ORS 442.392 Uniform payment methodology for hospital and ambulatory surgical center services; rules

The Oregon Health Authority shall prescribe by rule a uniform payment methodology for hospital and ambulatory surgical center services that:

Incorporates the most recent Medicare payment methodologies established by the Centers for Medicare and Medicaid Services, or similar payment methodologies, for hospital and ambulatory surgical center services;

Includes payment methodologies for services and equipment that are not fully addressed by Medicare payment methodologies; and

Allows for the use of alternative payment methodologies, including but not limited to pay-for-performance, bundled payments and capitation.

In developing the payment methodologies described in this section, the authority shall convene and be advised by a work group consisting of providers, insurers and consumers of the types of health care services that are subject to the methodologies.