If you have a news tip send us an email at: tips@oregoncapitalinsider.com


Unclear why leaders weren't told of OHA over payments

Federal officials told OHA about over payments in 2016, but top managers and the governor weren't told.

The federal government told OHA about over payments in 2016, but top management and the governor weren't told until recently.SALEM — The Oregon Health Authority can't say who the federal government told in 2016 that it wanted repayment of $74 million in health care funds, or why that information wasn't shared with top managers or the governor until last month.

In 2016 the Centers for Medicaid and Medicare Services notified the OHA that the state had since 2014 mistakenly categorized people who were eligible for both Medicare and Medicaid. The mistake resulted in Oregon receiving excess federal funding with which it overpaid providers by about $74 million.

The state was able to quietly recoup $10.1 million from providers in 2016. The state could be on the hook for all of the remaining $64 million, unless the Medicare program shares the tab.

Nevertheless, it was a state mistake that caused the overpayment. Improper data entry and software flaws on OHA's end led to patients getting improperly coded and paid for, OHA officials say.

Neither Gov. Kate Brown or her then-health care policy adviser were alerted to the problem when the federal government notified OHA in 2016. Brown learned of the issue late last month.

It's unclear why Brown was not notified sooner.

"I don't know what informed the decision to share and not to share," said OHA Spokesman Robb Cowie.

Cowie said Monday that new leadership at the agency, including Director Patrick Allen and Chief Financial Officer Laura Robison, are trying to get to the bottom of the problems, including how much the state may owe to the federal government and whether they can claw it back from Medicaid providers.

This latest issue occurs in the wake of controversy over the state's handling of the Medicaid expansion under the Affordable Care Act.

Two months ago, former OHA Director Lynne Saxton resigned after revelations about an internal plan to publicly discredit a Portland-area Medicaid provider network. That announcement followed several months of tension over the state's hiccups in verifying that Oregonians on Medicaid were indeed still eligible for the program.

The state's woes around Medicaid implementation began, though, in 2014 with the failure of Cover Oregon, a massive technology project that was supposed to become a state health care exchange.

The public-facing website never went live, but the state ended up using some Cover Oregon databases internally, which OHA says led to problems that are being aired now in the wake of reporting and public records requests by The Oregonian.

Part of the issue was that the patient eligibility data system that would track a patient's status changes didn't link up with a separate software system for payments.

The distinction between Medicaid and Medicare matters to state government because of who pays: states and the federal government bear the costs of Medcaid, but Medicare, the program for the elderly, is paid for by the federal government only.

Cowie says that the front-end problems should be resolved by the state's new eligibility system, which is called ONE and links to the state's payment system.

It also contains more accurate information about patients, Cowie said.

State Rep. Knute Buehler, a Bend Republican who wants to challenge the governor in 2018, called for an outside investigation of the overpayment issue Monday in a letter to Gov. Brown.

He plans to introduce legislation in the upcoming short session, which begins Feb. 1, to require repayment of the remaining $64 million from Medicaid providers.

Meanwhile, the Secretary of State's Office is conducting an audit of the state's Medicaid system that is expected to be complete by early December.

Access your account

Subscriber Login

cialiscialis couponcialis genericcialis dosagegeneric cialiscialis costcialis vs viagracialis pricescialis side effectscialis couponscialis 30 day sampleviagra vs cialiscialis onlinecialis pillscialis samplesbuy cialiscialis 20 mgcialis patent expirationcialis coupons printablecialis for daily usecialis samples overnightcheap cialiscost of cialis200 cialis couponcialis dailycialis 20mggeneric cialis at walmartcealiscialis canadacialis trialhow does cialis workwhen will cialis go genericcialis on lineside effects of cialiscialis 30 day trial couponcialis 5mgcialis for mencialasbuy cialis onlinecialis for salecialis patent expiration date extendedhow to take cialiscialis pricecialis from canadahow much does cialis costfree cialisviagra vs cialis vs levitracialis reviewscialis coupons from manufacturerwhat is cialiscialis pills for salecialis patent expiration 2017canadian cialiscialis tadalafilcialis or viagrageneric for cialiscialis professionalcialis free trialcialis medicationciliascialis for bphcialis coupons 2017cyaliscialis dosage strengthscialis discountgeneric cialis tadalafildiscount cialiscialis dosage recommendationscialis 5 mgonline cialiscialis canadian pharmacycialis copay cardlowest cialis pricescialis for womencialis generic availabilitycialis vouchercialis savings cardcialis 10 mgcialis websitecialis generic tadalafilliquid cialisdaily cialisviagra cialiscialis otcerectile dysfunction cialiscialis 5mg dailycanada cialiscialis coupon 20 mgcialis pricingcialis coupon printviamedic cialiscialis cheapcialis pharmacy pricescialis 20mg directionsprice cialiscialis samplewholesale cialiscialis alternativecialis effectscialis testimonialslevitralevitra couponlevitra 20 mglevitra 20mgbuy levitralevitra priceslevitra genericlevitra onlinelevitra vs viagrageneric levitralevitra couponslevitra rezeptfrei deutschlandlevitra 10 mg prezzocheap levitra9 levitra at walmartlevitra erfahrungenlevitra dosageviagra vs cialis vs levitrageneric levitra vardenafil 20mgwhat works better than viagrabuy levitra onlinelevitra without a doctor prescriptionbuy generic levitralevitra 20mg cost per pillvardenafil 20mglevitra prezzo in farmacialevitra 20 mg precio farmaciavardenafil vs viagralevitra 20 mg cost walmartlevitra vs viagra for hardnesslevitra bayer 20mg meilleur prixlevitra 20 mg von bayerviagrageneric viagraviagra genericviagra couponsviagra without a doctor prescriptionviagra onlineequipe argentine viagraviagra pricesbuy viagracialis vs viagracheap viagraviagra pillsviagra samplesviagra side effectswhat is viagraviagra couponviagra naturalviagra dosageviagra for sale uknatural viagrabuy viagra onlinegeneric viagra 100mgfemale viagrahow does viagra workhow to use viagraviagra activateherbal viagraviagra tabletssophia viagraviagra sans ordonnanceviagra kaufenviagra tabletviagra vs cialisonline viagracanadian viagraviagra for womenviagra ohne rezept aus deutschlandpfizer viagraviagra 100mgviagra costfree viagraviagra alternativesviagra canadaviagra on lineviagra single packsviagra for menviagra pillviagra 100mg tablets retail priceorder viagraviagra tescoside effects of viagraviagra pillen kruidvatviagra for salediscount viagrawhat does viagra doviagra costsviagra uklevitra vs viagrawhere to buy viagraviagra substitutehow long does viagra lastviagra alternativeviagra receptfrittviagra priceviagra 100viagra en ligne livraison 24hviagra on line no precviagra 100 mgutilisation viagrabest price viagracost of viagraviagra sexviagra wikipediasex viagra for womenviagra nebenwirkungenrevatio vs viagraviagra without a doctor prescription usaviagra genericoviagra 50mgviagra from canadaover the counter viagraviagra effectsviagra medicinepfizer viagra coupons from pfizerbuy generic viagraviagra wikiviagra bestellenviagra ohne rezept auf rechnungcanada viagrawomen viagrabuying viagraviagra soft