PDMP Health Plan Contribution Updated May 23, 2108

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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