Around the PIA Western Alliance States- Week of April 13, 2026

Oregon — State places ATRIO Health Plans under supervision: The Oregon Division of Financial Regulation (DFR) announced today that it has issued an order of supervision to ATRIO Health Plans, Inc., because of concerns over ATRIO’s financial condition. The company has suffered excessive operating losses over the past 12 months. Additionally, the financial condition of the company has created a claims backlog that has caused provider payments to go unpaid. As the solvency regulator, this situation has caused DFR to take this action.

As of March 2026, ATRIO enrolled a total of about 35,340 Oregonians in its Medicare Advantage plans. The enrollees are in Clackamas, Douglas, Jackson, Josephine, Klamath, Lane, Marion, Multnomah, Polk, Washington, and Yamhill counties.

An order of supervision allows DFR to have a representative on site and in control of all financial decisions to ensure that consumers are protected. The order prohibits ATRIO and its directors, officers, agents, employees, and others affiliated with the company from taking several actions, including withdrawing from any of ATRIO’s bank accounts; lending or investing any of ATRIO’s funds; transferring any of ATRIO’s property; incurring any debt, obligation, or liability of behalf of ATRIO; merging or consolidating with any other insurer or person; approving any new premium or renewing any policies; terminating, surrendering, forfeiting, converting, or lapsing any insurance policy, certificate, or contract, except for nonpayment; and releasing, paying, or refunding premium deposits, unearned premiums, or other reserves on any insurance policy, certificate, or contract.

The supervision order is available here.

DFR took this action because of ATRIO’s excessive operating losses, and inadequate capital and surplus. Capital and surplus is the amount a company’s assets exceed its liabilities.

Consumers with questions about Medicare can find help from the Senior Health Insurance Benefits Assistance (SHIBA) program at 800-722-4134 (toll-free) or at shiba.oregon.gov. More information can be found on DFR’s website.

The federal Centers for Medicare & Medicaid Services (CMS) has been made aware of the order and more information for enrollees may be forthcoming from that federal agency. DFR regulates the financial condition of carriers, while CMS is responsible for operating the Medicare Advantage program.

Oregon — Ian Williams interim president, CEO of SAIF: Oregon’s work comp insurer, SAIF has named Ian Williams as the interim president and CEO. He’s replacing Chip Terhune who recently resigned to pursue other career options.

Source link: Business Insurance — https://bit.ly/4cKB4bi

Oregon — Oregon Prescription Drug Affordability Board to host community forums to hear how prescription drug prices affect Oregonians: The Oregon Prescription Drug Affordability Board (PDAB) is hosting a series of community forums in April and May to hear from people about the high cost of prescription drugs and the effect it has on their lives and budgets.

The in-person forums will be held May 5 at the Salem Library, May 6 at the Redmond Library, May 12 at the Asian Health & Service Center in Portland, and May 18 at the Beaverton Library. Online forums are scheduled for April 28, May 11, May 13, and the online board meeting, May 20.

“We invite all Oregonians to join us at these forums and share your stories about the cost of your medications and how those costs impact your lives,” said Sarah Young, PDAB executive director. “All forums will have similar content, so choose the best option for your schedule. We would love to have patients, caregivers, and consumers join us to share their experiences. Hearing your stories will help inform the board as it reviews drugs to identify affordability challenges and high out-of-pocket costs for patients.”

The board conducts annual drug reviews and presents a list of medications that may create affordability challenges to the Oregon Legislature each year. This year, PDAB will review the following medications to evaluate their affordability and their impact on Oregonians and the state’s health care system:

 Jardiance, Mounjaro, and Ozempic (Type 2 diabetes)

 Humulin R U-500 (improve blood sugar control for those with Type 1 and Type 2 diabetes who require more than 200 units of insulin per day)

 Keytruda and Verzenio (cancer)

 Xeljanz (autoimmune and inflammatory conditions)

 Ocrevus (multiple sclerosis)

 Skyrizi (immune-mediated inflammatory conditions)

 Tremfya (plaque psoriasis)

 Xolair (allergic and inflammatory conditions)

The feedback from the community forums will help inform PDAB’s drug review process. Each of the drugs and what they treat can be found on PDAB’s website.

The three online forums are:

 Tuesday, April 28, from 7 to 8:30 p.m. (zoomgov.com/join, meeting ID is 161 635 9753 and the passcode is OregonPDAB)

 Monday, May 11, from noon to 1:30 p.m. (zoomgov.com/join, meeting ID is 160 556 2737 and the passcode is OregonPDAB)

 Wednesday, May 13, from 6:30 to 8:30 p.m. (zoomgov.com/join, meeting ID is 160 948 4958 and the passcode is OregonPDAB)

The four in-person forums are:

 Tuesday, May 5, from 5 to 6:30 p.m. in Salem at the Salem Public Library, 585 Liberty St. SE

 Wednesday, May 6, from 5 to 6:30 p.m. in Redmond at the Redmond Public Library, 817 SW Deschutes Ave.

 Tuesday, May 12, from 6 to 7:30 p.m. in Portland at the Asian Health & Service Center, 9035 SE Foster Road

 Monday, May 18, from 5 to 6:30 p.m. in Beaverton at the Beaverton City Library, 12375 SW Fifth St.

“We also invite everyone to share online feedback about the prescription drugs the board is reviewing,” Young said. “If you have been prescribed one of the drugs on the list, please answer the questions and submit the form.”

The feedback forms are located on the PDAB website and include options for patients, medical experts, safety net clinics, and others.

The Oregon Legislature created the board out of Senate Bill 844 in 2021 to protect Oregonians and the Oregon health care system from the high costs of prescription drugs. The board holds monthly online meetings that are open to the public. The board has eight members with backgrounds in clinical medicine or health care economics.

For more information, email pdab@dcbs.oregon.gov, call 971-374-3724 or go to dfr.oregon.gov/pdab.

Washington — Federal assistance available for Washingtonians impacted by December floods: Federal disaster assistance is available for Washington residents impacted by December’s flooding, the Federal Emergency Management Agency announced on Saturday.

Individual aid is available to people in Chelan, Grays Harbor, King, Lewis, Pacific, Pierce, Skagit, Snohomish, Thurston, and Whatcom counties, as well as numerous tribal communities.

The action makes assistance available for temporary housing and home repairs, low-cost loans to cover uninsured property losses, and other programs to help individuals and families recover from the effects of the disaster. The funds can’t be used for losses already covered by insurance, but may be used if you were underinsured and your flood policy didn’t cover all of your loss.

People in need of federal assistance can apply online, by using the FEMA app, or by calling 800-621-3362.

Anyone with questions about their insurance can contact the Office of the Insurance Commissioner’s Consumer Protection team online or at 800-562-6900.

The atmospheric rivers began in Western Washington on Dec. 8, 2025, and prompted evacuation orders for more than 100,000 residents, while damaging almost 4,000 homes and causing an estimated $182.5 million in damage to public infrastructure.