OSU lands federal grant to study Medicaid

2013-10-23T08:16:00Z 2013-10-23T23:44:39Z OSU lands federal grant to study MedicaidCorvallis Gazette-Times Corvallis Gazette Times
October 23, 2013 8:16 am  • 

Oregon State University and the Oregon Health Authority have received $1.25 million from the Centers for Disease Control to study the health impact of opening the Oregon Health Plan to more people.

OSU announced the grant in a press release Wednesday.

The five-year study will evaluate how the health of low-income women and their infants is affected when more of them are eligible for Medicaid health care coverage, i.e., the Oregon Health Plan.

The OSU team will be led by researchers in the College of Public Health and Human Sciences, including Marie Harvey, Jeff Luck, Jocelyn Warren and Jangho Yoon.

“Oregon is an ideal state to conduct this study because of its ongoing commitment to Medicaid health care delivery for all, and the commitment of state leaders to collaborate to ensure this program’s success,” said Harvey, the associate dean for research in OSU’s College of Public Health and Human Sciences, and one of the grant’s principal investigators.

One of the study’s goals will be to create an integrated, state-level data system that links de-identified Medicaid information with other existing health care data, such as from hospitals and birth and death certificates. The hope is that this data system will help answer critical questions about the effect of Medicaid expansion on the use of health services and health outcomes among women and their children. A group of county and community groups in the state with interest in maternal and child health will participate in setting research priorities for the study.

The project has been endorsed by Gov. John Kitzhaber, who has led the state’s efforts on implementation of comprehensive reform of Oregon’s Medicaid financing and delivery system.

“This project is an ideal complement to ongoing health system innovation and reforms in Oregon,” said Mike Bonetto, senior health care policy adviser to Gov. Kitzhaber. “This project will play a key role in our action plan by providing concrete data on how we can improve the health care and health outcomes of Medicaid-eligible women and their infants, a particularly vulnerable population.”

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(1) Comments

  1. TruthIs
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    TruthIs - October 23, 2013 10:22 am
    By serendipity, this posted about the same time as this Gazette-Times story:

    Health Systems Work to Block Impact of Self-Referral Law

    These two stories are connected. You'll note that it was one of Kitzhaber's key Democratic allies in the Oregon Senate, Laurie Monnes-Anderson (D), who tried to stop the bill. You'll also note it is the Oregon Health Authority, led by Goldberg and that of course is carrying out Kitzhaber's and Bonetto's agenda that is now trying to kill this through rulemaking:

    Now those same hospital forces are working overtime to kill the heart of the new law’s reforms and notification requirements, using an Oregon Health Authority rule-making process laid out in a last-minute amendment to SB 683 adopted in the House.
    ...
    Amanda Hess, the legislative aide for Shields, pleaded with the Oregon Health Authority to require an oral notification, which she said would take no more than 10 seconds.


    You also need to know that because Oregon expanded eligibility for Medicaid to 138% of the Federal Poverty Level, they actually also legally blocked anybody who makes 100% FPL to 138% FPL from going into CoverOregon and receiving a subsidy to buy insurance of their choice. These people are legally forced into Medicaid if they can't afford to pay 100% of the premium of private insurance.

    The OHP itself now is actually a fully privatized HMO-style insurance system where in most parts of the state outside Portland people don't even a choice between two plans ("Coordinated Care Organizations" - CCOs). Recipients most definitely do not have any significant "self-referral" options in the system. Indeed "choice" is limited to what the insurance company and the providers decide for each individual, and that choice is itself limited by the state under the "Prioritized List" that rations medical care based on criteria other than an individual's diagnosis and care preferences.

    I think the readers can fill in the rest of the story between this G-T item, the Lund Report item, and what that is likely to mean or not mean for patients and consumers inside and outside the OHP. (PEBB/OEBB recipients may want to pay special attention to that.)

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