Wonkblog: John Kitzhaber

Could Oregon have the first public option?

Could Oregon have the first public option?

Health policy wonks should keep an eye on Oregon, where Gov. John Kitzhaber (D) has just signed legislation that could lay the foundation for a state-level public option.

The legislation is Senate Bill 1580. Right now, it focuses on delivery reform, changing the way that doctors who serve Oregon Medicaid patients get paid. It pushes them to establish new provider groups -- called “coordinated care organizations” -- to serve some of the state’s most most costly patients. The idea is that by focusing on prevention, reducing emergency room use and paying doctors for the quality of the care they provide, Oregon can curtail rising Medicaid costs.

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