SENATE COMMITTEE ON HEALTH POLICY

 

 

February 18, 2003                                                                                                   Hearing Room B

1:00 PM                                                                                                                       Tapes  20 - 21

 

MEMBERS PRESENT:         Sen. Bill Morrisette, Chair

Sen. Bill Fisher, Vice-Chair

Sen. John Minnis

Sen. Frank Shields

Sen. Charles Starr

Sen. Vicki Walker

 

STAFF PRESENT:                 Marjorie Taylor, Administrator

Saranelle Allen, Committee Assistant

 

 

MEASURE/ISSUES HEARD:           Informational Meeting 

                                                Systems Approach to Health Care 

 

These minutes are in compliance with Senate and House Rules.  Only text enclosed in quotation marks reports a speaker’s exact words.  For complete contents, please refer to the tapes.

 

TAPE/#

Speaker

Comments

Tape 20, A

004

Chair Morrisette

Opens informational meeting at 1:07 p.m.

INFORMATIONAL MEETING

Systems Approach to Health Care

007

Jeff Heatherington

President of FamilyCare, Inc., which he explains is a contractor doing business under the State of Oregon for the Oregon Health Plan population. 

 

 

Gives an overview of the health care system using his Systems Approach to health care.

 

Ruby Haughton

Legislative and Public Affairs Director, CareOregon.  Advises she is in attendance to answer any questions on the presentation.

060

Heatherington

Gives explanatory points on Demand –1) Ongoing process of living, 2) Strategies for prevention, 3) Environmental factors, 4) Cultural factors, 5) Consumer expectations (EXHIBIT A).

 

Sen. Minnis

Who is responsible for the quality question?

 

Heatherington

Feels we all are -  business, government, and individuals.

188

Heatherington

Reviews the expense portion.

 

Sen. Starr

Questions what the explanation of ‘real cost’ is. 

 

Heatherington

Advises it is attention to specific charges. 

 

Sen. Minnis

Raises several points on who is paying the health care bill.

 

Sen. Shields

Questions whether national health insurance would save money in today’s overall health care costs.

402

Heatherington

Replies to several questions on fraud possibilities within the medical payment systems. 

Tape 21, A  (Tape Count begins at 127)

181

Heatherington

Reviews myths and truths and how to control demand.

292

Heatherington

Explains how managed care can control expenses.

 

Heatherington

Reviews section on values.  Gives information on long term strategies.

Tape 20, B

 

Chair Morrisette

Questions flaws in Oregon Health Plan.

088

Heatherington

States concern that most of the problems are a budget issue, not necessarily a system problem.  Reviews some of the problems with cutting prescription costs.

138

Sen. Minnis

States Legislature should have more involvement in solving the current health care problems.

 

Chair Morrisette

Raises point on cost shifts.

 

Sen. Fisher

Stresses hope that future of health care can be improved with current changes in Capitol leadership.  Asks Heatherington if there could be other ways to handle some of the current health care plan cuts.

 

Heatherington

States that legislators need to have accurate data to make any sort of changes.

 

Haughton

States that the problem seems to be an industry snag, and everyone needs to come together to develop the best points for survival.  Doesn’t feel groups are working together yet.

 

Sen. Minnis

Points out a need to accept risk.

 

Sen. Fisher

States several points of taking risk, and the many factors involved in the process.

Tape 21, B

027

Sen. Fisher

Wants to look at the system plan, from the point of view of a member of the Oregon Health Plan. 

 

Sen. Minnis

States the answer to solving the problem is a legislature issue, and elaborates on how educational needs have taken the fore front.

 

Sen. Fisher

Expresses hope to work to repair health problems.

209

Heatherington

States that attention to the delivery system has been left out.

 

Chair Morrisette

Suggests that on his next visit he tell the committee what they should do.

 

Chair Morrisette

Invites special testimony from a concerned citizen.

 

Lucy Kingsley

Provider of mental health crises counseling in Lane County for over 30 years.

 

 

Gives testimony on budget shortages and how they are impacting her current patients, who are losing their medication, and will possibly die soon.  Advises committee on how difficult her position is now, and the possibility that the department will be closed down by the end of June.

 

Sen. Minnis

Expresses hope that this problem is being worked on politically, to resolve and reinstate.

 

Sen. Fisher

Asks question on whether any cuts have been made in administration costs.

 

Chair Morrisette

Agrees on point of differences of opinion within the legislature.

482

Chair Morrisette

Adjourns meeting at 2:50 pm.

 

 

EXHIBIT SUMMARY

 

A – Informational, A System’s Approach to Health Care, Jeff Heatherington, 9 pp.