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State, Ore. Medicaid provider duking it out

portland

Seemingly tranquil Portland.

There’s a¬†bitter contract dispute underway between the State of Oregon and FamilyCare Inc., a company providing medical care via Medicaid to 128,000 Oregon Health Plan members in the Portland area.

The (Portland) Oregonian reported that Oregon Health Authority Director Lynne Saxton wrote on Dec. 1 to other healthcare groups serving the Oregon Health Plan, which serves low-income people, “inviting them to apply for members served by FamilyCare, Inc. as a ‘precautionary’ move.” This suggests that the two organizations might soon part ways.

“The firm is one of 16 organizations and companies that serve the Oregon Health Plan, managing a slice of the state’s Medicaid budget to care for about one in four Oregonians.”

The Oregonian said that “The Oregon Health Authority and FamilyCare disagree over its 2015 reimbursement rates for services, and the state’s effort to retroactively lower them. The two sides are now in court and FamilyCare also has gone to lawmakers for help, according to the The Lund Report, a health care news Web site. The state’s proposed 2016 reimbursement rates are based on the rates currently in dispute.”


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