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 Medical Group has not yet reached an agreement with Trillium Community Health Plans, meaning Medicaid patients who receive care there may need to find new clinics or doctors.
Karrie Spitzer, a spokesperson for Optum — a national health care company and a division of UnitedHealth Group that owns Oregon Medical Group — sent Lookout Eugene-Springfield the following statement, which remained applicable to negotiations as of Jan. 21:
“Oregon Medical Group physicians and care teams are focused on ensuring patients can continue receiving care without disruption. We are actively working with Trillium to reach a Medicaid agreement that will allow patients to continue receiving high-quality care from the Oregon Medical Group clinicians they know and trust.”…