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Primary care providers tell committee burdens of prior authorization, fragmented contracts are straining clinics
Summary
Federally qualified health centers, independent clinicians and primary care advocates testified that administrative burdens, inconsistent quality measures across payers, and inadequate payment models threaten Oregon’s patient-centered primary care home model and contribute to workforce strain and access problems.
The House Committee on Behavioral Health and Health Care held an informational hearing on primary care in Oregon after closing discussion on PBMs. Speakers from the Oregon Primary Care Association, the Oregon Academy of Family Physicians, federally qualified health centers, and independent clinics described administrative complexity, workload, and payment shortfalls that they said undermine primary care capacity and patient access.
Danielle Sobel of the Oregon Primary Care Association summarized the state’s long-running investments and initiatives — the patient-centered primary care home (PCPCH) model, coordinated care organizations (CCOs), and alternative payment models — and said multiple payers with differing…
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