"With the passage of Measure 101, we must now shift our focus to improving efficiencies within the Oregon Health Authority and in the administration of the
Oregon Health Plan," House Republican Leader Mike McLane said in a statement.
In operation since 1977, Trillium was first awarded a contract with the state of Oregon to help manage care for the
Oregon Health Plan in 1999.
Physician utilization of diagnostic imaging was measured by comparing severity adjusted RVU's/1,000 for MRI and CAT in the Medicaid line of business including
Oregon Health Plan (OHP).
Oregon Health Plan beneficiaries enrolled in managed care plans may encounter barriers to services requiring prior authorization by their primary care physician, such as specialist referrals.
The state ranks sixth in the proportion of its population that has employer-sponsored insurance, according to the Office for
Oregon Health Plan Policy and Research.
The
Oregon Health Plan also seeks to lower costs by reducing the cost-shift; emphasizing managed care, preventive care, early intervention, and primary care; and not covering ineffective services.
In 1993 the Health Services Commission also will include mental health and chemical dependency services in the prioritized list, as well as extend services to the aged, blind, and disabled, and foster children in the
Oregon Health Plan.
The expansion has boosted
Oregon Health Plan enrollment to an estimated 1 million residents, and the cost of the program has burgeoned.
A 15 percent cutback in the
Oregon Health Plan in 2003 led to a nearly 50 percent increase in hospital admissions of uninsured emergency patients, according to the study.
He found a way to bill the
Oregon Health Plan for $5,000 for the treatments, each of which lasted 45 minutes.