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from the Richmond Fed
– this post authored by Jessie Romero
In 2008, an Oregon woman dying of lung cancer was denied coverage for Tarceva, a drug costing $4,000 a month. She received health insurance through the Oregon Health Plan (OHP), the state’s Medicaid plan, which in the early 1990s had made radical changes to its coverage decisions in an effort to increase the number of enrollees while also curbing spending growth. One of the most controversial measures was a list of 668 medical procedures, ranked according to their cost-effectiveness; the OHP would cover only the first 568.