Powerlist: Health plan providers face reform challenges

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Articles - November 2010
Thursday, October 21, 2010

1110_Powerlist01Oregon’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.
 

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