FW: Proposed CCO Admin Rules - Public Comment Now Open!

[Guest guest]

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Vern Saboe, Jr, DC., DACAN., FICC., DABFP., FACO.

915 19th Ave SE

Albany, OR 97322

phone:

e-mail: vern@...

website: www.drvernsaboe.com

From: oregondcs [mailto:oregondcs ]

On Behalf Of Dr. Vern Saboe

Sent: Thursday, July 05, 2012 11:18 AM

To: Oregondcs

Cc: Dan Beeson; Grice; Sunny Kierstyn, DC; M. s, D.C.; Charlie Caughlin; Judith Boothby; Corll, DC; ajspine1@...; Seitz, DC; Larry Hanberg, DC; Brad Rethwill, DC; Hacmac; Dan ; L Herrst DC

Subject: " Proposed CCO Admin Rules - Public Comment Now Open!

The profession needs your help doctors we need your help to get the word out to your colleagues to send in their public comments regarding the Proposed

CCO Admin Rules. Doctors and their patients, friends and family should send their email comments to;

cheryl.peters@...

there are three key issues we need to address.

#1. CCO member-patients must be allowed to select a chiropractic physician, naturopathic physician or nurse practitioner

as their primary care provider. We used this term rather than primary care physician to help out our coalition members the nurses. 2.

“Network adequacy” must be defined in administrative rule as it is not defined in statute. We do not want the medically controlled CCOs thinking they can get away with having a just

a token chiropractor, naturopath, acupuncturist etc., in their CCOs the proposed language the coalition came up with was;

“Network adequacy means that a sufficient number of healthcare practitioners from all licensed healthcare professions are members of the CCO network of providers such that all patients can receive care from a provider

type of their choice without unnecessary waiting periods or other restrictions.”

3. Issues,

reimbursement the new law with our non-discrimination language states CCOs can have “varying reimbursement rates based on quality or performance measures. We want language added

to clarify that a CCO cannot have varying reimbursement rates based solely on the provider’s area of practice or discipline. I requested and gained a “Legislative Counsel” opinion that supports this legislative interpretation of our new CCO law. So public

comment that states something like; “Varying reimbursement by CCOs cannot be based solely on the type of provider offering a covered services and cannot refuse to offer a member-patient treatments or services provided by a specific types of providers.”

The profession needs you all to do what you have consistently done in the past and that is to step up when the profession and our patients needed you.

Send an email today! We have but until July 22 and the public comment period ends. All of our work over the last three years on the Health Systems Transformation will be for not if we allow our enemies to write negative rules that counter our non-discrimination

language.

TO THE CONTINUED GOOD FIGHT!

Questions? Call me any time on my cell

Vern Saboe

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Vern Saboe, Jr, DC., DACAN., FICC., DABFP., FACO.

915 19th Ave SE

Albany, OR 97322

phone:

e-mail: vern@...

website: www.drvernsaboe.com