On this day, March 3, 1859, Oregon's first Governor John Whiteaker took office. He was native of Indiana. He joined the army during the Mexican-American War and then prospected during the California Gold Rush. After moving to the Oregon Territory, he served as a judge and member of the legislature.
Also on this day, March 3, 2004, hundreds of gay couples applied for marriage licenses in Portland following an overnight policy change by county commissioners.
Also on this day, March 3, 1999, the New Carissa ran aground again after its towline broke during towing in stormy seas. The oil tanker had run aground earlier in the month near Coos Bay.
Even before the state was hit with COVID-19, the Medicaid burden had become unsustainable
Historically, Medicaid was funded almost exclusively by the federal government. Now, with the Medicaid expansion and the extension of benefits to illegal aliens, Medicaid is on the verge of becoming unsustainable both in terms of costs and the demands that it puts on resources and personnel, and these costs are being increasingly borne by the state. Medicaid programs deliver health care services to over one million people in Oregon -- about a quarter of the population -- primarily through the Oregon Health Plan, which supports comprehensive health care coverage for low-income adults and
children eligible for Medicaid, children eligible under the federal Childrenâ€™s Health Insurance Program (CHIP), and
children who would be eligible for Medicaid or CHIP except for their immigration status.
Oregon's Medicaid programs have experienced significant changes in the last several years. In the 2011-13
biennium, Oregon transformed the way it provides and pays for medical assistance through a new Medicaid
health care delivery system managed by coordinated care organizations (CCOs). A CCO is a network of all types of
health care providers who agree to work together in local communities to serve OHP members. CCOs focus on
prevention; chronic disease management; early intervention; integration of physical, behavioral, and oral health;
and the reduction of waste and inefficiency in the health system.
The jury is still out on the effectiveness of CCOs to meet this mission.
The chart at the right shows the considerable spike in caseload when Medicaid was expanded. It should be noted that the estimates that the chart was based on were made before the recent COVID-19 outbreak.
--Staff Reports, with Legislative Fiscal Office
|Post Date: 2020-04-26 21:20:21
|Last Update: 2020-04-26 21:20:39