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Oregon’s Insurance Commissioner Laura Cali has approved a merger between PacificSource Health Plan and Legacy Health that could dramatically shake up the marketplace – with the hospital system and insurer expected to take on the heavy hitters – Providence Health & Services and Kaiser Permanente – who have an integrated healthcare system and can control not only the cost and quality of healthcare from the ground up – but also have a stronghold among physicians.

Noting that fewer than 6 percent of hospital board members are nurses, the coauthor of a report on the future of nursing said nurses' roles are often poorly understood by decision makers and the public

No significant concerns have been raised to the Insurance Division, which is conducting a full analysis, and a decision is expected by June.