Essential background
The PacificSource-to-Trillium transition involves policy terms and timelines that can be confusing. Here are three basics to help:
- Medicaid coverage in Lane County is provided through the Oregon Health Plan, administered by the Oregon Health Authority, the state’s health agency. People in the plan are called members.
- The authority contracts with coordinated care organizations, or CCOs — typically insurance companies — which deliver members’ benefits through networks of health care providers.
- In Lane County, those CCOs are PacificSource Community Solutions and Trillium Community Health Plans, but PacificSource will no longer operate as a CCO after January 2026. PacificSource members will move to Trillium Feb. 1.
Oregon Health Authority and Trillium have not released specific numbers showing its progress in closing the gap for more than 15,000 people who were out of network last month in the ongoing Medicaid transition in Lane County.
Nearly 96,000 Lane County residents on Medicaid will be switched on Feb. 1 from PacificSource to Trillium as their coordinated care organization.
In December, Lookout Eugene-Springfield confirmed that between 15,000 and 25,000 members have doctors or clinics that are not in Trillium’s network. About 10% of PacificSource members — 9,600 people — have primary care providers who are not part of Trillium’s network. Nearly 16% of PacificSource members — 15,360 people — have behavioral health providers who are not in the network…