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VBBS: Oregon Health Plan Goals

VBBS: Oregon Health Plan Goals

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Published by Statesman Journal
How do we implement cost effective cancer treatment in patients with short life expectancy with a limited budget?
How do we implement cost effective cancer treatment in patients with short life expectancy with a limited budget?

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Published by: Statesman Journal on Aug 08, 2013
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09/18/2013

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Oregon Health PlanGuideline Note 12
How do we implement cost effectivecancer treatment in patients with short lifeexpectancy with a limited budget?
Kevin Olson MD
 
 
Oregon Health Plan Goals
 
Goal is health rather than insurancePublic input important in prioritizing values that drive the planBudget constraints to be met by reducing benefits rather thancutting people or reducing payments below cost of deliveringcarePrioritize coverage by using best evidence of clinical effectivenessMaintain integrity of prioritization by prohibiting legislativechanges (i.e. legislators only set global budget, not specificcoverage priorities)Expand coverage to a larger population of working poor byfunding only most effective therapiesNo guarantee for coverage for all standard therapies
 
List Reorganization
Occurred in 2006 as a result of many years of incrementalchanges that resulted in inconsistenciesCategories of illness developed and prioritized:
1.Maternity and newborn care2.Primary and secondary prevention3.Chronic disease management4.Reproductive services5.Comfort care6.Fatal Conditions with focus on cure or disease modifications7.Nonfatal conditions focus on cure or disease modification8.Self limiting conditions9.Inconsequential care

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