Oregon’s health plan providers are facing new challenges as national health care reform rolls out.
Oregon’s health plan providers are facing new challenges as national health care reform rolls out. “As the pool increases with those who require a higher level of care, in the short run that translates to a higher cost,” says Providence Health Plans COO Michael White of the Affordable Health Care Act’s provision that forbids providers from denying insurance because of pre-existing conditions. “I am hopeful [the pool] will include healthy people, as well as those who need care.”
But he’s confident that the pressure to cut costs in the face of short-term losses is encouraging health plan providers to find ways to streamline operations and improve communication.
“I am enthused about the next 10 years,” he says. “It will be a time when we address the issues that have been ailing us as an industry and as a country.”
PETER BELAND
| RANKED BY NUMBER OF PLAN MEMBERS IN OREGON | |||||
| RANK | NAME | ADDRESS / PHONE | SENIOR EXECS | MEMBERS / PROFIT STATUS | PHYSICIANS / NPs & PAs |
| 1 | Regence BlueCross BlueShield of Oregon | 100 S.W. Market St., Portland 97201 503.225.5221 | Mark Ganz Jared Short | 726,000 Nonprofit | 8,900 1,730 |
| 2 | Kaiser Permante NW | 500 N.E. Multnomah St., Ste. 100, Portland 97232 503.813.2800 | Andrew McCulloch Sue Hennessy | 400,227 Nonprofit | 900 153 |
| 3 | Providence Health Plans | 4400 N.E. Halsey St., Bldg. 2, Portland 97213 503.574.7500 800.878.4445 | Jack Friedman Michael White | 331,464 * Nonprofit | 9,841 832 |
| 4 | PacificSource Health Plans | 110 International Way, Springfield 97477 800.624.6052 | Ken Provencher Sujata Sanghvi | 284,327 Nonprofit | 10,500 1,800 |
| 5 | ODS Companies | 601 S.W. Second Ave., Portland 97204 503.228.6554 | Robert Gootee Tracie Murphy | 248,707 For-profit | 10,579 692 |
| 6 | UnitedHealthcare | 5 Centerpointe Dr., Ste. 600, Lake Oswego 97035 800.922.1444 | David Hansen Tandy Kooch-Cleaver | 230,450 For-profit | 5,500 NA |
| 7 | The CHP Group ** | 6600 S.W. 105th Ave., Ste. 115, Beaverton 97008 800.449.9479 | Pamella J. Marchand Michell Hay | 185,000 For-profit | 932 NA |
| 8 | Willamette Dental | 6950 N.E. Campus Way, Hillsboro 97124 800.460.7644 | Eugene C. Skourtes Wee Yuen Chin | 170,000 For-profit | 95 NA |
| 9 | Aetna Inc. | 200 S.W. Columbia St., Ste. 500, Portland 97207 800.819.2386 | Norman Seabooks Thomas Bookman | 145,753 For-profit | 9,635 NA |
| 10 | Health Net Health Plan of Oregon, Inc. | 13221 S.W. 68th Pkwy., Ste. 200, Tigard 97223 888.802.7001 | Chris Ellertson | 131,000 For-profit | 8,100 900 |
| 11 | CareOregon | 315 S.W. Fifth Ave., Ste. 900, Portland 97204 800.224.4840 | David E. Ford Fritz Rankin | 130,000 Nonprofit | 5,473 1,102 |
| 12 | CIGNA HealthCare | 121 S.W. Morrison St., Ste. 525, Portland 97204 503.224.0143 | Chris Blanton | 126,321 For-profit | 9,353 1,950 |
| 13 | LifeWise Health Plan of Oregon | 2020 S.W. Fourth Ave., Ste. 1000, Portland 97201 503.295.6707 | Majd El-Azma David Lechner | 69,013 For-profit | 10,647 NA |
| 14 | Mid Rogue IPA | 740 S.E. Seventh St., Grants Pass 97526 541.471.4106 | Doug Flow, Ph.D. | 22,000 For-profit | 950 NA |
* Does not include PPO members
** Not a health plan but a provider network leased by health plans; membership includes members from other organizations on the list.
