March 25, 2024 1
Cost Growth Target Reporters for 2024 Data Submission
Mandatory Reporters
At least 1,000 members across all lines of business
Payer (company name)
Commercial*
Self-
insured
TRICARE
and other
federal
Medicare
Advantage
Medicaid
TOTAL
Advanced Health
27,382
27,382
AllCare Hlth Grp
AllCare CCO
63,571
63,571
AllCare Health Plan, Inc.
5,028
5,028
Cambia Health Solutions Inc
Regence Bluecross Blueshield Of Oregon
199,232
98,205
53,605
61,612
412,653
CareOregon Inc Grp
Columbia Pacific CCO
36,367
36,367
Health Plan Of CareOregon, Inc.
16,692
16,692
Jackson Care Connect
64,277
64,277
Cascade Comprehensive Care Grp
Atrio Health Plans, Inc.
26,325
26,325
Cascade Health Alliance
25,885
25,885
Centene Corp Grp
Health Net Health Plan Of Oregon, Inc.
7,616
18,573
26,189
Health Net Life Insurance Company
13,426
13,426
Trillium Community Health Plan Tri-County
46,955
46,955
Trillium Community Health Plan, Inc.
1,493
35,855
37,348
Cigna Hlth Grp
Cigna Health And Life Insurance Company
17,928
78,933
96,860
CVS Grp
Aetna Life Insurance Company
39,091
177,598
884
217,573
March 25, 2024 2
Payer (company name)
Commercial*
Self-
insured
TRICARE
and other
federal
Medicare
Advantage
Medicaid
TOTAL
First Health Life & Health Insurance Company
2,405
2,405
HCSC Grp
Health Care Service Corporation, A Mutual Legal
Reserve Company
6,360
41,070
47,430
Health Share Of Oregon
440,394
440,394
Kaiser Foundation Grp
Kaiser Foundation Health Plan Of The Northwest
324,984
6,284
73,669
404,936
Medicaid FFS (Open Card)
73,198
73,198
Oregon Dental Serv Grp
Eastern Oregon CCO
73,680
73,680
Moda Health Plan, Inc.
149,173
83,819
5,937
238,929
Summit Health Plan, Inc.
2,167
2,167
PacificSource Hlth Plan Grp
PacificSource Central
75,160
75,160
PacificSource Community Health Plans
28,602
28,602
PacificSource Gorge
17,522
17,522
PacificSource Health Plans
68,517
43,064
111,580
PacificSource Lane
91,169
91,169
PacificSource Marion Polk
146,481
146,481
Providence Hlth Grp
Providence Health Assurance
59,476
59,476
Providence Health Plan
166,143
158,211
324,353
Samaritan Hlth Serv Grp
Intercommunity Health Network
82,101
82,101
Samaritan Health Plans, Inc.
1,581
6,810
8,390
Umpqua Health Alliance
37,699
37,699
March 25, 2024 3
Payer (company name)
Commercial*
Self-
insured
TRICARE
and other
federal
Medicare
Advantage
Medicaid
TOTAL
UnitedHealth Grp
Care Improvement Plus South Central Insurance
Company
48,352
48,352
UnitedHealthcare Benefits Of Texas, Inc. D/B/A
UnitedHealthcare Health Plan Of Texas, Inc.
63,561
63,561
UnitedHealthcare Insurance Company
38,540
32
38,573
Yamhill Community Care
35,922
35,922
Payers with cells highlighted in light blue have less than 5,000 covered across all markets or for one specific market (Medicaid, Medicare Advantage,
Commercial). They would not be identified individually in any public reporting for the highlighted market(s) at the payer level. Their data will be
reported in aggregate at the state and market level only.
*Commercial market includes the individual market and the small group market, both on and off exchange, the large group market, short-term
plans, as well as student plans and associations, trusts, and MEWAs (multiple employer trusts).
March 25, 2024
4
Voluntary Reporters
At least 1,000 members across all lines of business
The following payers will be invited to voluntarily submit data to the Cost Growth Target Program. They
include self-insured payers identified in the 2023 DCBS enrollment data as meeting the reporting
threshold and payers solely providing Medicare Advantage plans with a covered lives count of less than
5 percent of the total Medicare Advantage market in Oregon.
Payer (company name)
Enrollment
ALLIED BENEFIT SYSTEMS LLC
1,223
AMERICAN FIDELITY ASSURANCE COMPANY
1,714
ANTHEM INSURANCE COMPANIES, INC.
9,287
BENESYS INC
17,289
BIND BENEFITS, INC DBA: SUREST
2,573
City of Portland
11,111
City of Salem
2,622
COASTAL ADMINISTRATIVE SERVICES INC
2,437
COLLECTIVEHEALTH ADMINISTRATORS LLC
2,702
CYPRESS BENEFIT ADMINISTRATORS (LHS) LLC
2,797
DEVOTED HEALTH PLAN OF OREGON, INC.
1,622
EMPLOYEE BENEFIT MGMT SVCS LLC
2,810
FIRST CHOICE HEALTH NETWORK INC
1,599
HEALTHCARE MANAGEMENT ADMINISTRATORS, INC.
34,983
HEALTHCOMP INTEGRATED SOLUTIONS, LLC.
1,404
HEALTHCOMP LLC
5,601
HEALTHPLAN SERVICES, INC
18,396
HUMANA INSURANCE COMPANY
10,730
HUMANA MEDICAL PLAN, INC.
6,702
IEC GROUP INC
3,915
KAISER PERMANENTE INSURANCE COMPANY
18,158
LUMINARE HEALTH BENEFITS, INC.
1,469
MANHATTANLIFE INSURANCE AND ANNUITY COMPANY
4,648
MERITAIN HEALTH INC
5,648
S & S HEALTHCARE STRATEGIES LTD
1,415
SHASTA ADMINISTRATIVE SVCS INC
6,168
UMR INC
36,198
UNITED HEALTHCARE SERVICES INC
96,018
WEBTPA EMPLOYER SERVICES LLC
2,377
ZENITH AMERICAN SOLUTIONS, INC
25,779
The payers highlighted in light blue above will be invited to submit data but would not be identified
individually in any public reporting. Their data will be reported in aggregate at the state and market
levels only.
