residents under the Single Payer option with little change in overall health care costs, but doing so would require cuts to provider payment rates that could worsen access to care, and implementation hurdles may be insurmountable. The Health Care Ingenuity Plan, a state-managed plan featuring competition among private plans, would also achieve universal coverage and would sever the employer–health insurance link, but the provider payment rates would likely be set too high, so health care costs would increase. The Public Option would be the easiest of the three options to implement, but because it would not affect many people, it would be an incremental improvement to the Status Quo. Policymakers will need to weigh these options against their desire for change to balance the benefits with the trade-offs.

Book Medicaid

    Book Details:
  • Author : U S Government Accountability Office (G
  • Publisher : BiblioGov
  • Release : 2013-06
  • ISBN : 9781289103156
  • Pages : 70 pages

Download or read book Medicaid written by U S Government Accountability Office (G and published by BiblioGov. This book was released on 2013-06 with total page 70 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pursuant to a congressional request, GAO reviewed Oregon's current Medicaid managed care program and the state's proposed expansion of the program as part of a larger demonstration. GAO found that: (1) Oregon's current managed care program provides adequate access to health services, despite indications of strained capacity, which the state is working to address by recruiting more health plans; (2) Oregon's current program incorporates safeguards that help protect Medicaid managed care clients against inappropriate reductions in access to care; (3) the Oregon program meets federal requirements for safeguarding the quality of care through reviews of the quality assurance efforts of individual health plans and through annual reviews of patients' medical records; (4) the Oregon program also attempts to determine client views and problems through a grievance process, satisfaction surveys, and special hearings; (5) in 1991, Oregon officials found quality assurance activities at most participating health plans to be substantially in compliance and Oregon's opinion surveys and grievance procedures likewise disclosed few problems; (6) Oregon's independent medical record review process identified few quality problems in the program, but concluded that health screening services for children should be improved; (7) the effectiveness of Oregon's financial oversight systems could be improved by providing guidance on financial reporting, defining the state's solvency indicators and evaluation criteria, and extending reporting requirements to subcontractors; (8) Oregon could require contracting plans to disclose ownership, control, and other information, which could help program managers ensure that Medicaid funds are not diverted from the delivery of health services; and (9) concerns exist over whether Oregon's proposed demonstration project can develop adequate health plan and physician capacity within 1 year to serve three times its current managed care enrollment.

Book The Oregon Blue Book

    Book Details:
  • Author : Oregon. Office of the Secretary of State
  • Publisher :
  • Release : 2003
  • ISBN :
  • Pages : 528 pages

Download or read book The Oregon Blue Book written by Oregon. Office of the Secretary of State and published by . This book was released on 2003 with total page 528 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Patient Protection and Affordable Care Act  Implementation in the Wake of Administrative Delay  Serial No  113 72  July 18  2013  113 1 Hearing

Download or read book Patient Protection and Affordable Care Act Implementation in the Wake of Administrative Delay Serial No 113 72 July 18 2013 113 1 Hearing written by and published by . This book was released on 2014 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Care Without Coverage

    Book Details:
  • Author : Institute of Medicine
  • Publisher : National Academies Press
  • Release : 2002-06-20
  • ISBN : 0309083435
  • Pages : 213 pages

Download or read book Care Without Coverage written by Institute of Medicine and published by National Academies Press. This book was released on 2002-06-20 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.