VOTE: NO – Signed into Law by Gov.Brown
Status (overview) of bill:https://olis.leg.state.or.us/liz/2019R1/Measures/Overview/HB2447
This bill requires Oregon Health Authority to provide forum of nonprofit health care systems to develop a proposal for Oregon’s future health care delivery system.
Limited Government
In 2012, Oregon executed a five-year extension and amendment to its section 1115 Medicaid waiver with the federal Centers for Medicare and Medicaid Services. Under the 2012-2017 waiver reducing spending growth, and increasing health care access and quality by transforming health care delivery and payment for Medicaid members. Oregon enrolled Medicaid members in coordinated care organizations (CCOs) allowing CCOs to experiment with new delivery and financing models. Oregon’s most recent health reform effort is to transition to CCO 2.0. HB 2447 establishes a collaborative led by the Oregon Health Authority to create the experimental, prototype health care of tomorrow.
Free Markets
Does not evoke the free market and directs the plan towards a single-payer plan. (3)(e) The nonprofit health care systems participating in the experimental, prototype health care of tomorrow may not be competitors, but must work together in an integrated fashion to maximize their shared social missions.
I believe that if you are on Medicaid that this is a perfectly appropriate health care system. Let the people that want “free government controlled” health care try this out and see how this type of system really works. Let’s “kick the tires” on this and then find providers that will participate for a drastic drop in pay. In a system that already has a deficit of nurses, providers and associated support staff that have MAJOR money tied up in their education, this seems unreal. Just remember that 50 out of 100 graduating health care professionals will graduate in the bottom 50 % of the class. Is this where they will eventually wind up ?