We care about people

We serve Oregonians eligible for the Oregon Health Plan (OHP) and Medicare Advantage members who have us as their health care option. But that’s not all. We are a managed health care company with an overarching goal: to make world-class, high-quality health care available to all Oregon residents, regardless of income.

 

We support our neighbors

We know that some Oregonians are in need but don’t qualify for OHP benefits. We work to strengthen the health care safety net that these Oregonians rely upon, from local health departments and community clinics to rural and migrant health centers. We partner with policy makers and legislators to improve services and provide access to quality care throughout the state, from urban centers to rural neighborhoods.

 

We work with first-class providers

CareOregon has built a health care delivery system that assures access to physicians and health care professionals who understand special needs and provide quality care regardless of a patient’s financial resources. Our network includes a wide range of medical specialties, from dentists to optometrists, from psychologists to physical therapists. Our providers are committed not only to treating illnesses but also to providing preventive care and conducting medical research that improves quality of life.

 

We work with policy makers to ensure access

Some policy makers call CareOregon a “Fully Capitated Health Plan” (FCHP) because we contract with the Oregon Health Authority (OHA) to provide OHP enrollees access to health care services in exchange for a per member, per month capitation rate.  Our payment rates are set by the Oregon Legislature, and are subject to available state funding. CareOregon takes full financial risk for the health care services our members use.

Others know CareOregon as a “Medicaid Managed Care Organization” (MCO) because of our unique delivery and payment system.  Still others call us a “Safety Net Health Plan” because CareOregon was formed by the safety net health care providers in Oregon.  A Safety Net Health Plan is usually defined as a no-profit whose revenue is derived from public programs.  CareOregon is a 501(c)(3) public benefit non-profit organization and nearly all of our revenue comes from public programs such as Medicaid, Medicare and CHIP.  

A lot of names for one health plan!  To put it simply, CareOregon ensures that members have timely access to high quality health care from a broad network of providers, and CareOregon works hard every day to keep people healthy and active in their homes and communities. 

Members, providers, staff, policy makers, advocates and communities. We are better together.