Oregon Health Plan

1
The Oregon Health Plan
Lessons in Health Care Reform
Yay health care!
2
The Problem
3
Background
Hmm If only there was a way to increase the
number of people covered by Medicaid without
increasing costs

• 14 of Oregonians Uninsured
• Health Care costs increasing

4
The Oregon Health Plan
EXPAND COVERAGE

• Coverage for all Oregonians below the poverty
  level
• Mandatory Employer Insurance Coverage

CUT COSTS

• The Prioritized List
• Managed Care

5
Success The mid 90s

• All Oregonians below the federal poverty line
  made eligible for Medicaid
• 2 drop in number of uninsured
• Expanded areas of health care coverage
• Movement to managed care

6
Failures The present

• Budget Cuts
• Decreased Areas of Coverage
• Mental Health
• HIV Carriers

7
Lessons

• The Political Process
• Bringing Health Care into the public debate

I like cheese.
Wow, health care is great!
Health care sucks!
I dont want my health care rationed!
8
Lessons
Cutting Costs
Increasing Funding

• Unreliability of Tax Increases
• The Problem of Explicit Rationing

• Implicit Rationing
• Public Knowledge

9
Lessons
Quality vs. Quantity
10
The Future

• Can the OHP be saved?
• What lessons does Oregon offer for other
  reformers?

11
Brought to you
Any Questions?
By Joey Mello