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%.

Oregon's Medicaid program, which covers approximately 1.4 million people, is known as the Oregon Health Plan, or OHP. OHA contracts with CCOs to administer benefits. The CCOs receive a monthly per-person capitation rate. An annual . . .