Oregon Health Authority

What Oregon Health Authority does

Oregon Health Authority (OHA) is a state government agency of the State of Oregon, headquartered in Salem, established in 2009, and operating under the authority of Oregon's governor and legislature. OHA administers the Oregon Health Plan (the state's Medicaid program), behavioral health services, public health surveillance, healthcare market oversight, tobacco cessation initiatives, and the state's psilocybin services program under Measure 109. Its primary constituents are Oregon Medicaid recipients, Oregonians with severe persistent mental illness, psilocybin therapy program participants, and the broader Oregon population served through communicable disease surveillance (including a wastewater monitoring system that detected measles 10 weeks before the first clinical cases).

OHA holds distinctive regulatory authority: in 2021 Oregon became the first state to grant its health authority power to block healthcare mergers and acquisitions, and OHA has evaluated 65 healthcare deals under this program in five years. The agency conditions approvals on community investment requirements — for example, mandating a $30 million, five-year Oregon investment from the Providence / FC Compassus home health joint venture — and conducts oversight investigations such as its review of Charlie Health's telehealth Medicaid billing practices. OHA also licenses and regulates novel programs including 39 psilocybin service centers and partners with organizations such as Cascadia Pharmacy Group and Oregon State University College of Pharmacy on tobacco cessation campaigns.

OHA does not operate on a commercial revenue model. Its funding flows from Oregon state budget appropriations, federal Medicaid matching funds, and other governmental sources. The agency is currently navigating material fiscal pressure: a $421 million Medicaid budget shortfall projected to grow to $868 million by 2029 due to rising healthcare costs and federal HR 1 cuts, a 38% decline in cannabis tax revenues since 2021 that threatens behavioral health funding, and a proposed $170 million cut to quality incentive funds. Leadership includes OHA Director Dr. Sejal Hathi and Deputy Director Dave Baden.

Name

Oregon Health Authority

Legal name

Oregon Health Authority

Website

https://oregon.gov

Company type

Private

Founded year

2009

Operating status

Operating

Headcount range

5,001–10,000 employees

Short description

Oregon Health Authority is a state government agency that administers Oregon's Medicaid program, behavioral health services, healthcare market oversight, and public health surveillance, uniquely holding statutory authority to block healthcare mergers and acquisitions in the state.

Ownership category

akta.pro rank

Headquarters

HQ city

Salem

HQ country

United States

HQ region

North America

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Others, Infrastructure

Distribution channels2 records

Marketing channels1 record

Core offering

Oregon Health Authority (OHA) is a state government agency that administers Oregon's Medicaid program (Oregon Health Plan), oversees behavioral health and addiction services, regulates the healthcare market including hospital transactions and psilocybin service centers, and runs public health surveillance for infectious disease and wastewater monitoring. It serves Oregon residents with state and federally funded health programs and licensing/oversight of healthcare providers.

Product overview

Oregon Health Authority is a state government agency that administers public health programs including Medicaid (Oregon Health Plan), behavioral health services, healthcare market oversight, tobacco cessation programs, and psilocybin services. The agency also manages healthcare regulatory functions including oversight of healthcare mergers and acquisitions, healthcare facility licensing, and public health surveillance programs. The source data does not contain specific named product offerings, modules, or software platforms.

Differentiator

Problem solved

Functional benefit

Products and services

• Oregon Health Plan (Medicaid)
• Healthcare Provider Network Network of healthcare providers serving Oregon Health Plan members, including hospitals, clinics, and coordinated care organizations.
• Pharmacy Network Pharmacy services network available to Oregon Health Plan members for prescription drug coverage and dispensing.
• Psilocybin Service Center Licensing Regulatory program that licenses and oversees psilocybin service centers in Oregon under Measure 109.
• Addiction Treatment Beds Program State-funded program expanding residential addiction treatment bed capacity across Oregon for substance use disorder recovery.
• Wastewater Surveillance Program Public health monitoring program tracking infectious disease spread through wastewater analysis across Oregon.
• Infectious Disease Response (Measles Monitoring) State-led infectious disease detection, contact tracing, and public notification program, including current measles case tracking.
• Health Care Market Oversight Program Regulatory program reviewing proposed healthcare mergers, acquisitions, and material change transactions for impact on cost, quality, and equity.

Quantifiable outcome

• Wastewater surveillance detected measles 10 weeks before first clinical cases
• +1 more outcomes

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Six partnerships are on record, tiered flagship, core and minor.

• Cascadia Pharmacy GroupflagshipStrategic or Co-development PartnerCascadia Pharmacy Group launched the 'Small Pharmacy. Big Care.' campaign funded by OHA to highlight independent pharmacists' role in tobacco cessation services and youth nicotine addiction prevention. The campaign includes billboards in southern Oregon cities connecting the new tobacco law to pharmacy-based quit support services.
• Oregon State University College of PharmacycoreStrategic or Co-development PartnerPartner in the 'Small Pharmacy. Big Care.' campaign working to connect the new tobacco law to pharmacy-based quit support services.
• Providence Health & ServicescoreStrategic or Co-development PartnerNonprofit health system receiving conditional approval from OHA for joint venture with Compassus to spin off home health and hospice operations into 'Providence at Home with Compassus' with $30 million investment required.
• FC CompassuscoreStrategic or Co-development PartnerFor-profit Compassus company partnering with Providence in 50-50 joint venture under OHA regulatory oversight for Oregon's largest home health and hospice care network.
• Charlie HealthminorOthersMontana-based telehealth mental health company under investigation by OHA for operating with providers not licensed in Oregon and potentially billing Medicaid improperly. The company's certification renewal is pending while it lobbies to preserve ability to operate in Oregon.
• Portland State University-OHSU Oregon Center of Excellence for Behavioral Health & AgingcoreStrategic or Co-development PartnerReceived $1.25 million grant from U.S. Administration on Community Living to expand behavioral health services for older adults in Oregon through evidence-based interventions WRAP and PEARLS deployed in community settings.

Scale indicators11 records

Recent moves6 records

Expansion highlights3 records

Direct peers

• Washington State Department of Health: Washington's separate public health agency handling disease surveillance, licensing, and health promotion—comparable in the public-health-regulatory arm of OHA's work.
• Washington State Health Care Authority: Washington's state-level health care authority administering Medicaid (Apple Health), public employee benefits, and behavioral health services—directly comparable in scope and structure to OHA.
• California Department of Health Care Services: California's state agency administering Medi-Cal (Medicaid), behavioral health, and healthcare market oversight functions—highly comparable in Medicaid administration and regulatory authority.
• New York State Department of Health: New York's state health department administering Medicaid, public health programs, and healthcare facility regulation—a direct functional peer to OHA at larger scale.
• Texas Health and Human Services Commission: Texas's combined health and human services agency administering Medicaid, behavioral health, and public health regulation—comparable in program scope and state-agency structure.
• Colorado Department of Health Care Policy & Financing: Colorado's state agency administering Health First Colorado (Medicaid) and behavioral health programs—directly comparable in Medicaid and public health program administration.
• Massachusetts Executive Office of Health and Human Services: Massachusetts's umbrella health and human services agency administering MassHealth (Medicaid) and public health—comparable in scope and state-government operating model.
• Ohio Department of Medicaid: Ohio's state Medicaid agency administering the Medicaid program, managed care contracts, and eligibility—directly comparable in Medicaid managed care operations.
• Florida Agency for Health Care Administration: Florida's state agency administering Medicaid, healthcare facility regulation, and managed care oversight—comparable in regulatory and Medicaid administration functions.

Broad incumbents

• Centers for Medicare & Medicaid Services: Federal agency that sets the rules and provides matching funds OHA depends on for Medicaid; the federal counterpart and primary upstream regulator whose policy shifts (e.g., HR 1) directly drive OHA's program changes.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat3 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/OHAOregon

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Oregon Health Authority