Oregon Medicaid CCOs Had Mixed Financial Results & Higher Costs Due To Higher Health Care Utilization

Oregon’s 16 Medicaid Coordinated Care Organizations (CCOs) had mixed financial results during 2024, according to an analysis by the Oregon Health Authority (OHA). Nine of the CCOs operated at a profit, and seven operated at a loss. Profit margins ranged from 9.56% to a negative margin of -5.31%. Across all 16 CCOs, the net operating margin was 0.001%.

Between 2023 and 2024, total CCO expenditures per member increased by more than 10%. More Medicaid members received behavioral health care, for which Oregon Medicaid reimbursement rates were increased by an average of 30% starting in 2022. For . . .