Salem, OR—Governor Kate Brown today recognized the work of Patrick Allen, the newly appointed director of Oregon Health Authority (OHA), and his team for acting quickly to bring stability and transparency to OHA's work on behalf of Oregonians. After just two months leading OHA, Allen has directed staff to resolve yet another consequence of the Cover Oregon technology failure. Governor Brown appreciates that Allen is making the resolution of these issues the top priority and looks forward to monthly updates on his team's progress in resolving them.
"Affordable and accessible health care is a right that every Oregonian deserves, but without stability in our health care system, our state cannot ensure that every citizen is able to exercise that right," Governor Brown said. "I thank Director Allen and his team for responding quickly. It's vital that we have a transparent, efficient, and accountable healthcare system because the lives of so many Oregonians depend on it."
Director Allen's team learned that erroneous capitation payments (payments made on a per person basis) were made to Coordinated Care Organizations from 2014 through mid-2016 for those who were eligible for both Medicare and Medicaid. This dual eligible population was not correctly categorized due to the limitations of the incomplete Cover Oregon technology and the manual processes put in place to mitigate these limitations. The incorrect categorization also led to OHA receiving too much federal funding for these members.
OHA leadership was made aware of another possible issue that may require repayment to the federal government and the team is analyzing the issue to identify the scope and additional actions.
For additional questions, please contact: Robb Cowie, OHA Communications Director at 503-421-7684.