Shaun Lan, MD, Family Medicine performs a skin exam on Kathryn Flack Tuesday, April 3, 2012, at Legacy Medical Group Northwest Clinic, in Portland, Ore. State officials are expected to release letters of intent filed by health care organizations that want to take part in an overhauled Oregon Health Plan. � The letters are likely to show whether some areas of the state are being left in the dust or if turf battles are emerging between powerful health industry interests.