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PDMP Health Plan Contribution Updated May 23, 2108

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PDMP Health Plan Contribution Updated May 23, 2108 PDMP Health Plan Contribution Updated May 23, 2108 2018 Membership PDMP Health Plan Tiers Over: Dues 1 300,000 $10,500 2 250,000 $8,200 3 150,000 $5,900 4 100,000 $3,600 5 75,000 $2,700 6 self ins. $2,100 7 30,000 $1,500 8 15,000 $500 9 Under 15,000 $180 2018 HIT Commons Dues Base Statistics 2017 Q1 Health Plan PDMP 2018 Tier Members Commercial Health Plans Providence* $7,900 1 461,233 Kaiser*‡ $7,900 1 402,031 Regence $10,500 1 370,986 Moda $8,200 2 251,306 PacificSource‡ $3,600 4 139,973 HealthNet $3,600 4 102,578 Subtotal $41,760 1,728,107 OHLC Self-Insured Plans (Used 70,000 as proxy for membership) Aetna $2,100 6 70,000 Cigna $2,100 6 70,000 First Choice $2,100 6 70,000 United $2,100 6 70,000 Subtotal $8,280 280,000 Coordinated Care Organizations ** Health Share of Oregon $5,900 3 209,609 FamilyCare $3,600 4 114,486 Trillium Community Health Plan $2,700 5 88,437 Willamette Valley Community Health $2,700 5 95,477 PacificSource Community Solutions - Columbia Gorge & Central Oregon Regions $1,500 7 59,184 Intercommunity Health Network $1,500 7 53,235 Allcare Health Plan $1,500 7 48,772 Eastern Oregon CCO $1,500 7 45,482 Jackson Care Connect $500 8 29,419 Columbia Pacific CCO $500 8 24,734 Umpqua Health Alliance $500 8 25,305 Yamhill Community Care Organization $500 8 24,530 Western Oregon Advanced Health $500 8 19,850 Cascade Health Alliance $500 8 16,984 PrimaryHealth of Josephine County $200 9 10,197 Subtotal $24,480 865,701 OHA/FFS $1,500 7 0 TOTAL MEMBERS 2,873,808 TOTAL REVENUE $76,020 Health Plan Share (50% non-Mcaid Share) $76,025 Difference from rounding $5 * Kaiser / Providence Integrated System discount of 25%. **CCO dues paid by OHA Sources: Commercial plan information from DCBS/Insurance Division - 2017 Quarter 1 report http://www.oregonlgov/DCBS/insurance/insurers/other/Pages/quarterly-enrollment-reports.aspx CCO information from OHA March 2017CCO Enrollment Report (by County) http://www.oregon.gov/oha/HSD/OHP/DataReportsDocs/March%202017%20Coordinated%20Care%20Service%Delivery%20by%20County.pdg PDMP Hospital Contribution Updated May 23, 2018 2018 PDMP Tier Level Net Patient Revenue Dues 1 $1.5B+ $11,600 2 $1B to $1.5B $8,600 3 $500 M to $1B $5,200 4 $200 M to $500M $2,400 5 $100 M to $200M $1,200 6 $50M to $100M $500 7 $20 to $50 M $300 8 $0 to $20 $100 2018 HIT Commons Dues Base Statistics 2018 2016 Net Patient Hospital Name 2018 Notes PDMP Tier Revenue Providence Health System* $8,700 1 $2,159,787,790 OHSU Hospital $11,600 1 $1,631,115,435 Legacy Health System 2018 Includes Silverton $8,600 2 $1,470,283,593 PeaceHealth System $5,200 3 $832,445,048 Samaritan Health System $5,200 3 $806,595,311 Kaiser Permanente* OAHHS Provides Base Data $3,900 3 $742,296,521 Salem Health $5,200 3 $697,892,479 Asante Health System $5,200 3 $687,782,356 St Charles Health System $5,200 3 $661,276,194 Adventist Health System $2,400 4 $363,838,567 Catholic Health Initiatives $2,400 4 $288,436,189 Sky Lakes Medical Center $2,400 4 $222,920,425 McKenzie-Willamette Medical Center $1,200 5 $192,918,443 Bay Area Hospital $1,200 5 $174,632,046 Tuality Healthcare $1,200 5 $163,842,708 Willamette Valley Medical Ctr $1,200 5 $106,953,906 Columbia Memorial Hospital $500 6 $98,801,883 Trinity Health St. Alphonsus $500 6 $98,189,611 Mid-Columbia Medical Center $500 6 $95,807,152 Grande Ronde Hospital $500 6 $88,912,705 Good Shepherd Medical Center $500 6 $86,761,420 Santiam Memorial Hospital $300 7 $46,540,887 Curry General Hospital $300 7 $33,391,308 Coquille Valley Hospital $300 7 $24,606,989 Lake District Hospital $300 7 $23,496,026 Harney District Hospital $300 7 $23,323,044 Blue Mountain Hospital $300 7 $21,668,503 Lower Umpqua Hospital $300 7 $20,837,013 Wallowa Memorial Hospital $300 7 $20,104,405 Southern Coos Hospital & Health Center $100 8 $15,771,263 Pioneer Memorial Hospital (H) $100 8 $8,231,917 Silverton Hospital Included in Legacy $103,715,225 TOTAL $75,900 $11,909,461,137 Hospital Share (50% of Non-Mcaid Share) $76,025 Difference from rounding $125 * Kaiser / Providence Integrated System discount of 25%. Source: Oregon DATABANK Program, CY2016 Revenue.
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