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Senate committee hears bill to make Medicaid CCO rate setting more transparent after 2024 rate strain
Summary
House Bill 4,039 A would require the Oregon Health Authority to adopt a more transparent, data‑driven process for setting coordinated care organization capitation rates and to prepare a medical assistance cost report prior to adopting rate‑related rules; proponents said the 2024 rate cycle left some CCOs with large losses and that clearer methods can improve stability for providers and beneficiaries.
Lawmakers and stakeholders described HB 4,039 A as a response to a difficult 2024 rate‑setting cycle that strained coordinated care organizations (CCOs) and providers. Representative Rob Noss, chair of the House Health Care Committee, said the bill seeks more collaboration between CCOs and the Oregon Health Authority (OHA) to improve the actuarial and rate selection process. "This bill is designed to have more collaboration between the coordinated care organizations and the Oregon Health Authority when it comes to our rate making process," Noss said.
Testimony laid…
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