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The letter from Good Shepherd Health Care System warns Umatilla County residents against signing up with Providence Health Plan, telling them they may be on the hook for higher out-of-pocket costs. For 2015, public employees who have been covered by Providence, are now able to shift to a Moda Health plan during the October open enrollment.

Forecasters predict that the surge caused by the delta variant will rapidly worsen and that hospitals in the state will run out of ICU and other beds.

With the delta variant surging in the state, public health officials are urging the public to resume mask use and get vaccinated.

But vagueness about procedures and complexity make comparisons difficult, limit broad conclusions