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State officials say they finalized a plan that will move nearly 90,000 Medicaid members in Lane County to Trillium.
This story was updated to include new information.
The Oregon Health Authority on Friday, Oct. 24, approved PacificSource’s transition plan, outlining how nearly 90,000 Medicaid members in Lane County will move from PacificSource to Trillium.
Both PacificSource and Trillium are coordinated care organizations, or CCOs, in Lane County, meaning they manage health care for people enrolled in the Oregon Health Plan, the state’s Medicaid program.
In September, the Oregon Health Authority ended contract negotiations with PacificSource to remain a Lane County CCO. PacificSource cited financial issues. The state plans to transition members from the Springfield-based insurer to Trillium over the next few months.
Oregon Health Authority spokesperson Amy Bacher told Lookout Eugene-Springfield that as of Thursday, Oct. 23, the plan had not been finalized, but followed up to confirm the authority approved it Friday.
“OHA and PacificSource are working collaboratively to identify key dates for member and provider communications,” she said in an email.
Bacher said that members can expect communication in the “coming weeks” and that the agency is planning community forums.
Lookout Eugene-Springfield obtained a copy of the transition plan, filed Sept. 30, through a public records request. The plan outlines several aspects of the hand over, including coordinating with providers and prioritizing members with high-risk conditions.
That includes people undergoing dialysis or cancer treatment, pre- and post-transplant recipients, those receiving post-operative or post-discharge care, current or recent inpatients, and those who use prescribed medications that cannot be interrupted.
PacificSource’s contract ends Jan. 1. A one-month contract extension will allow providers to continue services as Trillium expands its network.
The state aims to complete the handover by Feb. 1. If some providers have not yet joined Trillium’s network by then, the health authority says additional time will be given to ensure continuity of care.
Trillium will take on nearly four times its current membership of 30,000 to more than 120,000.
