Portland-based Legacy Health is undertaking multiple service changes and clinic closures to help address ongoing financial pressures.
In an Oct. 19 statement shared with Becker’s, the health system pointed to challenges like supply costs, stagnant reimbursement rates and “broader uncertainties” across healthcare, including around two-thirds of its patients being covered by Medicare or Medicaid and inadequate reimbursement.
Legacy also pointed to state-level mandates in Oregon and Washington like nurse-to-patient ratio mandates and expanded presumptive financial assistance eligibility as stressors driving up costs and reducing revenue.
“Despite ongoing operational improvements and more than 200 position reductions in the past three years, Legacy projects a loss of approximately $38 million this fiscal year,” the statement said. “And this is before we experience any negative impacts from HR1, which is expected to bring deep cuts to Medicaid and other safety net programs in the near future.”
Some of the Legacy service closures include:
- Legacy Devers Eye Institute at Emanuel Medical Center in Portland will close Jan. 9.
- The outpatient neuro-rehabilitation program at Emanuel Medical Center will end in 2026.
- Legacy Salmon Creek Pain Clinic in Vancouver, Wash., will close on March 20.
- The cardiac and pulmonary rehabilitation program at Legacy Good Samaritan Medical Center in Portland will end Jan. 9.
- Emanuel outpatient rehabilitation services will focus only on [Legacy Medical Group] and trauma patient referrals starting in 2026.
Legacy-GoHealth will also close all of its Washington-based clinics and its Pearl District and Williams clinics in Oregon. The eight Legacy-GoHealth Urgent Care centers across Oregon will stay open.
Legacy Health did not have further comment for Becker’s on the employees impacted by these service and clinic changes.
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