(1) Promote the provision of services through an integrated health home model that reduces unnecessary hospitalizations and emergency department visits.
(2) Require little or no cost sharing for evidence-based preventive care and services, such as care and services that have been shown to prevent acute exacerbations of disease symptoms in individuals with chronic illnesses.
(3) Create incentives for individuals to actively participate in their own health care and to maintain or improve their health status.
(4) Require a greater contribution by an enrollee to the cost of elective or discretionary health services.
(5) Include a defined set of health care services that are affordable, financially sustainable and based upon the prioritized list of health services developed and updated by the Health Evidence Review Commission under ORS 414.690. [Formerly 413.064]
Structure 2021 Oregon Revised Statutes
Volume : 18 - Financial Institutions, Insurance
Chapter 741 - Health Insurance Exchange
Section 741.001 - Health insurance exchange; legislative intent.
Section 741.002 - Duties, powers and functions of Oregon Health Authority; rules.
Section 741.003 - Duties and powers of director.
Section 741.004 - Health Insurance Exchange Advisory Committee.
Section 741.008 - Criminal records check; fingerprints required; persons subject to requirement.
Section 741.105 - Charges and fees to be paid by insurers and state programs; rules.
Section 741.222 - Annual reports to Legislative Assembly.
Section 741.300 - Definitions.
Section 741.340 - Health benefit plans offered through exchange.
Section 741.342 - Small Business Health Options Program.
Section 741.500 - Required documentation; rules.
Section 741.540 - Complaints and investigations confidential; permitted disclosures.