April 18, 2022 1
Cost Growth Target Reporters for 2022 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
Medicare
HMO
Medicaid
TOTAL
ADVANCED HEALTH
25,059
25,059
AllCare Hlth Grp
ALLCARE CCO
55,651
55,651
ALLCARE HEALTH PLAN, INC.
4,497
4,497
Cambia Health Solutions Inc
REGENCE BLUECROSS BLUESHIELD OF OREGON
204,545
88,900
54,482
55,667
4,831
408,425
CareOregon Inc Grp
COLUMBIA PACIFIC CCO
31,764
31,764
HEALTH PLAN OF CAREOREGON, INC.
13,484
13,484
JACKSON CARE CONNECT
57,508
57,508
Cascade Comprehensive Care Grp
ATRIO HEALTH PLANS, INC.
20,179
20,179
CASCADE HEALTH ALLIANCE
22,940
22,940
CENTENE CORP GRP
HEALTH NET HEALTH PLAN OF OREGON, INC.
11,023
20,124
31,147
HEALTH NET LIFE INSURANCE COMPANY
18,613
18,613
TRILLIUM COMMUNITY HEALTH PLAN TRI-
COUNTY
17,464
17,464
TRILLIUM COMMUNITY HEALTH PLAN, INC.
1,102
35,193
36,295
CIGNA HLTH GRP
CIGNA HEALTH AND LIFE INSURANCE COMPANY
16,536
66,844
83,380
CVS GRP
AETNA LIFE INSURANCE COMPANY
23,723
83,795
884
108,402
FIRST HEALTH LIFE & HEALTH INSURANCE
COMPANY
2,628
2,628
April 18, 2022 2
Payer (company name)
Commercial*
Self-
Insured
TRICARE
and other
federal
Medicare
Advantage
Medicare
HMO
Medicaid
TOTAL
HCSC GRP
HEALTH CARE SERVICE CORPORATION
5,686
42,102
47,788
HEALTH SHARE OF OREGON
389,634
389,634
KAISER FOUNDATION GRP
KAISER FOUNDATION HEALTH PLAN OF THE
NORTHWEST
333,165
7,403
71,389
5,049
417,006
Medicaid FFS
117,112
117,112
Oregon Dental Serv Grp
EASTERN OREGON CCO
63,504
63,504
MODA HEALTH PLAN, INC.
153,555
74,738
6,341
234,634
SUMMIT HEALTH PLAN, INC.
1,686
1,686
PacificSource Hlth Plan Grp
PACIFICSOURCE CENTRAL
64,343
64,343
PACIFICSOURCE COMMUNITY HEALTH PLANS
1,053
18,717
19,770
PACIFICSOURCE GORGE
14,993
14,993
PACIFICSOURCE HEALTH PLANS
97,257
45,279
142,536
PACIFICSOURCE LANE
76,649
76,649
PACIFICSOURCE MARION POLK
123,236
123,236
Providence Hlth Grp
PROVIDENCE HEALTH ASSURANCE
59,083
59,083
PROVIDENCE HEALTH PLAN
157,982
162,725
320,707
Samaritan Hlth Serv Grp
INTERCOMMUNITY HEALTH NETWORK
70,931
70,931
SAMARITAN HEALTH PLANS, INC.
2,256
5,645
7,901
UMPQUA HEALTH ALLIANCE
33,059
33,059
UNITEDHEALTH GRP
UNITEDHEALTHCARE INSURANCE COMPANY
43,489
33,049
76,538
UNITEDHEALTHCARE INSURANCE COMPANY OF
AMERICA
3,742
3,742
UNITEDHEALTHCARE OF OREGON, INC.
249
58,024
58,273
April 18, 2022 3
Payer (company name)
Commercial*
Self-
Insured
TRICARE
and other
federal
Medicare
Advantage
Medicare
HMO
Medicaid
TOTAL
YAMHILL COMMUNITY CARE
31,515
31,515
Payers with cells highlighted in light blue have less than 5,000 covered across all markets or for one specific market (Medicaid, Medicare,
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).
April 18, 2022
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 2021 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
ALL SAVERS INSURANCE COMPANY
4,190
ALLEGIANCE BENEFIT PLAN MGMT INC
2,274
ALLIED BENEFIT SYSTEMS LLC
1,227
AMERICAN FIDELITY ASSURANCE COMPANY
1,919
ANTHEM INSURANCE COMPANIES, INC.
7,777
BENEFIT & RISK MANAGEMENT SERVICES
1,112
BENESYS INC
16,690
City of Portland
9,295
City of Salem
2,718
COLLECTIVEHEALTH ADMINISTRATORS LLC
2,254
CYPRESS BENEFIT ADMINISTRATORS (LHS) LLC
2,244
EMPLOYEE BENEFIT MGMT SVCS LLC
7,772
FIRST CHOICE HEALTH NETWORK INC
9,034
GILSBAR, LLC
1,237
HEALTHCARE MANAGEMENT ADMINISTRATORS, INC.
29,468
HEALTHCOMP LLC
7,073
HEALTHPLAN SERVICES, INC
15,819
HUMANA INSURANCE COMPANY
8,366
HUMANA MEDICAL PLAN, INC.
6,778
IEC GROUP INC
4,216
KAISER PERMANENTE INSURANCE COMPANY
15,333
MANHATTANLIFE ASSURANCE COMPANY OF AMERICA
4,248
MERITAIN HEALTH INC
5,096
QVI RISK SOLUTIONS INC
1,270
SHASTA ADMINISTRATIVE SVCS INC
7,797
TRUSTMARK HEALTH BENEFITS, INC.
1,254
UMR INC
35,141
UNITED HEALTHCARE SERVICES INC
96,192
WEBTPA EMPLOYER SERVICES LLC
2,240
ZENITH AMERICAN SOLUTIONS, INC
25,740
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.
