Oregon takes control of Medicare Advantage insurer over mounting losses

Advertisement

Oregon regulators have placed ATRIO Health Plans under state supervision after the Medicare Advantage insurer racked up more than $52 million in operating losses in 2025 and fell into a “hazardous financial condition.”

The April 13 order gives the state direct oversight of all financial decisions at the Portland-based insurer, which covers roughly 35,340 MA enrollees across 11 Oregon counties.

Regulators found ATRIO’s financial position was far weaker than its reported financials suggested, with adjusted capital and surplus of just $9.8 million as of Dec. 31. The insurer had also relied on outside cash infusions to stay solvent over the prior 24 months, according to the order. The financial strain has produced a claims backlog, leaving provider payments unpaid.

Under the 60-day supervision order, ATRIO is banned from withdrawing bank funds, transferring assets, taking on new debt, changing management, increasing executive compensation, or paying dividends without prior written approval from the state’s insurance director.

At the Becker's 5th Annual Fall Payer Issues Roundtable, taking place November 2–3 in Chicago, payer executives and healthcare leaders will come together to discuss value-based care, regulatory changes, cost management strategies and innovations shaping the future of payer-provider collaboration. Apply for complimentary registration now.

Register to Attend Webinar

Read. Deleted. Ignored. What It Takes to Drive Behavior Change and Lower the Cost of Care

Tuesday, August 4
11:00 AM - 12:00 PM CDT

Presenters: Koleen Cavanaugh, Independence Blue CrossBukata Hayes, HMO Minnesota (Blue Plus)Nathan Foco, Select HealthTrish Cox, SCAN Health PlanJonas Puente, ZS Associates

Advertisement

Next Up in Medicare Advantage

Advertisement