PacificSource
PacificSource Health Plans is a nonprofit, cooperative health insurer founded in 1933, providing individual, employer, Medicare, Medicaid, dental, and PACE plans across Idaho, Montana, Oregon, and Washington, with roughly 501-1,000 employees.
- Company typePrivate
- Founded1933
- HeadquartersSpringfield, United States
- Headcount501–1,000
- GTM typeB2B and B2C
- OfferingServices
What PacificSource does
PacificSource Health Plans is a nonprofit, privately-held health insurance company founded in 1933 by 13 physicians as a cooperative and headquartered in Bend, Oregon. The company provides a comprehensive portfolio of health insurance products across four states — Idaho, Montana, Oregon, and Washington — including individual and family plans, small group (1-50 employees) and large group (51+) employer plans, self-funded employer plans, Medicare Advantage and D-SNP plans, Medicaid managed care through the Oregon Health Plan, standalone dental coverage, and the Program of All-Inclusive Care for the Elderly (PACE). Operating subsidiaries include PacificSource Community Solutions (Medicaid), PacificSource Community Health Plans (Medicare Advantage and OHP), PacificSource Administrators, Inc. (TPA services), and PacificSource PACE, LLC.
The company's technology stack centers on the InTouch member portal, the myPacificSource mobile application (iOS and Android), the InTouch for Providers portal for healthcare provider administration, and interoperability APIs supporting CMS-mandated data exchange and transparency requirements. Telehealth services are delivered through partner Teladoc. Recent product initiatives include a tech-enabled dementia management program with Ceresti Health for Medicare Advantage and D-SNP members, leveraging caregiver tablets, personalized education, and dedicated coaching. PacificSource has also adopted the Databricks Data Intelligence Platform for data infrastructure. Distribution is multi-channel: direct-to-consumer via website and call center, employer group sales, government-facilitated Medicare and Medicaid enrollment, and licensed insurance producers/brokers.
Revenue is generated primarily through recurring monthly health insurance premiums collected from individuals, families, employers, and government programs. Pricing is quote-based and varies by plan type, coverage level, geography, age, and risk profile; specific rates are not publicly disclosed. The company employs 501-1,000 people. In 2026, PacificSource announced exits from Montana's marketplace, Oregon's individual market, and the ACA Marketplaces for plan year 2027, citing rising healthcare costs and industry headwinds. AM Best withdrew PacificSource Health Plans' credit ratings in October 2025 at the company's request, noting weak risk-adjusted capitalization despite earnings improvements. The company was also fined $100,000 by the Washington state Insurance Commissioner for incorrectly processing claims resulting in over $85,000 in improper consumer co-payments.
PacificSource firmographics
Firmographics- Name
- PacificSource
- Legal name
- PacificSource Health Plans
- Website
- https://pacificsource.com
- Company type
- Private
- Founded year
- 1933
- Operating status
- Operating
- Headcount range
- 501–1,000 employees
- Short description
- PacificSource Health Plans is a nonprofit, cooperative health insurer founded in 1933, providing individual, employer, Medicare, Medicaid, dental, and PACE plans across Idaho, Montana, Oregon, and Washington, with roughly 501-1,000 employees.
- Ownership category
- akta.pro rank
PacificSource industry classification
Industry- Product category
- Health Insurance
- NAICS
- Health and Welfare Funds (525120), Nursing and Residential Care Facilities (623)
- SIC
- Hospital & Medical Service Plans (6324), Services-Health Services (8000)
- akta.pro primary industry
- Compliance, Reporting & Regulatory Administration (ERISA/ACA/No Surprises) (HLAEALAJ)
Keywords
Where PacificSource is headquartered
LocationHeadquarters
- HQ city
- Springfield
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
PacificSource business model
Business model- GTM type
- B2B and B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure
Revenue model
- Health Insurance Premiums: PacificSource generates revenue primarily through collecting premiums from individuals, families, employers, and government programs (Medicare, Medicaid) in exchange for health coverage. Premiums are collected on a monthly basis and cover medical services, prescription drugs, and preventive care.
Go-to-market motion1 record
Distribution channels5 records
Marketing channels5 records
PacificSource product offering
Product offeringCore offering
PacificSource is a nonprofit health insurance company that underwrites and administers medical, dental, Medicare Advantage, Medicaid, and PACE health plans for individuals, families, employers, and government program participants in Oregon, Idaho, Montana, and Washington. The company collects recurring monthly premiums and provides members with access to multi-state provider networks, telehealth, behavioral health, prescription drug coverage, and digital self-service through the InTouch portal and myPacificSource mobile app.
Product overview
PacificSource offers a comprehensive health insurance portfolio consisting of Individual & Family Plans, Small Group and Large Group employer plans (including self-funded options), Medicare Advantage and D-SNP plans, Medicaid plans through the Oregon Health Plan, Dental coverage, and PACE (Program of All-Inclusive Care for the Elderly). The company's digital ecosystem includes the InTouch member portal and myPacificSource mobile app for member self-service, the InTouch for Providers portal for healthcare providers, and telehealth services including Teladoc. These products are supported by interoperability APIs and data transparency resources, with recent expansion into tech-enabled care management through partnerships like Ceresti Health for dementia care.
Differentiator
Problem solved
Functional benefit
Brands
- InTouch: Member and employer online portal for managing health insurance accounts, viewing claims, and accessing plan information
- myPacificSource
Products and services
- Individual & Family Plans
- Small Group Plans
- Large Group Plans
- Self-Funded Plans
- Medicare Plans
- Medicaid Plans
- Dental Plans
- PACE (Program of All-Inclusive Care for the Elderly)
Quantifiable outcome
- 42% reduction in medical costs for Medicare Advantage members with dementia in Ceresti partnership
- +1 more outcomes
Companies that use PacificSource
Customer profileNamed customers1 record
Segments6 records
Ideal customer profiles5 records
PacificSource technology and API
TechnologyTechnology focussed No
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
AI capability2 records
Feature4 records
PacificSource partnerships and signals
Strategic signalPartnerships
Two partnerships are on record, tiered notable.
- Ceresti HealthnotableDementia management partnership demonstrating significant cost savings with 42% reduction in medical costs and $523 per member per month savings for 444 enrolled Medicare Advantage and D-SNP members. The tech-enabled program activates family caregivers through tablets, personalized education, and dedicated coaching to reduce preventable emergency visits and hospitalizations.
- Summit HealthnotableCollaboration with physician-led, patient-centric healthcare network with more than 170 providers and ten locations in Central Oregon to create new models for quality improvement. Partnership reflects PacificSource's founding cooperative vision dating back 90 years.
Scale indicators7 records
Recent moves9 records
Expansion highlights5 records
PacificSource competitors and assessment
Company assessmentDirect peers
- Providence Health Plan: Oregon-based nonprofit health plan and direct competitor that PacificSource is co-exiting the Oregon individual market with at end-2026. Operates commercial, Medicare Advantage and Medicaid lines in the same Pacific Northwest footprint.
- Moda Health: Oregon-headquartered regional health plan offering individual, group, Medicare and Medicaid products across the Pacific Northwest. One of the four carriers remaining in Oregon's individual market after PacificSource exits.
- Blue Cross of Idaho: Idaho-domiciled nonprofit health plan serving individual, employer, Medicare and Medicaid markets — one of the few remaining regional carriers competing with PacificSource in Idaho post-Montana exit.
- CareOregon: Oregon-focused nonprofit Medicaid managed care plan and one of four remaining carriers in Oregon's individual market. Directly comparable Oregon Health Plan partner/contributor alongside PacificSource Community Solutions.
- Regence BlueCross BlueShield of Oregon: Regence/Cambia is a Pacific Northwest Blue plan serving Oregon, Idaho, Utah and Washington with commercial, Medicare and Medicaid products, directly competing for the same employer and individual accounts as PacificSource.
Broad incumbents
- Cigna Healthcare: National carrier exiting ACA Marketplaces for 2027 alongside PacificSource; competes in the same national-employer and stop-loss segments that PacificSource Administrators serves.
- Kaiser Permanente Northwest: Integrated payer-provider system operating in Oregon and Washington with commercial, Medicare and Medicaid plans. Differentiated by owned-clinic delivery model but competes directly for group and individual enrollment in PacificSource's core footprint.
Others
- Summit Health: Central Oregon physician-led provider network with 170+ providers across ten locations; PacificSource's announced quality-improvement partner. Included as an ecosystem/partner comparable rather than a plan competitor.
Regional players
- Premera Blue Cross: Washington/Alaska-based nonprofit Blue plan offering commercial and Medicare products; competes with PacificSource in the Washington employer group and Medicare Advantage segments.
- Health Net (Oregon): Centene-owned health plan offering commercial and Medicaid products in Oregon, competing for the same employer and Medicaid contracts as PacificSource in the Pacific Northwest.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks6 records
Key highlights7 records
Customer concentration
PacificSource social profiles
Digital presencePacificSource financial estimates
Financial estimateRevenue estimate
Valuation estimate
PacificSource leadership team
Management profileNumber of profiles
Profiles7 records
PacificSource subsidiaries and ownership
Company hierarchySubsidiaries4 records
PacificSource funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
PacificSource M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about PacificSource
What does PacificSource do?
PacificSource is a nonprofit health insurance company that underwrites and administers medical, dental, Medicare Advantage, Medicaid, and PACE health plans for individuals, families, employers, and government program participants in Oregon, Idaho, Montana, and Washington. The company collects recurring monthly premiums and provides members with access to multi-state provider networks, telehealth, behavioral health, prescription drug coverage, and digital self-service through the InTouch portal and myPacificSource mobile app.
Is PacificSource a public or private company?
PacificSource is a private company. It is classified as nonprofit foundation owned and is currently operating.
When was PacificSource founded?
PacificSource was founded in 1933. It employs 501 to 1,000 people.
Where is PacificSource based?
PacificSource is headquartered in Springfield, United States, in the North America region.
How does PacificSource make money?
One revenue line is on record: health Insurance Premiums.
Who are PacificSource's main competitors?
Direct peers on record are Providence Health Plan, Moda Health, Blue Cross of Idaho, CareOregon and Regence BlueCross BlueShield of Oregon. Broad incumbents are Cigna Healthcare and Kaiser Permanente Northwest. Summit Health is listed as an others. Regional players are Premera Blue Cross and Health Net (Oregon).
Does PacificSource have an API?
Yes. PacificSource provides data interoperability resources including APIs for developer access, machine readable files, and member access instructions. The Interoperability Resources section includes Developer access instructions, API Usage Terms and Conditions, and technical resources for data exchange. The company offers transparency and privacy resources including machine readable files and cost estimation tools. Accessing PacificSource data resources requires consent with API Usage Terms and Conditions. Developer documentation is at pacificsource.com/resources/interoperability-and-transparency/developer-access-instructions.
What industry is PacificSource in?
PacificSource's product category is Health Insurance. Its primary akta.pro industry code is HLAEALAJ, Compliance, Reporting & Regulatory Administration (ERISA/ACA/No Surprises). Its NAICS code is 525120 and its SIC code is 6324.