Becker's Healthcare November 20, 2025
Oregon health regulators have flagged three payers for “unreasonably high healthcare cost growth in 2023.”
In an October report, the Oregon Health Authority said that Moda Health’s Medicare Advantage plans increased costs by 15.4%, PacificSource’s commercial plans grew 7.3%, and UnitedHealthcare’s Medicare Advantage plans rose 6.3% between 2022 and 2023. The state’s Sustainable Health Care Cost Growth Target Program aims to limit annual per-person cost increases to 3.4%.
OHA is requiring UnitedHealthcare and PacificSource to submit a performance improvement plan by the end of January 2026. The agency excused Moda from submitting a plan because the scrutinized MA plans are no longer offered.
The improvement plans must identify what is causing high cost growth, name actions the insurer will...
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