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Oregon requires three health groups to fix excessive cost growth by Jan. 2026.
In 2023, Oregon’s Health Authority identified five health care organizations with unreasonably high cost growth, exceeding the state’s 3.4% annual target, including St. Charles Health System, PacificSource, and ModaHealth’s Medicare Advantage plans. Three—St. Charles, PacificSource, and ModaHealth—must submit improvement plans by January 2026 to address cost increases, while two were excused: ModaHealth due to plan discontinuation and The Corvallis Clinic to pursue accountability with its parent company, Optum. The findings are part of Oregon’s ongoing effort to control health care spending, promote affordability, and ensure transparency across insurers, hospitals, and medical groups.