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- Published Oct 14
- Published Oct 13
- Published Oct 12
Oregon Recruits Three Members for Medicaid Advisory Committee
Oregon Health Authority is recruiting for three open seats on its Medicaid Advisory Committee: a physician licensed under ORS chapter 677, preferably in primary care, and two members of the general public. Applications are due November 6, 2026, with appointments made by the Governor in early January 2027 for three-year terms. The committee is a federally mandated body that advises the Oregon Health Policy Board, OHA, and the Oregon Department of Human Services on the operation of the Oregon Health Plan, the state's Medicaid program. OHA is encouraging applicants from all areas of the state who are committed to reducing health inequities for OHP enrollees.
Why it mattersCommittee composition shapes the advisory input that informs Oregon Medicaid policy decisions affecting providers, enrollees, and health plans operating under the Oregon Health Plan.
- Published Oct 12
- Published Oct 9
Oregon Gubernatorial Candidates Clash Over Hospital Regulation, Rural Care
In a debate aired by NBC5, Oregon Gov. Tina Kotek and state Sen. Christine Drazan sparred over state healthcare regulation and its impact on rural hospitals, citing Asante's more than $1.5 million in state fines as a flashpoint. The candidates presented differing views on whether current regulatory enforcement helps or harms rural hospital systems' ability to operate. The debate occurred this week as part of the 2026 Oregon gubernatorial race. No specific regulatory or Medicaid policy proposal was detailed beyond the candidates' broader disagreement over state oversight of hospitals.
Why it mattersState regulatory posture toward hospital compliance and fines directly affects access and financial stability for rural Medicaid-serving providers in Oregon.
- Published Oct 8
Center for Evidence-based Policy Releases Briefs on Low-Value Medicaid Care
The Center for Evidence-based Policy published findings from its Project for Reducing Ineffective Medicaid Expenditures (PRIME), an initiative funded by Arnold Ventures that examines low-value care across four services in two focus areas. The briefs cover high-complexity genetic testing, expanded respiratory and unspecified infection panel testing, residential treatment for opioid use disorder without follow-up medication, and urine drug screening. Each brief quantifies the scope of low-value care in Medicaid, includes state-specific data, and offers a roadmap for states seeking to curb unnecessary spending on these services.
Why it mattersState Medicaid agencies and MCOs can use the state-specific data and roadmaps to target utilization management and prior authorization policies toward documented low-value services, directly affecting program spending.
- Published Oct 5
Oregon Providers Say Trillium Medicaid Plan Blocks Network Contracts
Behavioral health providers in Lane County, Oregon, including Aspire, say they have been unable to secure contracts with Trillium, the region's Medicaid coordinated care organization, despite seeking to serve its Oregon Health Plan members. Providers report the lack of a contract leaves them without access to their target Medicaid population, and some say they are considering scaling back services as a result. The dispute raises questions about network adequacy and access to behavioral health care for Oregon Health Plan enrollees in the county. No timeline for resolution was reported.
Why it mattersUnresolved contracting disputes between behavioral health providers and a Medicaid managed care plan threaten network adequacy and access to care for Oregon Health Plan enrollees in Lane County.
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