An Oregon Coordinated Care Organization (COO) (similar to an Accountable Care Organization) that has been in a long dispute with the Oregon Health Authority says it’s ready to settle.
The statement by FamilyCare followed the state’s threat to end its relationship with the organization over alleged overpayments to the COO.
FamilyCare is one of 16 COOs in Oregon and serves nearly 130,000 Oregon Health Plan patients in the Portland area and Marion County.
The organization said it’s prepared to give the state $47.3 million in overpayments. The Oregon Health Authority demands $55 million. FamilyCare also said it wanted a rate increase for this year, saying that under current rates it would lose $31.6 million this year. “The increase would be fully funded by the federal government and have no impact on the state general fund,” FamilyCare asserted.
A spokeswoman for the Oregon Health Authority said state officials are reviewing the proposal.