Medicaid

Medicaid payments audit

Oregon likely spent $1.6 million on inappropriate Medicaid charges, audit finds (Oregonian, 12/16/21)

State audit finds $1.6 million in likely inappropriate Medicaid payments related to hospital stays (Capital Chronicle, 12/15/21)

Thumbnail of cover from the document Oregon Health Authority : timely notification of inpatient hospital stays could help reduce improper Medicaid paymentsOregon Health Authority : timely notification of inpatient hospital stays could help reduce improper Medicaid payments (2021) Oregon Audits Division

Nursing home abuse

Oregon nursing home abuse not properly reported to oversight agency, report says (Statesman Journal, 4/23/2019)

Management report : CMS needs to address gaps in federal oversight of nursing home abuse investigations that persisted in Oregon for at least 15 years (2019) United States Government Accountability Office

Follow-up Medicaid audit

Report: OHA Still Has Work To Do Improving Medicaid Payment Oversight (OPB, 3/27/2019)

OHA is making progress in detecting improper Medicaid payments, new audit finds (Portland Business Journal, 3/28/2019)

Oregon Health Authority : recommendation follow-up report : Oregon Health Authority should improve efforts to detect and prevent improper Medicaid payments (2019) Oregon Audits Division

Oregon Health Authority should improve efforts to detect and prevent improper Medicaid payments (2017) Oregon Audits Division

Oregon Health Plan performance

Oregon health reform claim meets reality (Portland Tribune, 12/17/18)

Evaluation of Oregon’s 2012-2017 Medicaid waiver : final report [PDF] (2017) Oregon Health & Science University

Health system transformation (serial) Oregon Legislative Policy and Research Office