SAMARITAN HEALTH PLANS, INC.

What SAMARITAN HEALTH PLANS, INC. does

Samaritan Health Plans, Inc. is a privately held regional health insurance company headquartered in Corvallis, Oregon, operating as a subsidiary of Samaritan Health Services, an integrated hospital-physician network across Oregon's Willamette Valley. The company underwrites three principal product lines: Medicare Advantage HMO plans (Samaritan Advantage Premier, Premier Plus, Valor, and Dual Advantage), Oregon Medicaid coverage through its wholly owned subsidiary InterCommunity Health Network CCO (IHN-CCO), and employer-sponsored group health plans. Its Medicare Advantage HMO service area is statutorily restricted to Benton, Lincoln, and Linn counties in Oregon, and as of the 2026 plan year the company will discontinue the Premier, Premier Plus, and Valor plans while preserving the Dual Advantage offering for dual-eligible members. The company positions itself around integrated payer-provider care, an eight-aspects-of-wellness philosophy, and community-rooted service.

Name

SAMARITAN HEALTH PLANS, INC.

Legal name

Samaritan Health Plans, Inc.

Website

https://samhealthplans.org

Company type

Private

Operating status

Operating

Headcount range

11–50 employees

Short description

Samaritan Health Plans, Inc. is a private Oregon health insurer and subsidiary of Samaritan Health Services that offers Medicare Advantage HMO, Medicaid (via IHN-CCO), and employer-group plans to members across the Willamette Valley, primarily in Benton, Lincoln, and Linn counties.

Ownership category

akta.pro rank

Product category

Health Insurance

NAICS

HMO Medical Centers (621491), Health and Welfare Funds (525120)

SIC

Hospital & Medical Service Plans (6324), Accident & Health Insurance (6321)

akta.pro primary industry

MA HMO Plans (HLAEACAA)

akta.pro secondary industries

Group HMO Plans (FSAIAFAK), Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans (HLAEAEAI), Behavioral Health Managed Care (Medicaid) / BH Carve-In-Carve-Out Plans (HLAEAEAE)

Keywords

• Medicare Advantage plans
• Medicaid managed care
• Employer health insurance
• Coordinated care organization
• Telehealth services

Headquarters

HQ city

Corvallis

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Medicare Advantage Premiums: Monthly premiums collected from Medicare Advantage plan members. Samaritan Advantage Health Plan is an HMO with a Medicare contract offering Premier, Premier Plus, Valor, and Dual Advantage plans.
2. Medicaid Premiums: Revenue from Oregon Medicaid through the InterCommunity Health Network CCO (IHN-CCO), a Coordinated Care Organization serving Medicaid members in Oregon.
3. Employer Group Health Plan Premiums: Monthly premiums from employer-sponsored health insurance plans, offering coverage options for businesses and their employees.

Go-to-market motion2 records

Distribution channels5 records

Marketing channels6 records

Core offering

Samaritan Health Plans is a regional health insurance company that provides Medicare Advantage HMO plans (Premier, Premier Plus, Valor, and Dual Advantage), Medicaid coverage through the InterCommunity Health Network Coordinated Care Organization (IHN-CCO), and employer-sponsored group health plans to individuals, families, and businesses in Oregon's Benton, Lincoln, and Linn Counties. The company supports these plans with supplemental services including telehealth through Teladoc, free interpreter services, care management, and an eight-aspects-of-wellness program.

Product overview

Samaritan Health Plans is a health insurance provider offering a portfolio of health coverage products including Medicare Advantage plans (Premier, Premier Plus, Valor, and Dual Advantage), Medicaid plans through the Oregon Health Plan, and Employer Group Health Plans. The company also operates InterCommunity Health Network CCO as a Coordinated Care Organization for Medicaid members. Core services include telehealth via Teladoc, interpreter services, care management programs including maternity case management, and a wellness program focused on eight aspects of wellness. The company provides three FHIR-based APIs for patient access, drug formulary, and provider directory data exchange, meeting CMS mandates and healthcare interoperability standards.

Differentiator

Problem solved

Functional benefit

Brands

• Samaritan Advantage Health Plan: Medicare Advantage plans available in Benton, Lincoln and Linn County, Oregon. An HMO with Medicare and Oregon Medicaid contract.
• InterCommunity Health Network CCO

Products and services

• Samaritan Advantage Health Plan (Medicare Advantage HMO) Medicare Advantage health insurance plans offered to eligible seniors in Benton, Lincoln, and Linn County, Oregon. Includes Premier, Premier Plus, Valor, and Dual Advantage plan options. HMO with Medicare and Oregon Medicaid contract.
• InterCommunity Health Network CCO (Medicaid) Coordinated Care Organization providing Oregon Medicaid health coverage through the Oregon Health Plan for eligible individuals and families.
• Employer Group Health Plans Health insurance plans offered to employer groups and their employees, with options for comparing and selecting coverage.
• Telehealth / Teladoc Virtual health care available 24/7 through Teladoc, offering no copay or out-of-pocket costs for plan members.
• Interpreter Services Free language and sign language interpreter services available at medical appointments, with certified healthcare interpreters accessible via phone.
• Care Management Services Comprehensive case management services including support for members with immediate or ongoing medical conditions, including a Maternity Case Management Program for pregnant IHN-CCO members.
• 8 Aspects of Wellness Program Holistic wellness program covering eight dimensions: body, mind, work, spirit, finances, community, emotions, and environment, promoting integrated physical, mental, and spiritual well-being.

Quantifiable outcome

• Recognized among Oregon's top three healthiest employers for 9 consecutive years, with highest award in 7 of those 9 years
• +2 more outcomes

Named customers3 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Six partnerships are on record, tiered core and minor.

• Salem Health and Salem West ValleycoreTechnology or Integration · 31 December 2024Samaritan Health Plans reached a network agreement with Salem Health and Salem West Valley. These facilities will remain in-network for Medicare Advantage and Medicaid (IHN-CCO) members, ensuring continued access to care.
• TeladoccoreTechnology or IntegrationTeladoc provides 24/7 virtual healthcare services to Samaritan Health Plans members at no copay or out-of-pocket costs. This partnership enables members to access telehealth services remotely, whether away from home or preferring virtual visits.
• HealthTriocoreTechnology or IntegrationHealthTrio contracts with Samaritan Health Plan to manage and support the Patient Access API, Drug Formulary API, and Provider Directory API. These FHIR APIs meet CMS mandates and conform to CARIN IG for Blue Button, US CORE, and DaVinci Implementation Guide specifications.
• MultiCarecoreStrategic or Co-development PartnerSamaritan Health Services, Samaritan Health Plans, and InterCommunity Health Network CCO are in the process of affiliating with MultiCare, a significant regional health system partnership that will expand capabilities and reach.
• MCG HealthcoreTechnology or IntegrationSamaritan Health Plans uses MCG Health evidence-based guidelines for utilization management. MCG provides best practices for informed care strategies, with their guidelines used by eight of the largest U.S. health plans and nearly 1,900 hospitals affecting over 208 million lives.
• Unite UsminorStrategic or Co-development PartnerUnite Us provides social services coordination for Samaritan Health Plans members, connecting them to community resources and support services at no cost.

Scale indicators4 records

Recent moves7 records

Expansion highlights5 records

Direct peers

• PacificSource Health Plans: Northwest regional mutual health plan with Medicare Advantage, Medicaid CCO, and commercial group products across Oregon, Idaho, Washington, and Montana. Comparable mix of MA HMO, CCO, and employer group products in overlapping Oregon counties.
• Moda Health: Oregon-based nonprofit health plan offering Medicare Advantage, Medicaid, and employer group coverage across Oregon and Alaska. Directly comparable regional payer with overlapping product set and Willamette Valley footprint.
• Kaiser Permanente Northwest: Integrated HMO offering Medicare Advantage, commercial, and Medicaid coverage in the Portland and Salem Oregon markets. Comparable HMO structure with tightly integrated provider network competing in the same state.
• CareOregon: Oregon-based nonprofit Medicaid CCO serving Oregon Health Plan members statewide, including dual-eligible populations. Directly comparable to Samaritan's IHN-CCO Medicaid operations and Dual Advantage product.
• BridgeSpan Health (Cambia Health Solutions): Oregon-headquartered health plan offering individual, employer group, and Medicare Advantage products across the Pacific Northwest. Comparable regional payer competing in Oregon's MA and group markets.
• Health Net (Centene): Centene-owned carrier operating Medicare Advantage and Medicaid plans in Oregon. Comparable MA HMO and Medicaid product mix competing for the same Oregon members.
• Providence Health Plan: Oregon-headquartered payer-provider offering Medicare Advantage, Medicaid, and employer group plans, integrated with the Providence health system. Closely mirrors Samaritan's payer-provider model and Oregon geography.

Broad incumbents

• Humana: National leader in Medicare Advantage with strong Oregon presence. Competes with Samaritan on MA products; its scale and Star ratings exemplify the competitive pressure that drove Samaritan's MA exit.
• Aetna (CVS Health): National health insurer offering Medicare Advantage, Medicaid, and employer group products across Oregon. Broad incumbent competitor to Samaritan across all three product lines.
• UnitedHealthcare: Largest U.S. health insurer offering Medicare Advantage, Medicaid, and employer group plans nationally, including significant Oregon market share. Competes directly against Samaritan's MA and employer-group products with superior scale and pricing power.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/samaritan-health-plans-inc.

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Subsidiaries2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about SAMARITAN HEALTH PLANS, INC.