Wednesday, January 2, 2013
Hood River County has a solution to its health coverage issue for county employees — for now, at least.
The county’s health insurance provider, Health Net, informed the county that it is willing to cover all out-of-network coverage costs for the first 90 days of 2013, and then cover them with a 10 percent co-pay increase for the final 90 days of the current plan year.
The plan year for the county ends June 30, 2013.
The county was sent scrambling for health coverage options in the fall when Providence Health and Services announced it was ending its contract with Health Net, meaning that those with Health Net plans using Providence services would incur out-of-network costs.
County Administrator David Meriwether said that the county looked at other options, but was on a short time frame to do so. Eventually Health Net agreed to cover the costs through the end of the plan year.
Meriwether said the county is now beginning the process of examining its options for after June 30, and that the benefits committee hopes to have a recommendation for the county board of commissioners by April.
The decision by Providence to sever the Health Net contract drew a fierce response in Hood River, where Providence is the major medical provider, having acquired numerous practices in the area in recent years and operating the only hospital in the county.
In a corporate-level statement Providence said that it offered Health Net the opportunity to continue operating the current contract, but only in Hood River and Seaside through June of 2013, and that Health Net had declined.
“We pledge to work with people during this transition. Providence contracts with more than a dozen other health insurers, which allows residents to continue receiving care from their local hospital and physicians,” Providence’s statement reads.
“If you are receiving a medically necessary and active course of treatment from a Providence provider and meet other conditions, you may be able to continue receiving care from that provider at the current participating benefit level for a specified period of time, depending on your benefit plan after the Providence-Health Net agreement has terminated. You will need to contact Health Net Customer Service to determine if you are eligible for continuity of care, and for how long you may be able to receive services.”
In a move unrelated to the health care dispute, but certainly related to the number of medical practices Providence has acquired in recent years, the county assessor’s office confirmed that it had asked Providence to justify its request for tax-exempt status tied to the practices it has acquired.
Religious hospitals are typically given tax-exempt status, but county director of records and assessment Brian Beebe said the large number of applications made it difficult to grant the request out of hand.
Beebe said that Providence requested tax-exempt status on five properties over the last year and that he had asked “them prove that they are charitable with their operations.”
In November the Oregonian reported that assessors around the state were becoming less amiable for granting tax-exemptions to new properties acquired by religious hospitals.
According to the Oregonian, Mercy Hospital in Roseburg has appealed a tax-exemption denial by cash-strapped Douglas County on properties worth $18 million.
Beebe did not deny Providence’s request, but was awaiting further information from them before he would consider approving it. He said he had not received a response from Providence and noted that other counties had also not received any response when they requested other hospitals to justify similar requests.
“I don’t expect this to be any different,” he said.
“It’s a statewide issue,” Beebe said of the tax-exemption requests. “There is some ambiguity, but there are some court cases that go on both sides of the issue.”
Providence spokespersons did not respond to requests for comment on the issue.
Without a response from Providence, the properties will continue to be non-exempt and the county will continue to collect taxes on them.
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Parkdale third graders sing "12 Disaster Days of Christmas"
Welcome to your sing-able Christmas gift list. What follows is an emergency rendition of “12 Days of Christmas” – for outfitting your home or car in case of snow storm, earthquake, flood or other emergency. Read it as a simple list, or sing it to the tune of “12 Days” – you know, as in “ … and a partridge in a pear tree…” Not to make light of it, but the song is a familiar framework for a set of gift ideas that you could consider gathering together, even if the recipient already owns items such as a bunch of coats, tire chains and flashlights. Stores throughout the Gorge are stocked up on all these items. Buying all 12 days might be prohibitive, but here are three ideas for checking any of the dozen off your list (notations follow, 1-12.) The gift items needed to stay warm, dry and safe are also coded to suggest items in your abode (A) in your car (C) or both (B). 12 Gallons of Water (A) 11 Family meals (B) 10 Cans of propane (A) 9 Hygiene bags (B) 8 Packs of batteries (A) 7 Spare coats (B) 6 Bright red flares (C) 5 Cozy blankets (B) 4 Tire chains (C) 3 Flashlights (B) 2 cell phone chargers (B) 1 And a crush-proof first aid kit (B) Price ranges? Here’s a few quotes for days Three, Two, Four and Nine: n A family gift of flashlights (three will run $15-30, Hood River Supply, Tum-A-Lum) n Cell phone chargers (two will run $30-60) n Tire chains (basic set, $30, Les Schwab, returnable if unused for the winter) n Family meals ($100 or so should cover the basics for three or four reasonably well-fed days) n The home kit should be kept in a handy place near an exit, and remember that water needs to be replenished every few months. If you have a solid first aid kit already, switch out the gift idea with “and-a-sto-o-u-t- tub-for it-all …” Otherwise, it’s a case of assembling your home or car kits and making sure all members of the family know what the resources are and how to use them (ie flares and propane). Emergency situations are at worst life-threatening, at best deeply uncomfortable if you and your family are left without power for an extended period, or traveling and find yourself in a situation where you need to wait out a storm, lengthy traffic delay, or other crisis. Notes on the 12 gift ideas: 12 – Gallons of water: that’s one per person in a four-member family to last for three days, the recommended minimum to be prepared for utility outages. 11 – Easy-open packaged goods, energy bars, dried food and nuts are good things to include for nutrition. Think of what your family of four needs for three days to stay fortified and hydrated (see number 12). Can-opener also recommended 10 – If you have a propane camping stove, keep extra fuel handy. 9 – Hygiene bags: put packaged moistened towelettes, toilet paper, and plastic ties in large garbage bags (for personal sanitation) Resource list courtesy of Hood River County Emergency Management, Barbara Ayers, manager/ 541-386-1213. The county also reminds residents to Get a Kit, Make A Plan to connect your family if separated, and Stay Informed. See www.co.hood-river.or.us to opt-in for citizen alerts. Enlarge