The Oregon Health Insurance Exchange

The Oregon Health Insurance Exchange
VN:F [1.9.22_1171]
Rating: 0.0/5 (0 votes cast)

Mission: “Improving the health of all Oregonians by providing health coverage options, increasing access to information, and fostering quality and value in the health care system”. The Oregon Health Insurance Exchange will allow consumers to shop for insurance plans through a central marketplace and find out if they are eligible for tax credits and other […]Continue reading «The Oregon Health Insurance Exchange»

Website Share Login to Edit

Full Description


Mission: “Improving the health of all Oregonians by providing health coverage options, increasing access to information, and fostering quality and value in the health care system”.

The Oregon Health Insurance Exchange will allow consumers to shop for insurance plans through a central marketplace and find out if they are eligible for tax credits and other financial assistance. They also will be able to shop and enroll by calling a toll-free number and working with community-based navigators and insurance agents (1). In Oregon, 612,000 state residents are uninsured, or about 16% (2).

ORHIX builds on Oregon’s past and current health reform efforts. Oregon is an Early Innovator IT grantee. Oregon is using commercially available, off-the-shelf software to create the Exchange. The Exchange Early Information Technology Innovation Grant will help Oregon create a modular, reusable IT solution that will provide the Exchange’s customers with seamless access to information, financial assistance and easy health insurance enrollment, with no gaps in coverage or assistance cliffs for anyone up to 400% of the federal poverty level. The OHA estimates that 516,000 Medicaid clients and 277,000 commercial insurance consumers will use the Health Insurance Exchange to shop for and enroll in health coverage (3).

Oregon established the Exchange during the 2011 legislative session as a public corporation with a nine-member board of directors appointed by the Governor. A Legislative Oversight and Advisory Committee advise the corporation; the Secretary of State conducts a financial audit of the corporation; and, the corporation meets with the Legislative Fiscal Office every month.

Oregon’s second Level One Establishment grant will allow the Exchange to meet several new milestones and prepare for full federal certification in 2013. Specifically, the additional funds will supplement the Business Operations Core Area by allowing for the hire of additional staff, engage in a competitive solicitation to select a local vendor to design the individual and SHOP IT user interface, and pay for other administrative costs. 

As of July 2012, Oregon has received four grant awards totaling more than $60 million to build its Affordable Insurance Exchange, which includes a Planning Grant, an Early Innovator Grant, and two Level One Establishment grants.  In 2012 the Exchange is searching for qualified health plans to be sold through the system, determining essential health benefits each plan must include, preparing to receive certification for open enrollment in Fall 2013, and developing the information technology infrastructure.  The ORHIX is expected to go live to the public in January 2014.

1.     https://orhix.org/pdfs/orhix_approved_business_plan.pdf

2.     http://www.usatoday.com/news/nation/story/2012-06-28/health-care-states/55889922/1

3.     http://www.healthcare.gov/news/factsheets/2011/05/exchanges/or.html

 

 

Address

3414 Cherry Ave. N.E., Suite 190 
Salem, OR 97303

Phone

503-373-9417


Sorry, There is no twitter feed

Company News

Sorry, There is no feed