Oregon 2023 Regular Session

Oregon House Bill HB2878

Introduced
1/9/23  
Refer
1/16/23  
Refer
4/7/23  
Refer
4/7/23  

Caption

Relating to paying for health care.

Impact

The bill emphasizes the need for flexibility and innovation among healthcare providers, allowing them to better address complex health determinants within communities. A notable feature includes a health equity fund designed to finance community interventions targeting social determinants of health, assisting particularly in underserved areas. The legislation offers exemptions from specific regulatory approvals for program participants, potentially streamlining operations within the healthcare sector while still maintaining oversight from the Oregon Health Authority.

Summary

House Bill 2878 establishes the Aligning for Health Pilot Program aimed at testing alternative payment methods for healthcare services. Administered by the Oregon Health Authority, the program seeks to create more predictable and aligned payment models for healthcare providers across various payers. Its goals include increasing the number of providers receiving population-based payments linked to health outcomes, thereby supporting health systems that focus on preventative care and cost containment. The program also aims to enhance equitable access to quality health services forOregonians.

Sentiment

Overall, sentiment surrounding HB 2878 appears to be supportive among legislators prioritizing healthcare reform. Advocates highlight the importance of moving towards value-based care systems that reward quality and outcomes rather than volume. Some concerns may arise regarding the implementation and funding of the pilot program, particularly regarding how resources will be allocated to truly achieve equity and not just across the board reform. With strong backing from both community and health equity advocates, the discussion is framed around improving outcomes for vulnerable populations.

Contention

While the intentions of HB 2878 are largely viewed favorably, points of contention could arise from debates about healthcare financing and cost-sharing responsibilities. Additionally, the effectiveness of the pilot program hinges on accurate risk assessments and the allocation of resources, while potential disparities in outcome measurement could raise concerns about fairness in provider reimbursements. Ensuring meaningful participation from all stakeholders, especially those from marginalized communities, will be critical to the program's success.

Companion Bills

No companion bills found.

Previously Filed As

OR HB4069

Relating to paying for health care.

OR HB3444

Relating to health care; prescribing an effective date.

OR S0211

An act relating to health care reform and to the regulatory duties of the Green Mountain Care Board

OR SB967

Relating to health care; declaring an emergency.

OR S0126

An act relating to health care payment and delivery system reform

OR SB966

Relating to health; and declaring an emergency.

OR AB1130

California Health Care Quality and Affordability Act.

OR SB7

Relating to strategies for and improvements in quality of health care and care management provided through health care facilities and through the child health plan and medical assistance programs designed to improve health outcomes.

OR HB2045

Relating to health care.

OR AB2817

Office of Health Care Quality and Affordability.

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