Update on Legacy contract negotiations

By Regence
March 01, 2024

Updated March 1

Regence and Legacy leadership continue discussions to keep Legacy doctors and facilities in the Regence network for our members. Our priority is to come to agreement on a contract that balances the need to increase compensation for doctors and nurses, while holding the line on the cost of care for our members and employer group customers. As a nonprofit health plan, our premiums reflect costs in the health care system, and hospitals are already the largest driver of U.S. health care spending.

Like all health insurance companies, Regence regularly negotiates with providers on the cost of care. Most provider requests are reasonable and nearly 100% of our negotiations are successful in compensating providers and providing our members access to high-quality, affordable care. As a result, Regence members have access to thousands of providers in Oregon and tens of thousands of providers nationwide.

We are acutely aware that these negotiations have real impacts on people’s lives. Our Customer Service team is ready to help members navigate to alternative care if Legacy chooses to leave our network on March 31.

Our members, customers and regulators have asked us to rein in the rising costs of health care. We thank everyone for their continued patience as we continue to hold the line on unreasonable demands.


Updated February 16

We continue to negotiate in good faith with Legacy on an agreement for our Commercial and Medicare Advantage (MA) lines of business to avoid a network disruption for our members.

This negotiation does not affect in-network access to Legacy providers or facilities for members of Regence’s Individual and Small Group Alliance and HPN Networks. 

Members of these networks have specific designations on their member ID cards indicating the network they have access to, as noted below:

Card Image 1
Card image 2

Members of these networks will also be receiving letters from Regence confirming continued access to Legacy providers and facilities.


Message from February 6

Important information about our contract negotiation with Legacy Health Oregon

We continue to negotiate with the leaders of Legacy Health and are disappointed they have elected to go public with our discussions early and alarm our customers and members.

Legacy’s leaders have told Regence that they intend to discontinue serving Regence members unless we agree to a double-digit price increase in what we pay them for care. Our premiums are based on what we expect care to cost. If providers demand more money, our members and customers will pay more.

Members, customers and regulators have asked us to rein in the rising costs of health care. Oregon legislators have set a health care cost growth target of 3.4% to reduce health care costs. Legacy’s double-digit price demand flies in the face of efforts to contain health care costs.

Legacy cites a 24% increase in their operating expenses. It’s important to note, Legacy took more than $171 million in taxpayer dollars during the COVID-19 pandemic through CARES Act funding. We need to protect our customers from further shouldering the costs of shoring up provider balance sheets.

On behalf of those we serve, we cannot agree to the unsustainable price increase Legacy’s leadership has asked for. Legacy’s demands would cause direct financial strain to our employer-group customers and the members we serve at a time when many Americans also face financial strain.

We recognize how disruptive news about these negotiations can be to our members. At the same time, we take seriously the impact that rate increases have on our customers, members and overall health care costs.

Legacy facilities affected by this negotiation:

  • Legacy Emanuel
  • Legacy Good Samaritan
  • Legacy Mt. Hood
  • Legacy Meridian Park
  • Legacy Salmon Creek
  • Legacy Clinics, LLC
  • Legacy Hospice Services

The contract does not include Silverton, and the following facilities are not affected by this negotiation:

  • Legacy Silverton Medical Center
  • Legacy Medical Group Molalla
  • Legacy Medical Group Mount Angel
  • Legacy Medical Group Silverton
  • Legacy Silverton Family Medicine
  • Legacy Medical Group Woodburn
  • Legacy Medical Group Keizer

We continue to offer a broad network of physicians and hospitals across Oregon to ensure the families we serve have uninterrupted access to care if we are unable to reach an agreement with Legacy. These include:  

County Provider
Multnomah, Washington, Clackamas (facilities) Adventist Health Portland
Hillsboro Medical Center
Oregon Health & Science University
Providence Portland Medical Center
Providence Milwaukie Hospital
Providence Willamette Falls Medical Center
Providence St. Vincent Medical Center
Multnomah, Washington, Clackamas (clinics) American Family Care (AFC) – urgent care
Broadway Medical Clinic – primary care, dermatology, pediatrics, behavioral health
Compass Oncology
Northwest Gastroenterology Clinic
Northwest Primary Care Group PC- primary care
Northwest Urology LLC
The Oregon Clinic – multiple specialties
The Portland Clinic – primary care, dermatology, gastroenterology, GYN, nephrology, ENT, urology, neurology, rheumatology
Praxis Health PC – primary care
Providence Medical Group – primary care & multiple specialties
Oregon Health & Science University - primary care & multiple specialties
Clark (facilities) PeaceHealth Southwest Medical Center
Clark (clinics) Compass Oncology
Family Medicine of Southwest Washington – primary care, pediatrics, OB/GYN
Praxis Health PC – primary care, routine GYN, pediatrics
Rebound Orthopedics & Neurosurgery
The Vancouver Clinic – primary care & multiple specialties
PeaceHealth Southwest – multiple specialties

 

Telehealth behavioral health providers: 

Most Regence health plans also provide access to providers by phone or computer. In addition to MDLive and Doctor on Demand, most of our health plans offer virtual mental health treatment options from providers such as AbleTo Therapy+ArrayTalkspace and Charlie Health. No referral is needed – you can visit the provider’s website and fill out their intake form for an appointment.

Regence has served Oregonians for more than 80 years, providing access to high-quality, affordable health care. We greatly value the care Legacy doctors and nurses provide our members, including many of our own employees. We remain at the negotiating table with Legacy’s leadership, and we ask that they join us in our commitment to provide the communities we serve access to care that is both high quality and affordable.

We’re here to help

If Legacy leaves the Regence network, Regence members may continue to see Legacy providers at in-network rates through March 31, 2024. Additionally, some members with ongoing care needs may be able to continue to see Legacy providers at in-network rates for a limited time after March 31.

Our Customer Service and clinical teams are ready to support members. If you have questions or need help, please call us at the number on the back of your member ID card. You can also sign in at regence.com to access your member account, search for in-network providers and more.

We'll update this page as negotiations with Legacy continue.

Share: