by Charlie Swanson, HCAO Legislative Chair
The Oregon Health Authority has finally released a request for proposal (RFP) to analyze the financing of healthcare in Oregon that was defined by HB 3260 in the 2013 legislative session and funded by HB 2828 in the 2015 session. HCAO had hoped the RFP would go out in November of 2015, but we are happy that it is now moving forward. (See the Lund Reportt.)
The study will examine various health care financing models and determine which best provides universal access to comprehensive care at the appropriate time, and is affordable for individuals, families, businesses and society. More details of all of the criteria can be found below.
The study will examine at least four options:
Single-payer: a publicly financed single-payer model for privately delivered health care.
Health Care for All: a commercial coverage option that provides the essential health benefits (EHBs) and operates in an alternative, exchange-like market.
Alternative Marketplace: model that allows individuals to choose between a publicly funded plan, including a basic health program (BHP), and private insurance coverage.
Affordable Care Act (ACA): the current health care financing system in the state that includes CCOs
The results of this very important study should be available by the 2017 legislative session. HCAO will use this information to formulate the plan that we will have on the 2020 ballot for approval by Oregon voters. Our plan will be on the ballot either by a legislative referral or by an initiative petition that we will begin in 2018. We will also push the 2017 legislative session to formulate a reasonable method for the state to respond to the study, assuming that the study does not determine that the current system is best.
The full RFP can be viewed HERE.
The RFP states “The four different Options that will be modeled for financing health care delivery in Oregon, will need to be research-based and individually assessed based on the criteria below:
Provides universal access to comprehensive care at the appropriate time.
Ensures transparency and accountability.
Enhances primary care.
Allows the choice of health care provider.
Respects the primacy of the patient-provider relationship.
Provides for continuous improvement of health care quality and safety.
Reduces administrative costs.
Has financing that is sufficient, fair and sustainable.
Ensures adequate compensation of health care providers.
Incorporates community-based systems.
Includes effective cost controls.
Provides universal access to care even if the person is outside of Oregon.
Provides seamless birth-to-death access to care.
Minimizes medical errors.
Focuses on preventative health care.
Integrates physical, dental, vision and mental health care.
Includes long term care.
Provides equitable access to health care, according to a person’s needs.
Affordable for individuals, families, businesses and society.”