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Oregon's market oversight program offers model of transaction review and conditional approvals

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Summary

Oregon officials described a four-year-old market oversight program that publicly reviews major health-care transactions, can approve/deny with conditions, requires transaction notices above revenue thresholds, and performs 1/2/5-year follow-ups to assess impacts on cost, access and equity.

A representative from the Oregon Health Authority described Oregon's Healthcare Market Oversight program (HCMO), which has statutory authority to review a broad set of health-care transactions, post public notice and, in some cases, approve, deny or approve with conditions.

Oregon's program requires notice for transactions that meet a materiality threshold (e.g., one party with at least $25 million in net patient revenue and the other at least $10 million) and covers mergers, acquisitions, affiliations and some…

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