PacificSource - National | HealthLuminate

PacificSource Coverage

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Health Plan Overview

Insurance Company	PacificSource
Website	pacificsource.com
Number of Hospitals in Network	287
Number of Plans Offered	11

Network Hospital Locations

Hospitals in Network (287)

Birmingham VA Medical CenterCentral Alabama VA Medical Center-MontgomeryTuscaloosa VA Medical CenterProvidence Alaska Medical CenterProvidence Valdez Medical CenterProvidence Seward Medical CenterProvidence Kodiak Island Medical CenterCarl T. Hayden Veterans' Administration Medical CenterSouthern Arizona VA Health Care SystemNorthern Arizona VA Health Care SystemFayetteville VA Medical CenterCentral Arkansas Veterans Healthcare SystemProvidence St. Joseph Hospital EurekaProvidence Queen of the Valley Medical CenterAdventist Health St. HelenaProvidence Saint Joseph Hospital OrangeProvidence Little Company of Mary Medical Center San PedroAdventist Health White MemorialAdventist Health HanfordAdventist Health and RideoutPetaluma Valley HospitalProvidence St. Jude Medical CenterProvidence Santa Rosa Memorial HospitalAdventist Health ReedleyProvidence Saint Joseph Medical CenterAdventist Health Simi ValleyAdventist Health GlendaleFresno VA Medical CenterProvidence Holy Cross Medical CenterVA Long Beach Healthcare SystemProvidence Saint John's Health CenterProvidence St. Mary Medical CenterAdventist Health Ukiah ValleyVA Northern California Health CareVA Palo Alto Health Care SystemAdventist Health SonoraAdventist Health Lodi MemorialAdventist Health White Memorial MontebelloProvidence Little Company of Mary Medical Center TorranceAdventist Health BakersfieldAdventist Health Sierra VistaProvidence Mission Hospital Mission ViejoAdventist Health DelanoAdventist Health Twin CitiesAdventist Health Specialty BakersfieldProvidence Cedars-Sinai Tarzana Medical CenterAdventist Health TulareVA San Diego Healthcare SystemVA Loma Linda Healthcare SystemVA Greater Los Angeles Healthcare SystemAdventist Health Tehachapi ValleySan Francisco VA Medical CenterAdventist Health Howard MemorialAdventist Health Clear LakeProvidence Redwood Memorial HospitalHealdsburg HospitalAdventist Health Mendocino CoastAdventist Health VallejoIntermountain Health Platte Valley HospitalIntermountain Health Lutheran HospitalIntermountain Health St. Mary's Regional HospitalSaint Joseph HospitalVA Eastern Colorado Health Care SystemGrand Junction VA Medical CenterIntermountain Good Samaritan Medical CenterSaint Francis Hospital and Medical CenterJohnson Memorial HospitalSaint Mary's HospitalWest Haven VA Medical CenterSt. Francis Hospital WilmingtonWilmington VA Medical CenterWashington DC VA Medical CenterHoly Cross HospitalC.W. Bill Young Department of Veterans Affairs Medical CenterLake City VA Medical CenterMalcom Randall Department of Veterans Affairs Medical CenterJames A. Haley Veterans' HospitalThomas H. Corey VA Medical CenterSt. Mary's Hospital, Inc.Joseph Maxwell Cleland Atlanta VA Medical CenterCharlie Norwood Department of Veterans Affairs Medical CenterCarl Vinson VA Medical CenterAdventist Health CastleSt. Luke's Magic Valley Medical CenterSt. Luke's Boise Medical CenterSaint Alphonsus Regional Medical CenterBoise VA Medical CenterSt. Luke's Nampa Medical CenterIdaho Falls Community HospitalPower County Hospital DistrictWeiser Memorial HospitalSt. Luke's Jerome Medical CenterSt. Luke's Elmore Medical CenterSt. Luke's McCall Medical CenterTeton Valley HospitalSyringa Hospital & ClinicsSt. Luke's Wood River Medical CenterIntermountain Cassia Regional HospitalIntermountain HealthLifeways HospitalJesse Brown Department of Veterans Affairs Medical CenterVA Illiana Health Care SystemEdward Hines Jr. VA HospitalMarion VA Medical CenterMidwestern Region Medical CenterHoly Cross HealthCaptain James A. Lovell Federal Health Care CenterRichard L. Roudebush VA Medical CenterSaint Joseph Health SystemVA Northern Indiana Health Care SystemMercyOne Newton Medical CenterVA Central Iowa Health Care SystemIowa City VA Health Care SystemMercyOne Waterloo Medical CenterMercyOne Dubuque Medical CenterMercyOne Clinton Medical CenterMercyOne Primghar Medical CenterMercyOne New Hampton Medical CenterMercyOne Oelwein Medical CenterMercyOne Centerville Medical CenterVA Eastern Kansas Healthcare SystemRobert J. Dole VA Medical CenterRobley Rex VA Medical CenterLexington VA Medical Center Troy Bowling CampusAlexandria VA Health Care SystemSoutheast Louisiana Veterans Health Care SystemOverton Brooks VA Medical CenterTogus VA Medical CenterHoly Cross HealthPerry Point VA Medical CenterVA Maryland Health Care SystemEdith Nourse Rogers Memorial Veterans HospitalMercy Medical CenterEdward P. Boland Department of Veterans Affairs Medical CenterVA Boston Healthcare SystemTrinity Health St. Mary Mercy LivoniaTrinity Health Oakland HospitalTrinity Health Saint Mary's, Grand RapidsOscar G. Johnson VA Medical CenterTrinity Health Muskegon HospitalTrinity Health LivingstonLieutenant Colonel Charles S. Kettles VA Medical CenterBattle Creek VA Medical CenterTrinity Health Ann ArborTrinity Health Grand Haven HospitalChelsea HospitalJohn D. Dingell Department of Veterans Affairs Medical CenterTrinity Health ShelbySt. Cloud VA Health Care SystemMinneapolis VA Medical CenterVA Gulf Coast Veterans Health Care SystemG. V. (Sonny) Montgomery Department of Veterans Affairs Medical CenterKansas City VA Medical CenterJohn J. Pershing VA Medical CenterJohn J. Cochran Veterans HospitalHarry S. Truman Memorial Veterans' HospitalProvidence Saint Patrick HospitalSt. James HospitalVA Montana Health Care SystemIntermountain St. Vincent Regional HospitalMadison Valley Medical CenterBitterroot Health - Daly HospitalProvidence Saint Joseph Medical CenterHoly Rosary HospitalOmaha VA Medical CenterVA Sierra Nevada Health Care SystemVA Southern Nevada Healthcare SystemVA New Jersey Health Care SystemVA New Mexico Health Care SystemAlbany Stratton VA Medical CenterBath VA Medical CenterVA Western New York Healthcare SystemSt. Joseph's Health HospitalVA Hudson Valley Health Care SystemJames J. Peters Department of Veterans Affairs Medical CenterVA New York Harbor Healthcare SystemNorthport VA Medical CenterBrooklyn VA Medical CenterSyracuse VA Medical CenterDurham VA Medical CenterFayetteville VA Medical CenterW.G. (Bill) Hefner Salisbury Department of Veterans Affairs Medical CenterCharles George VA Medical CenterTrinity Health Kenmare HospitalMount Carmel St. Ann'sLouis Stokes Cleveland Department of Veterans Affairs Medical CenterCincinnati VA Medical CenterDayton VA Medical CenterChillicothe Veterans Affairs Medical CenterJack C. Montgomery VA Medical CenterOklahoma City VA Medical CenterAdventist Health Columbia GorgeProvidence St. Vincent Medical CenterOHSU HealthOHSU Health Hillsboro Medical CenterProvidence Newberg Medical CenterProvidence Willamette Falls Medical CenterPortland VA Medical CenterRoseburg VA Health Care SystemSalem HospitalSaint Alphonsus Medical Center - OntarioAdventist Health PortlandProvidence Portland Medical CenterProvidence Medford Medical CenterProvidence Milwaukie HospitalBay Area HospitalProvidence Seaside HospitalWest Valley HospitalAdventist Health TillamookProvidence Hood River Memorial HospitalJames E. Van Zandt VA Medical CenterCoatesville VA Medical CenterErie VA Medical CenterLebanon VA Medical CenterCorporal Michael J. Crescenz Department of Veterans Affairs Medical CenterPittsburgh VA Medical Center-University DriveWilkes-Barre VA Medical CenterMercy Fitzgerald HospitalNazareth HospitalSt. Mary Medical CenterVA Caribbean Healthcare SystemProvidence VA Medical CenterWm. Jennings Bryan Dorn Department of Veterans Affairs Medical CenterRalph H. Johnson VA Medical CenterVA Black Hills Health Care SystemRoyal C. Johnson Veterans' Memorial HospitalLt. Col. Luke Weathers, Jr. VA Medical CenterJames H. Quillen VA Medical CenterVA Tennessee Valley Healthcare System - Murfreesboro CampusVA Tennessee Valley Healthcare SystemAmarillo VA Health Care SystemDallas VA Medical CenterMichael E. DeBakey Department of Veterans Affairs Medical CenterOlin E. Teague Veterans' Medical CenterUtah Valley HospitalIntermountain McKay-Dee HospitalLDS HospitalCedar City HospitalIntermountain Medical CenterLogan Regional HospitalIntermountain St. George Regional HospitalAmerican Fork HospitalSevier Valley HospitalGeorge E. Wahlen Department of Veterans Affairs Medical CenterBear River Valley HospitalOrem Community HospitalAlta View HospitalPark City HospitalRiverton HospitalLayton HospitalSpanish Fork HospitalDelta Community Hospital - Intermountain HealthFillmore Community HospitalIntermountain Sanpete Valley HospitalHeber Valley Medical CenterGarfield Memorial HospitalBeaver Valley HospitalPrimary Children's HospitalWhite River Junction VA Medical CenterHampton VA Medical CenterRichmond VA Medical CenterSalem VA Medical CenterProvidence St. Mary Medical CenterProvidence Regional Medical Center EverettProvidence Centralia HospitalProvidence St. Peter HospitalSwedish Cherry Hill CampusSwedish Edmonds CampusSwedish Medical CenterProvidence Sacred Heart Medical Center & Children's HospitalKadlec Regional Medical CenterProvidence Holy Family HospitalMann-Grandstaff VA Medical CenterSwedish Issaquah CampusVA Puget Sound Health Care SystemProvidence St. Joseph HospitalNewport Hospital & Health ServicesProvidence Mount Carmel HospitalBeckley VA Medical CenterLouis A. Johnson VA Medical CenterHershel "Woody" Williams VA Medical CenterMartinsburg VA Medical CenterTomah VA Medical CenterClement J. Zablocki VA Medical CenterWilliam S. Middleton Memorial Veterans HospitalCheyenne VA Medical CenterSheridan VA Medical Center

Available Plans

CATASTROPHIC

1 plan

EPO

1 plan

HMO

1 plan

MEDICAID

1 plan

MEDICARE ADVANTAGE

1 plan

MEDICARE SUPPLEMENT

1 plan

OTHER

1 plan

PBM

1 plan

POS

1 plan

PPO

1 plan

SELF FUNDED

1 plan

Plan Details

Plan Name	Plan Type
PacificSource PPO	PPO
PacificSource HMO	HMO
PacificSource EPO	EPO
PacificSource POS	POS
PacificSource Self Funded	SELF FUNDED
PacificSource PBM	PBM
PacificSource Catastrophic	CATASTROPHIC
PacificSource Medicare Advantage	MEDICARE ADVANTAGE
PacificSource Medicare Supplement	MEDICARE SUPPLEMENT
PacificSource Medicaid	MEDICAID
PacificSource Other	OTHER

Recent News

Within the last 6 months (referencing July 2025 effective date)

PacificSource provided notification of changes to their commercial drug list effective July 22, 2025, including updates to existing criteria.

Within the last 6 months (referencing July 2025 effective date)

PacificSource released notifications regarding the July 2025 Community Solutions (Medicaid) formulary and coverage policies.

Within the last 6 months (referencing Aug 2025 effective date)

PacificSource announced additional changes to their commercial drug list effective August 22, 2025, including updates to existing criteria.

Within the last 6 months

PacificSource Health Plans announced changes to the coverage of Stelara (ustekinumab), which will change to biosimilar formulations.

Within the last 6 months

PacificSource announced reaching new agreements with both OHSU and PeaceHealth, ensuring continued access to care.

State Leadership

John Espinola M.D.

President and CEO

Took over as President and CEO on April 3, 2023. Has more than 20 years of leadership experience in healthcare. Received bachelor's degree from the College of the Holy Cross, medical degree and master of public health from Tufts University School of Medicine, and master of business administration from the University of Washington. Previously worked at Premera Blue Cross and a division of UnitedHealth Group.

Ken Provencher

Former CEO / President

Served as President and CEO for 21 years. Attended The Wharton School between 1983 and 1985 and Providence College between 1973 and 1977.

Peter Davidson

CFO / EVP and Chief Financial Officer

Started at PacificSource Health Plans in March.

Sharon Thomson

Executive Vice President

Started at PacificSource.

Kari Patterson

Vice President of Finance

Started at PacificSource Health Plans.

Lisa Zenev

VP Business Development

Tory Pescosolido

Regional Sales Director

Started at PacificSource Health Plans.

Cody Langbehn

Vice President & Montana Regional Director

Started at PacificSource Health Plans.

Jeff Barber

Chair Of The Board Of Directors

Started at PacificSource Health Plans.

Mihir Patel

VP of Pharmacy Services

Started at PacificSource Health Plans.

Daniel Roth

Chief Medical Officer

Steve Marks

Chief Medical Officer/SVP Health Services

Before joining PacificSource in 2000, he was Medical Director for McKenzie Health Care. Sits on the PacificSource Foundation for Health Improvement Board.

Erick Doolen

Chief Operating Officer

Started at PacificSource Health Plans.

Troy Kirk

Senior Vice President Group Sales

Ellie Godfrey

Vice President

Started at PacificSource Health Plans.

Todd Lovshin

Vice President & MT Regional Director / Board Member

Started at PacificSource Health Plans.

Lindsey Hopper

Vice President of Medicaid Programs

Started at PacificSource Health Plans.

Mark Florian

Vice President, Actuarial and Underwriting / VP And Chief Actuary

Started at PacificSource Health Plans.

Paul Wynkoop

VP of Administration

Started at PacificSource Health Plans.

Susan McMaster

VP, Enterprise Marketing and Communications

Started at PacificSource Health Plans.

Marian Blankenship

VP Community Strategy, ED PacificSource Foundation for Health Improvement

Michael Becker

VP Government Relations

Started at PacificSource Health Plans.

Martin Martinez

Vice President, IT

Started at PacificSource Health Plans.

Jennifer Lewis

Vice President, Medicare Programs

Started at PacificSource Health Plans.

Norm Varin

Director Of Government Relations

Started at PacificSource Health Plans.

Brian Wetter

Chief Information Officer

Dan Stevens

EVP, Provider And Regional Partnerships

Also listed on Central Oregon Health Council Board.

Erin Fair Taylor

VP Of Medicaid Programs

Jim Havens

EVP And Chief Sales And Marketing Officer

Tony Kopki

VP Of Commercial Programs

Dave Cass

Vice President And Corporate Compliance Officer

Elizabeth Bainter

Vice President Of Clinical Quality And Population Health

Tracy-Ann Mussenden

Vice President of Medical Management

Joined August 20, 2024. Has more than 19 years of experience helping teams implement clinical operations and utilization management strategies as well as improve operational quality and efficiency. Has held leadership roles at Kaiser Permanente, Centene, and Meridian Health. Holds a Bachelor of Science in nursing, a Master of Executive Health Administration, and is pursuing a Doctor of Health Administration. Is a registered nurse.

Shawn Akavan

Executive Vice President and Chief Medical Officer

Jack Friedman

Board Chair

PacificSource Board Chair as of January 2023.

Rick Blackwell

Board Secretary / Director of Oregon Government Relations, PacificSource Community Solutions

Board Secretary for CCO Oregon.

Divya Sharma, MD

Designee on the PacificSource Board of Directors

Chief Medical Officer of both the Central Oregon IPA and LaPine Community Health Center. Board certified in internal medicine.

Claudia Valderrama

Designee on the PacificSource Board of Directors

Global Chief Financial Officer at Wieden & Kennedy. Skilled in business planning, strategic planning, business strategy and budgeting.