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The agency outlines changes that the coordinated care organization has to make to enter the Portland-area Medicaid market.
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Trillium can start to enroll Oregon Health Plan members in those regions on Sept. 1 but will have to beef up its behavioral health care provider network and meet equity requirements.
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The for-profit Medicaid insurer has contracted with Oregon Health & Science University and Legacy for some services but failed to woo Providence Health & Services.
Trillium Community Health Plan has abandoned its lawsuit against three large providers in the Portland area.
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A new five-year round in Oregon’s Medicaid system has just begun and already it’s taken a toll on Trillium Community Health Plan, a for-profit insurer facing competition for the first time on its home turf.
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Trillium Community Health Plan has stepped back from its push for an injunction against three Portland-area hospital systems.
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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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Trillium Community Health Plan has been issuing erroneous and potentially deceptive information about its hospital provider network that could hurt Portland-area Medicaid patients who switch to Trillium’s insurance plan for next year.
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Moving swiftly, a federal judge found that health insurers Trillium Community Health Plan and Health Net Health Plan had likely misled consumers about their Medicare Advantage plans for 2020 and ordered the two companies to post clarifying statements on their websites and send clarifying informat
