The failure of federal guarantees

Many health insurers got a nasty surprise on October 1, 2015 when the federal government announced it would only pay 12.6% of money owed to them through the risk corridor program for losses incurred in the first year of the ACA.

Merger Mania

Hospitals and insurance companies have embarked on a buying spree. Will new partnerships result in better care — or higher costs?

One click, sick fix

Zoom+ remade urgent care for the on-demand generation. Now the startup is setting its sights on new applications, including retail insurance and specialty care. The catch? Medicaid and Medicare patients need not apply.

Consolidated Health

Health care consolidation is everywhere in the Pacific Northwest. Legacy Health has formed an affiliation with Silverton Health System, former Southwest Washington Medical Center became part of the PeaceHealth organization and Providence Health & Services and OHSU have expanded their market footprints via acquisition, merger and partnerships. OB is working on a story about health care consolidation; in the meantime, we asked readers to weigh in on the issue.  Reader sentiment is leaning negative; post consolidation, costs will go up, and quality will go down.

A healthier alternative

Research editor Kim Moore has been tracking developments related to the toxic air pollutant controversy in Portland. You can read her previous stories here and here.  Below she unspools the regulatory morass connected to toxics policy.

Five Takeaways from the Moda Health Debacle

The story of Moda Health’s financial implosion has rocked the city and state with all the force of a sex scandal, minus the salaciousness, of course. Insurance industry jargon — risk adjustment corridors, individual insurance markets, special enrollment periods —  is suddenly the talk of the town. Moda’s sudden exit/exile from Oregon’s insurance market also … Read more