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Summer 2012 - Oregon Chapter of The American Massage Therapy ...

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By Cindy Robert<br />

AMTA-OR Lobbyist<br />

AMTA <strong>Oregon</strong> News ~ 4<br />

#1 — FORWARD!!!<br />

Governor making more strides in health care transformation<br />

Licensed <strong>Massage</strong> <strong>The</strong>rapist included in changes<br />

<strong>The</strong> U.S. Department <strong>of</strong> Health and Human Services (HHS) has given preliminary approval <strong>of</strong> a five-year,<br />

$1.9 billion demonstration <strong>of</strong> a Federal-State partnership to transform the way that care is delivered in <strong>Oregon</strong>'s<br />

Medicaid program. <strong>The</strong> initial investment <strong>of</strong> $620 million in the second year <strong>of</strong> the State’s current biennium<br />

will allow <strong>Oregon</strong>’s new coordinated care organizations to better deliver higher-quality care for<br />

Medicaid patients while reducing preventable errors. <strong>Oregon</strong> estimates that this will achieve $11 billion in<br />

savings over the next decade.<br />

<strong>The</strong> deal brings $620 million this year, another $620 million next year and smaller totals for the last three<br />

years to help underwrite the cost <strong>of</strong> transitioning to the new system. Kitzhaber and lawmakers counted on<br />

that federal money when they approved the 2011-13 budget.<br />

In <strong>2012</strong>, state legislators passed a plan to improve Medicaid, but needed federal money to make it happen.<br />

<strong>The</strong> transformation centers around the creation <strong>of</strong> what are called Coordinated Care Organizations (CCO's),<br />

which are teams <strong>of</strong> health care workers from specific geographic areas. Instead <strong>of</strong> competing against each<br />

other, doctors, nurses and other health care providers will team up to work together. Eventually, this model<br />

could be extended beyond the Medicaid population.<br />

Alternative providers, such as chiropractors, acupuncturists, naturopathic & optometric physicians, nurses<br />

and massage therapists, worked together to assure that these networks included all types <strong>of</strong> providers and included<br />

requirements for provider reimbursement, network adequacy and appeals in order to meet the needs<br />

<strong>of</strong> <strong>Oregon</strong>ians in the <strong>Oregon</strong> Health Plan. With the<br />

goal <strong>of</strong> comprehensive, preventive care alternative providers<br />

worked together to assure the right "nondiscrimination"<br />

language was included in the next phase<br />

<strong>of</strong> <strong>Oregon</strong>'s health care transformation.<br />

For the 600,000 depending on Medicaid, there will not<br />

be big changes right away. <strong>The</strong>re will be a transition<br />

period, and then the first Coordinated Care Organizations<br />

are expected to be up and running by the end <strong>of</strong><br />

summer.<br />

Please let AMTA <strong>Oregon</strong> know what you are hearing<br />

about CCOs and your inclusion in them! <br />

#2 — BALLOT MEASURES<br />

• <strong>The</strong>re are several ballot measures being circulated for<br />

signatures to garner a place on the November election in<br />

<strong>Oregon</strong>.<br />

• Preventing state and local governments from implementing<br />

a real estate transfer fee/tax.<br />

• Setting up state licensed stores for the sale <strong>of</strong> medical<br />

marijuana.<br />

• Legalization <strong>of</strong> marijuana.<br />

(Continued on next page)

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