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The legislation aims to rein in costs and prevent monopolies, but health care companies say it would reduce flexibility and create uncertainty.
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The insurer’s commercial arm violated state-mandated deadlines nearly 4,500 times when members or providers contested denials of service.
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The for-profit Medicaid insurer also lags in attracting members in Lane County where it once held a monopoly.
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Commercial health insurers in Oregon struggled to stem financial losses through the first quarter of 2020, previewing what could be a chaotic year for the insurance industry as the coronavirus pandemic continues to upend the health care system.
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Oregonians who purchase individual or small-group health insurance plans on the marketplace will see only modest rate increases in 2021, the second straight year cost growth has been held largely in check after years of steep price hikes.
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After hefty payments for sick enrollees pushed several of Oregon’s largest commercial insurers to large financial losses in 2018, last year marked a significant rebound for the industry.
Trillium Community Health Plan has abandoned its lawsuit against three large providers in the Portland area.
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Profits have slowed considerably at many of Oregon’s largest commercial health insurers after a strong start to 2019.
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Trillium Community Health Plan is being hammered not only in the Portland-area market, where it’s been spurned by large provider groups. It is also being squeezed on its own turf in Lane County, where it has enjoyed a monopoly in the Medicaid market.
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One down, two to go.
Insurer PacificSource Community Solutions says Salem Clinic, a large physician-owned practice based in Salem, has agreed to join PacificSource’s Medicaid provider network for the Marion and Polk county area beginning Jan. 1, 2020.
