CareOregon
CareOregon is a Portland-based nonprofit health plan operating as Oregon's largest Medicaid Coordinated Care Organization, serving over 500,000 Oregon Health Plan members and dual-eligible Medicare Advantage enrollees through integrated care delivery and a social-determinants-of-health platform.
- Company typePrivate
- Founded1993
- HeadquartersPortland, United States
- Headcount1,001–5,000
- GTM typeB2C
- OfferingServices
What CareOregon does
CareOregon is a nonprofit health plan founded in 1994 and headquartered in Portland, Oregon. Operating as a Coordinated Care Organization (CCO), it administers Oregon Health Plan (Medicaid) coverage for more than 500,000 members, making it the largest Medicaid health plan in Oregon. The organization also offers CareOregon Advantage, a Medicare Advantage HMO D-SNP for dual-eligible individuals, and operates the wholly-owned subsidiaries Columbia Pacific CCO, Jackson Care Connect, and Housecall Providers, along with its partnership in Health Share of Oregon.
CareOregon's product portfolio includes integrated physical, mental, dental, and vision health coverage delivered through an extensive provider network, plus non-clinical support services such as the Ride to Care transportation benefit, in-home palliative care through Housecall Providers, tribal care coordination with all nine Oregon federally recognized tribes, and the MyCareOregon mobile app for member self-service. The organization also runs a substantial community giving program that has deployed more than $85 million since 2020 to community-based organizations addressing social determinants of health, including $21.5 million committed to the Housing is Health initiative covering 379 low-income housing units and $2 million to integrate dental care across five safety-net clinics.
Revenue is generated primarily through capitated per-member-per-month payments from the Oregon Health Authority (Medicaid) and from CMS (Medicare Advantage). CareOregon distributes services via state-determined Medicaid enrollment, Medicare enrollment, community partner referrals, and self-serve digital channels, with go-to-market centered on community-led outreach through its Connect to Care team and member engagement via the member portal and MyCareOregon mobile app.
CareOregon firmographics
Firmographics- Name
- CareOregon
- Legal name
- CareOregon, Inc.
- Website
- https://careoregon.org
- Company type
- Private
- Founded year
- 1993
- Operating status
- Operating
- Headcount range
- 1,001–5,000 employees
- Short description
- CareOregon is a Portland-based nonprofit health plan operating as Oregon's largest Medicaid Coordinated Care Organization, serving over 500,000 Oregon Health Plan members and dual-eligible Medicare Advantage enrollees through integrated care delivery and a social-determinants-of-health platform.
- Ownership category
- akta.pro rank
CareOregon industry classification
Industry- Product category
- Medicaid Managed Care
- NAICS
- HMO Medical Centers (621491), Individual and Family Services (6241)
- SIC
- Hospital & Medical Service Plans (6324), Insurance Agents, Brokers & Service (6411)
- akta.pro primary industry
- Medicaid Managed Care HMOs (HLAEAMAI)
- akta.pro secondary industries
- Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans (HLAEAEAI), Medicare Advantage HMOs (HMO/HMO-POS) (HLAEAMAH), Care Management & Population Health Program Administration (HLAEALAG)
Keywords
Where CareOregon is headquartered
LocationHeadquarters
- HQ city
- Portland
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
CareOregon business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Others
Revenue model
- Oregon Health Plan (Medicaid) CCO: CareOregon operates as a Coordinated Care Organization (CCO) receiving capitated payments from the Oregon Health Authority to manage healthcare for Medicaid members. Revenue is generated through fixed per-member-per-month payments.
- CareOregon Advantage Medicare: Medicare Advantage plan (HMO D-SNP) for individuals eligible for both Medicare and Medicaid, generating revenue through Medicare Advantage capitated payments.
- Community Giving Program: Philanthropic grants and sponsorships to community organizations addressing social determinants of health. While this represents outflow rather than revenue, it demonstrates the organization's community investment model.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Oregon Health Plan (Medicaid) - No or low cost coverage |
Go-to-market motion2 records
Distribution channels5 records
Marketing channels7 records
CareOregon product offering
Product offeringCore offering
CareOregon is a nonprofit Coordinated Care Organization (CCO) that administers Oregon Health Plan (Medicaid) coverage to more than 500,000 low-income Oregonians under capitated contracts with the Oregon Health Authority. It also offers CareOregon Advantage, a Medicare Advantage HMO D-SNP plan for dual-eligible members, supported by integrated care coordination, in-home primary care (Housecall Providers), transportation (Ride to Care), tribal care coordination, and a community giving program investing over $85 million since 2020 in social determinants of health.
Product overview
CareOregon is an integrated health plan and coordinated care organization that operates as a multi-product portfolio. The core offering is the Oregon Health Plan (Medicaid) health plan serving over 500,000 members, supplemented by CareOregon Advantage (Medicare Advantage D-SNP) for dual-eligible members. The organization provides care through sub-brands including Housecall Providers (in-home primary care and palliative care), Columbia Pacific CCO, and Jackson Care Connect. Member-facing digital products include the MyCareOregon mobile app and member portal. Support services include Ride to Care (transportation), Connect to Care (community outreach), and Care Coordination Services. The CareOregon Community Giving Program provides grants to community organizations addressing social determinants of health.
Differentiator
Problem solved
Functional benefit
Products and services
- Oregon Health Plan (Medicaid) Coordinated Care
- CareOregon Advantage
- MyCareOregon Mobile App
- Ride to Care
- Housecall Providers
- Columbia Pacific CCO
- Jackson Care Connect
- Tribal Care Coordination
- Connect to Care
- CareOregon Community Giving Program
Quantifiable outcome
- Over 500,000 Oregon Health Plan members served - more than any other health plan
- +3 more outcomes
Companies that use CareOregon
Customer profileNamed customers5 records
Segments4 records
Ideal customer profiles2 records
CareOregon technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature3 records
CareOregon partnerships and signals
Strategic signalPartnerships
Ten partnerships are on record, tiered core and minor.
- Oregon Health Authority (OHA)coreOHA partnered with CareOregon to develop a culturally appropriate, statewide care coordination program for American Indian/Alaska Native OHP members on fee-for-service, in coordination with all nine federally recognized tribes in Oregon and NARA.
- Housing is Health Coalition (Adventist Health Portland, Kaiser Permanente Northwest, Legacy Health, OHSU, Providence Health & Services Oregon)coreSix health organizations including CareOregon committed $21.5 million toward construction of three low-income housing projects totaling 379 units in East and North Portland. This pioneering partnership addresses housing as a social determinant of health.
- Native American Rehabilitation Association of the Northwest (NARA)coreNARA is the tribal care coordination partner working with CareOregon and OHA to provide culturally responsive care coordination services for tribal members.
- Central City ConcerncoreNonprofit serving people impacted by homelessness and poverty. Partner in Housing is Health initiative, developing affordable and supportive housing units with CareOregon funding and support.
- Virginia Garcia Memorial Health CenterminorSafety-net clinic receiving CareOregon investment to integrate dental care with primary care services as part of oral health integration initiative.
- Health Share of OregoncoreCareOregon is part of Health Share of Oregon, a coordinated care organization serving OHP members in the Portland metro area.
- Housecall ProviderscorePart of the CareOregon family, providing in-home primary care and palliative care services for members with chronic conditions and advanced illness.
- Columbia Pacific CCOcorePart of the CareOregon family, serving as a Coordinated Care Organization for OHP members in the Columbia Pacific region.
- Jackson Care ConnectcorePart of the CareOregon family, serving as a Coordinated Care Organization for OHP members in Jackson County.
- Oregon Health and Education CollaborativeminorCareOregon supports recruitment for this collaborative, extending workforce development partnerships.
Scale indicators6 records
Recent moves6 records
Expansion highlights4 records
CareOregon competitors and assessment
Company assessmentBroad incumbents
- Humana: Humana is the largest U.S. Medicare Advantage operator with a major D-SNP franchise. It is comparable to CareOregon as a dual-eligible D-SNP competitor with strong capabilities serving complex, low-income Medicare populations.
- Molina Healthcare: Molina Healthcare is a large national Medicaid managed care organization with government-sponsored health plans across multiple states. It is comparable to CareOregon as a Medicaid-focused health plan serving low-income populations, though at much greater geographic scale.
- Centene Corporation: Centene is the largest U.S. Medicaid managed care operator with a national footprint including D-SNP and marketplace plans. Centene competes broadly with CareOregon in the Medicaid and dual-eligible segments, although it does not currently hold the Oregon CCO contracts that CareOregon dominates.
- Anthem (Elevance Health): Anthem/Elevance operates Medicaid, Medicare Advantage (including D-SNP), and commercial plans across most U.S. states via brands including Amerigroup and Anthem Blue Cross. Comparable to CareOregon as a diversified government-program health insurer with dual-eligible capabilities.
Direct peers
- PacificSource: PacificSource operates Coordinated Care Organizations (CCOs) in Oregon and a health plan across the Pacific Northwest. It is directly comparable to CareOregon as a regional nonprofit/regional health insurer serving Medicaid members in Oregon and adjacent states.
- Kaiser Permanente Northwest: Kaiser Permanente Northwest is an integrated health system and health plan serving Oregon and Southwest Washington, including Medicaid and Medicare Advantage members. It is highly comparable to CareOregon as both an Oregon-based CCO/Medicaid contractor and integrated payer-provider, and was even a co-investor in CareOregon's Housing is Health initiative.
- Trillium Community Health Plan: Trillium is an Oregon Coordinated Care Organization serving OHP members in Lane County and surrounding areas. It is a direct CCO peer to CareOregon under the same Oregon Medicaid CCO contracting framework.
- Health Share of Oregon: Health Share of Oregon is the largest Coordinated Care Organization in the Portland metro area. CareOregon is itself part of Health Share, making it a closely intertwined peer that shares the same Medicaid contract and member population.
Regional players
- Providence Health Plan: Providence Health Plan operates commercial, Medicaid, and Medicare Advantage plans across Oregon and the Pacific Northwest. It is comparable to CareOregon as a regional nonprofit health plan and was a co-investor in the Housing is Health initiative, signaling peer positioning in Oregon's coordinated care ecosystem.
- Regence BlueCross BlueShield of Oregon: Regence BlueCross BlueShield of Oregon is a regional nonprofit health plan serving commercial, Medicare, and Medicaid members across Oregon. It is comparable to CareOregon as a Pacific Northwest nonprofit plan with government program exposure.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat5 records
Key risks4 records
Key highlights6 records
Customer concentration
CareOregon social profiles
Digital presenceCareOregon compliance and trust
Trust signalCompliance3 records
CareOregon financial estimates
Financial estimateRevenue estimate
Valuation estimate
CareOregon leadership team
Management profileNumber of profiles
Profiles7 records
CareOregon subsidiaries and ownership
Company hierarchySubsidiaries3 records
CareOregon funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
CareOregon M&A and investment
M&A and investmentM&A
Investments1 record
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about CareOregon
What does CareOregon do?
CareOregon is a nonprofit Coordinated Care Organization (CCO) that administers Oregon Health Plan (Medicaid) coverage to more than 500,000 low-income Oregonians under capitated contracts with the Oregon Health Authority. It also offers CareOregon Advantage, a Medicare Advantage HMO D-SNP plan for dual-eligible members, supported by integrated care coordination, in-home primary care (Housecall Providers), transportation (Ride to Care), tribal care coordination, and a community giving program investing over $85 million since 2020 in social determinants of health.
Is CareOregon a public or private company?
CareOregon is a private company. It is classified as nonprofit foundation owned and is currently operating.
When was CareOregon founded?
CareOregon was founded in 1993. It employs 1,001 to 5,000 people.
Where is CareOregon based?
CareOregon is headquartered in Portland, United States, in the North America region.
How does CareOregon make money?
Three revenue lines are on record. Oregon Health Plan (Medicaid) CCO is the primary driver. The others are careOregon Advantage Medicare and community Giving Program.
Who are CareOregon's main competitors?
Broad incumbents on record are Humana, Molina Healthcare, Centene Corporation and Anthem (Elevance Health). Direct peers are PacificSource, Kaiser Permanente Northwest, Trillium Community Health Plan and Health Share of Oregon. Regional players are Providence Health Plan and Regence BlueCross BlueShield of Oregon.
Does CareOregon have an API?
No public API is recorded for CareOregon.
What industry is CareOregon in?
CareOregon's product category is Medicaid Managed Care. Its primary akta.pro industry code is HLAEAMAI, Medicaid Managed Care HMOs, with a secondary code of HLAEAEAI, Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans. Its NAICS code is 621491 and its SIC code is 6324.