What Advanced Health does

Advanced Health is a Coordinated Care Organization (CCO) operating under contract with the Oregon Health Authority to manage Oregon Health Plan (Medicaid) benefits for members residing in Coos and Curry counties on Oregon's southern coast. Founded in 1989 and headquartered in Coos Bay, Oregon, the organization serves as the contractual intermediary between the state Medicaid program and a local network of healthcare providers, handling enrollment, care coordination, benefits administration, and provider network management for a geographically concentrated Medicaid population. The company employs between 51 and 100 people and maintains its principal office in Coos Bay.

The organization delivers an integrated suite of services built around a healthcare coordination and care management platform. Core offerings include a Find A Provider online directory, a member benefits portal covering medical, dental, behavioral health, pharmacy, and transportation services, dedicated care coordination, and the Active Living wellness program. Supporting services include Health Related Social Needs (HRSN) programs addressing social determinants of health such as climate, housing, and food security, Traditional Health Workers for culturally appropriate member navigation, healthcare interpreter services including ASL, and the FoodSmart nutrition platform. Educational content is delivered through a partnership with Krames. Advanced Health maintains CMS Interoperability compliance and is governed in part by separate Coos and Curry Community Advisory Councils. Technology is operational in nature; the company is not a technology vendor, has no proprietary AI capabilities, and lists no proprietary platform features in disclosed data.

Advanced Health's revenue model is capitation-based. The Oregon Health Authority pays a per-member-per-month rate to Advanced Health to manage the full continuum of Medicaid benefits for assigned members, with members accessing services at no out-of-pocket cost. The company distributes services through a direct local provider network and a self-serve online provider directory, and reaches prospective members via community action programs, provider referrals, Community Advisory Councils, and organic social media (Facebook). There is no public revenue disclosure, no external funding history, no M&A activity, and no evidence of ownership by a parent entity in the source data. The named executive in disclosed data is Chris Hogan, serving as Chief Financial Officer.

Name

Advanced Health

Legal name

Advanced Health

Website

https://advancedhealth.com

Company type

Private

Founded year

1989

Operating status

Operating

Headcount range

51–100 employees

Short description

Advanced Health is a Coordinated Care Organization managing Oregon Health Plan (Medicaid) benefits for members in Coos and Curry counties, Oregon, through a local provider network offering medical, dental, behavioral health, pharmacy, transportation, and care coordination services.

Ownership category

akta.pro rank

Headquarters

HQ city

Coos Bay

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Others

Revenue model

1. Capitation Payments from Oregon Health Authority: Advanced Health receives capitated payments from the Oregon Health Authority (OHA) as a Coordinated Care Organization (CCO) to manage healthcare coverage for Oregon Health Plan (Medicaid) members in Coos and Curry counties.

Go-to-market motion1 record

Distribution channels2 records

Marketing channels2 records

Core offering

Advanced Health is a Coordinated Care Organization (CCO) contracted with the Oregon Health Authority to manage Oregon Health Plan (Medicaid) benefits for members in Coos and Curry counties. It connects OHP members to a local network of providers and delivers an integrated suite of covered services including medical, dental, behavioral health, pharmacy, non-emergency medical transportation, care coordination, wellness programs, and health-related social needs support. Coverage is provided at no cost to eligible Medicaid members, with the company funded through capitation payments from OHA.

Product overview

Advanced Health is a Coordinated Care Organization (CCO) that serves as a single unified healthcare management platform connecting Oregon Health Plan (OHP) members in Coos and Curry counties to quality local care. The organization provides an integrated suite of services including a provider lookup directory (Find A Provider), comprehensive benefits management (Your Benefits), behavioral health services, care coordination, pharmacy services, transportation, and health education resources through the Krames platform. Additional offerings include specialized programs such as Health Related Social Needs (HRSN) services, FoodSmart nutrition services, Traditional Health Workers, and healthcare interpreter services including ASL accessibility. The company also maintains CMS Interoperability compliance for regulatory data exchange requirements.

Differentiator

Problem solved

Functional benefit

Products and services

• Find A Provider Online provider directory tool enabling Oregon Health Plan members in Coos and Curry counties to search for doctors, nurse practitioners, specialists, dentists, counselors, and clinics by location, specialty, and other criteria.
• Your Benefits (OHP Benefits Package) Comprehensive Oregon Health Plan benefits package for Advanced Health members covering medical, dental, pharmacy, behavioral health, transportation, and other covered services in Coos and Curry counties.
• Behavioral Health Services Mental health and substance use disorder services for OHP members, including outpatient treatment, Assertive Community Treatment, psychiatric residential treatment, and Medication Assisted Treatment (MAT).
• Care Coordination Services Coordinated care management services helping OHP members navigate healthcare systems, arrange services, and ensure continuity of care across providers in Coos and Curry counties.
• Pharmacy Services Prescription medication coverage and pharmacy benefits for OHP members, including mail order options and prescription prior authorization processing.
• Transportation Services Non-emergency medical transportation services helping OHP members in Coos and Curry counties access healthcare appointments.
• Active Living Program Wellness and active living benefit program connecting OHP members to health education and wellness resources, including the Walk With Ease program.
• Krames Health Education Health education content platform providing OHP members with health information, wellness resources, and educational materials through the Krames partnership.
• FoodSmart Nutrition and food-related social needs services providing OHP members with access to healthy food options and nutrition education through the FoodSmart program.
• Health Related Social Needs (HRSN) Screening and services addressing social determinants of health for OHP members, including climate-related needs, housing, food security, and other community resources.
• Healthcare Interpreter Services Language services providing certified healthcare interpreters, including ASL and tactile interpretation, for OHP members including hearing-impaired members.
• Traditional Health Workers (THW) Peer support and community health worker services providing culturally appropriate health navigation assistance to OHP members.
• Family Planning Services Reproductive health and family planning services for OHP members, including contraception, counseling, and related healthcare.
• EPSDT Services Early and Periodic Screening, Diagnosis, and Treatment services for children and adolescents covered under the Oregon Health Plan.

Segments1 record

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Five partnerships are on record, tiered core and supporting.

• Oregon Health Authority (OHA)coreStrategic or Co-development PartnerAdvanced Health operates as a Coordinated Care Organization (CCO) under contract with the Oregon Health Authority to manage Oregon Health Plan (Medicaid) benefits for members in Coos and Curry counties.
• FoodSmartsupportingTechnology or IntegrationNutrition education and food resources partnership providing members with access to FoodSmart program for healthy eating support.
• KramessupportingTechnology or IntegrationHealth education content partnership providing members with access to Krames health education resources and materials.
• Coos Community Advisory CouncilcoreOthersCommunity advisory council providing community input and governance for Advanced Health services in Coos County.
• Curry Community Advisory CouncilcoreOthersCommunity advisory council providing community input and governance for Advanced Health services in Curry County.

Scale indicators1 record

Recent moves6 records

Expansion highlights4 records

Broad incumbents

• Moda Health: Moda Health is a large Oregon-based health insurer offering commercial, Medicare, and Medicaid products including CCO participation. Relevant as a broader Oregon insurance incumbent competing for the same CCO contracts.
• PacificSource Health Plans: PacificSource operates CCO contracts in multiple Oregon counties (including as the largest CCO in Central Oregon) and is a broader regional health insurer. Same OHA CCO framework, but operates at much larger scale and as part of a multi-state portfolio.
• Kaiser Permanente Northwest: Kaiser Permanente Northwest participates in Oregon's CCO market through Health Share of Oregon and serves Medicaid members in the Portland metro. Functions in the same OHA CCO ecosystem at significantly greater scale and with an integrated delivery model.

Direct peers

• Columbia Pacific CCO: Columbia Pacific CCO is a coordinated care organization serving Clatsop, Columbia, and Tillamook counties on Oregon's north coast. Closely comparable rural-coastal Oregon CCO with capitation from OHA and integrated benefits.
• AllCare Health: AllCare Health operates as a CCO for Curry, Josephine, Jackson, and parts of Douglas counties under the Oregon Health Plan, directly overlapping Advanced Health's Curry County service area. Comparable CCO model, rural focus, and OHA capitation structure.
• Yamhill Community Care: Yamhill Community Care is an Oregon CCO serving Yamhill, Polk, and parts of Washington counties under the OHA. Operates the same Medicaid managed care contract model with capitation payments and integrated benefits delivery.
• CareOregon: CareOregon administers multiple CCO contracts (Jackson Care Connect, Columbia Pacific CCO, Health Share, Yamhill CCO) under the Oregon Health Plan, operating the same OHA capitation and care-coordination framework as Advanced Health at greater scale.
• Umpqua Health Alliance: Umpqua Health Alliance is an Oregon CCO serving Douglas County under the Oregon Health Plan. It is the closest geographic and structural analog to Advanced Health: small, rural, single-county CCO with capitation from OHA and an integrated medical/behavioral/dental model.
• Jackson Care Connect: Jackson Care Connect is a southern Oregon CCO serving Jackson County through the Oregon Health Plan, part of the CareOregon family. Comparable CCO contract structure and capitation revenue model, though serving a larger urban-adjacent population.
• Trillium Community Health Plan: Trillium is an Oregon CCO serving Lane, Linn, Douglas, and Benton counties, with overlap into Douglas County that borders Coos County. Operates under the same OHA CCO framework with capitation and integrated benefits.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights5 records

Customer concentration

• Facebookfacebook.com/AdvancedhealthCCO
• Xx.com/AdvancedHealth0
• LinkedInlinkedin.com/company/advanced-health-coordinated-care-organization

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 Advanced Health