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

  • rules

(1)

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

(a)

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;

(b)

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

(c)

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

(2)

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. [2011 c.418 §3]
Note: 442.392 (Uniform payment methodology for hospital and ambulatory surgical center services) to 442.396 (Attestation of compliance by insurers) were enacted into law by the Legislative Assembly but were not added to or made a part of ORS chapter 442 or any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.

Source: Section 442.392 — Uniform payment methodology for hospital and ambulatory surgical center services; rules, https://www.­oregonlegislature.­gov/bills_laws/ors/ors442.­html.

442.011
Health Policy and Analytics Division created in Oregon Health Authority 442.015
Definitions 442.310
Findings and policy 442.315
Certificate of need 442.325
Certificate of need for health care facility of health maintenance organization 442.342
Waiver of requirements 442.344
Exemptions from requirements 442.347
Rural hospital required to report certain actions 442.361
Definitions for ORS 442.361, 442.362 and 442.991 442.362
Reporting of proposed capital projects by hospitals and ambulatory surgical centers 442.370
Ambulatory surgery and inpatient discharge abstract records 442.372
Definitions for ORS 442.372 and 442.373 442.373
Health care data reporting by health insurers 442.385
Definitions 442.386
Health Care Cost Growth Target program established 442.392
Uniform payment methodology for hospital and ambulatory surgical center services 442.394
Acceptance by facilities as payment in full 442.396
Attestation of compliance by insurers 442.400
“Health care facility” defined 442.405
Legislative findings and policy 442.420
Application for financial assistance 442.425
Financial reporting systems 442.430
Investigations 442.450
Exemption from cost review regulations 442.460
Information about utilization and cost of health care services 442.463
Annual utilization report 442.470
Definitions for ORS 442.470 to 442.507 442.475
Office of Rural Health 442.480
Rural Health Care Revolving Account 442.485
Responsibilities of Office of Rural Health 442.490
Rural Health Coordinating Council 442.495
Responsibilities of council 442.500
Technical and financial assistance to rural communities 442.502
Determination of size of rural hospital 442.503
Eligibility for economic development grants 442.505
Technical assistance to rural hospitals 442.507
Assistance to rural emergency medical service systems 442.515
Rural hospitals 442.520
Risk assessment formula 442.561
Certifying individuals licensed under ORS chapter 679 for tax credit 442.562
Certifying podiatrists for tax credit 442.563
Certifying certain individuals providing rural health care for tax credit 442.564
Certifying optometrists for tax credit 442.566
Certifying emergency medical services providers for tax credit 442.568
Oregon Health and Science University to recruit persons interested in rural practice 442.570
Primary Care Services Fund 442.601
Definitions 442.602
Community benefit reporting 442.610
Notice of financial assistance policies 442.612
Definitions 442.614
Requirements for financial assistance policies 442.618
Annual reports related to financial assistance policies and nonprofit status 442.624
Establishment of community benefit spending floor 442.630
Community health needs assessment and three-year strategy 442.700
Definitions for ORS 442.700 to 442.760 442.705
Legislative findings 442.710
Application for approval of cooperative program 442.715
Authorized practices under approved cooperative program 442.720
Board of governors for cooperative program 442.725
Annual report of board of governors 442.730
Review and evaluation of report 442.735
Complaint procedure 442.740
Powers of director over action under cooperative program 442.745
Disclosure of confidential information not waiver of right to protect information 442.750
Status of actions under cooperative program 442.755
Rules 442.760
Status to contest order 442.819
Definitions for ORS 442.819 to 442.851 442.820
Oregon Patient Safety Commission 442.825
Funds received by commission 442.830
Oregon Patient Safety Commission Board of Directors 442.831
Powers of board relating to Oregon Patient Safety Reporting Program 442.835
Appointment of administrator 442.837
Oregon Patient Safety Reporting Program 442.839
Commission as central patient safety organization 442.844
Patient safety data 442.846
Patient safety data not admissible in civil actions 442.850
Fees 442.851
Limit on amounts collected to fund Oregon Patient Safety Reporting Program 442.853
Legislative findings 442.854
Definitions 442.855
Oregon Health Care Acquired Infection Reporting Program established 442.856
Health Care Acquired Infection Advisory Committee established 442.860
Comprehensive system of maternity care 442.870
Emergency Medical Services Enhancement Account 442.991
Civil penalties for failure to report proposed capital projects 442.993
Civil penalties for failure to report health care data 442.994
Civil penalty for failure to perform
Green check means up to date. Up to date

Current through early 2024

§ 442.392’s source at oregon​.gov