Oregon Health Authority flags 5 health plans, providers for unreasonable spending

The Oregon Health Authority has found two providers and three insurance plans had unreasonable cost increases in 2023.

The Corvallis Clinic, St. Charles Health System in Bend, PacificSource’s commercial insurance plan, and United Healthcare’s and Moda’s Medicare Advantage Plans were found to have unreasonably cost increases.

OHA defines an unreasonable increase as cost growth above 3.4% without an acceptable reason such as high drug prices, state or federal mandates, or frontline workforce costs. Other companies did have cost growth the state’s target, but were able to provide the state with some evidence that linked those increases to allowable reasons.

The OHA’s Director of Health Policy and Analytics, Clare Pierce-Wrobel, said no companies will face financial penalties this year – bu