White paper
Oregon’s Health Care Cost Growth Target program: Implications of health plan penalties
By Scott Jones
11 October 2023
Oregon’s Health Care Cost Growth Target program has established a long-term target in the annual growth of healthcare expenditures among healthcare providers and payers in the state. Entities unable to meet the target that do not provide a justification that is satisfactory to state authorities will be subject to increasing sanctions. This report, commissioned by Cambia Health Solutions, presents background on the program and discusses:
- Primary cost growth drivers
- Comparison of recent rate increases to the growth target
- Implementation challenges for financial penalties
- Potential magnitude of penalties, and their nonfinancial and financial impacts on health plans
- Potential impacts on consumers
This report was commissioned by Cambia Health Solutions.