Moda Health

Moda Given the Okay by Insurance Division

The health insurer now has the green light and no longer faces sanctions.

Moda Health can breathe a sigh of relief after the Oregon Insurance Division lifted the Feb. 6 consent order, which required the company to sell a variety of assets and take steps to improve its financial position so it could continue serving its members.

Regulators, Moda Map Route to Financial Recovery

Financially struggling Moda Health Plan will resume offering individual health plans under an agreement reached with regulators in three states to raise $179 million in capital and agree to closer oversight by Alaska, Oregon and Washington

Moda Health Plan will resume selling individual and group health insurance in Oregon and Alaska under an agreement reached with regulators in three states, the Oregon Department of Consumer and Business Services said on Monday, less than two weeks after the insurer was placed under government sup

OHSU Appears Willing to Bail out Moda Health

Meanwhile, Moda Health will maintain its presence in California but leaving the Washington market.

Moda Health, which has been wringing its hands after learning that the federal government wouldn’t pay back $89.5 million from its risk corridor program in 2014, may have found a guardian angel. . .

Moda Health Swallows Multi-Million Dollar Loss from CMS

The health plan had anticipated receiving $82.87 million from the federal risk corridors program but only ended up with $10.4 million during the first year.

Moda Health has been stung by the Centers for Medicare and Medicaid and faces a $70.3 million loss in revenue following the implementation of the Affordable Care Act.

Moda Health Joins Hospitals in Transforming Health Delivery

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The Population Health Alliance has brought together hospitals from across the state -- Asante, Bay Area, Mid-Columbia, OHSU, Salem Health, Sky Lakes and St. Charles -- along with Moda Health, the only insurer participating in this endeavor.

Moda Health has joined forces with hospitals from throughout the state to transform the delivery of healthcare and expand its reach

Moda, OHSU Expand Reach Through Synergy Network

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The partnership between OHSU and Salem Health is also taking shape with a new management company coming on board.

The joint venture between Moda Health and OHSU is picking up steam. Their collaborative approach, better known as Synergy, has garnered 5,300 primary care physicians and specialists in a shared risk model and covers 12,000 members – PEBB, OEBB, Precision Castparts, OHSU, Moda and others, according to a memo sent to physicians last Friday.

Rural Oregonians Paying Much Higher Premiums under the Exchange

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In particular, Malheur, Umatilla, Wheeler, Morrow and Jefferson counties are the hardest hit, while those living in Washington and Clackamas counties have the biggest advantage.

As people scramble to make the Dec. 15 deadline to sign up for healthcare.gov so they can have coverage starting Jan. 1, it’s become quite apparent that those living in rural counties are having to pay substantially more for their insurance.

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