Oregon is known as one of the most progressive states in the nation when it comes to innovative approaches to healthcare coverage, particularly through its publicly subsidized programs. The state was running its health insurance exchange when it first opened, but it has transitioned to a hybrid-state federal exchange, where the state operates its marketplace on the federal platform. The transition has benefited carriers participating in the exchange as consumer response has increased sharply. The Medicare Advantage market in Oregon is dominated by local carriers that have parlayed their brand presence into a sizable advantage over national carriers. Premium rates for 2023 have remained consistent within the state. The extension of the reinsurance program will continue to proficiently manage these premium rates, ensuring stability in market share and costs within the Medicare Advantage sector.