pacificsource

Hospitals, Ambulatory Surgery Centers, Specialists Drive up Costs

Jack Friedman, who stepped down as CEO of Providence Health Plan, said a deal had been in the works to merge with PacificSource earlier this year.

Commercial insurance companies are making high margins on the business side, while healthcare costs are way out of control, according to Jack Friedman, the former CEO of Providence Health Plan.

PacificSource Health Plans Recognized as a Platimum Level Fit-Friendly Worksite By The American Heart Association

PacificSource champions the health of its 700 employees through wellness programs aimed at decreasing healthcare costs, increasing productivity

(SPRINGFIELD, Ore.)— In recognition of its commitment to helping employees eat better and move more in the workplace and at home, PacificSource Health Plans has been recognized by the American Heart Association as a Fit-Friendly Worksite.

PacificSource Denies Its For Sale

Given its financial performance, rumors have been circulating for months.

PacificSource has been bleeding red, reporting a $7.1 million loss during the first quarter, and is requesting the highest rate increase from the Insurance Division for its individual plans – 42.2 percent next year.

One-third of CCOs Managed to Reach Patient Access Benchmark in 2013

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The 15 CCOs also split $47 million that was distributed based on their quality scores and, overall, the total dollars represented 2 percent of their monthly payments.

Since 2012, the Oregon Health Authority has been working on the transition to a Coordinated Care Organization model, measuring performance along the way. Although 2013 was the first full year of operation, the data shows there’s still much to work ahead.

Moda Health Doubles in Size But Ends Up in the Red

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Major insurers Regence BlueCross BlueShield, Kaiser Permanente and PacificSource see their enrollments go down at the end of the third quarter, while co-ops pick up steam.

Moda Health has more than doubled in size since Jan. 1, when federal rules surrounding health coverage went into effect. Over the same period, Oregon’s largest insurers have shed tens of thousands of members, according to third-quarter statements filed with regulators. 

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