Health Share of Oregon
Health Share of Oregon is a non-profit Coordinated Care Organization administering Oregon Health Plan (Medicaid) benefits for members in Clackamas, Multnomah, and Washington counties, coordinating medical, dental, mental health, and transportation services through five contracted health plan partners under capitated state funding.
- Company typePrivate
- Founded2012
- HeadquartersPortland, United States
- Headcount251–500
- GTM typeB2B
- OfferingServices
What Health Share of Oregon does
Health Share of Oregon is a non-profit Coordinated Care Organization (CCO) founded in 2012 and headquartered in Portland, Oregon. It administers Oregon Health Plan (Medicaid) benefits for members residing in Clackamas, Multnomah, and Washington counties, delivering no-cost medical, dental, mental health, substance use, pharmacy, and transportation services through a capitated payment model funded by the Oregon Health Authority. The organization does not directly employ clinicians or sell to customers; instead, it coordinates care delivery through an integrated network of five contracted health plan partners (CareOregon, Kaiser Permanente, PacificSource Legacy, OHSU, and Providence) plus a broad downstream provider network covering physical, behavioral, and dental care.
The core technology layer is a CMS-regulated interoperability platform exposing FHIR-compliant APIs — Patient Access, Provider Directory, Pharmacy Formulary, Payer-to-Payer, Provider Access, and a Prior Authorization API scheduled for 2027 — alongside a member-facing MyPlan Portal and a separate provider/partner portal. Member services are organized into navigable modules (Get Care, Get Help, Get a Ride, Care Transitions, Third-Party Liability) and the organization offers social-determinants support including housing, food, and climate assistance. Health Share self-describes as having the largest provider network among Oregon CCOs.
The business model is a single-revenue-stream, single-payer capitated arrangement: Oregon Health Authority pays per-member-per-month amounts to Health Share, which then allocates funds across the five plan partners and downstream providers. Member acquisition is not commercial — enrollment occurs through state Medicaid eligibility determination. The model therefore carries near-total counterparty and regulatory concentration risk offset by an exclusive state-granted service area designation and operational scale across the Portland-metro tri-county region.
Health Share of Oregon firmographics
Firmographics- Name
- Health Share of Oregon
- Legal name
- Health Share of Oregon
- Website
- https://healthshareoregon.org
- Company type
- Private
- Founded year
- 2012
- Operating status
- Operating
- Headcount range
- 251–500 employees
- Short description
- Health Share of Oregon is a non-profit Coordinated Care Organization administering Oregon Health Plan (Medicaid) benefits for members in Clackamas, Multnomah, and Washington counties, coordinating medical, dental, mental health, and transportation services through five contracted health plan partners under capitated state funding.
- Ownership category
- akta.pro rank
Health Share of Oregon industry classification
Industry- Product category
- Medicaid Managed Care
- NAICS
- Ambulatory Health Care Services (621)
- SIC
- Services-Health Services (8000), Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Hospital Shared Services, GPOs & System Support Organizations (HLAFAAAO)
Keywords
Where Health Share of Oregon is headquartered
LocationHeadquarters
- HQ city
- Portland
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Health Share of Oregon business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Operations, Personnel, Technology or R&D, Infrastructure, Marketing or Sales
Revenue model
- Medicaid Capitated Payments: Health Share of Oregon receives capitated (per-member-per-month) payments from the Oregon Health Authority to manage the healthcare of Oregon Health Plan (Medicaid) members in its service area. The organization coordinates care across multiple health plan partners using these funds.
Go-to-market motion1 record
Distribution channels3 records
Marketing channels3 records
Health Share of Oregon product offering
Product offeringCore offering
Health Share of Oregon is a Coordinated Care Organization (CCO) that coordinates medical, dental, and mental health care for Oregon Health Plan (Medicaid) members in Clackamas, Multnomah, and Washington counties. It integrates five health plan partners (CareOregon, Kaiser Permanente, PacificSource Legacy, OHSU, and Providence) and a broad provider network to deliver no-cost, integrated healthcare coverage and care coordination services to enrolled Medicaid beneficiaries.
Product overview
Health Share of Oregon is a Coordinated Care Organization (CCO) that operates as a unified platform connecting Oregon Health Plan members in Clackamas, Multnomah, and Washington counties to a comprehensive network of health services. The platform integrates multiple service modules (Get Care, Get Help, Get a Ride) with member-facing benefits including Dental Benefits, Pharmacy & Prescription Drugs, and Mental Health & Substance Use Care. It provides an online member portal (MyPlan Portal) for managing coverage and accessing handbooks, benefits, and ID cards. The organization also offers a suite of interoperability APIs including Patient Access API, Provider Directory API, Pharmacy Formulary API, Payer-to-Payer API, Prior Authorization API (2027), and Provider Access API, all compliant with CMS regulations and FHIR standards. Behavioral health services are accessed through a dedicated provider directory managed in partnership with CareOregon.
Differentiator
Problem solved
Functional benefit
Products and services
- Health Share of Oregon CCO A Coordinated Care Organization (CCO) that integrates five health plan partners and a broad provider network to deliver medical, dental, and mental health care to Oregon Health Plan (Medicaid) members in three Oregon counties.
Companies that use Health Share of Oregon
Customer profileNamed customers1 record
Segments1 record
Ideal customer profiles2 records
Health Share of Oregon technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
Integration8 records
Feature5 records
Health Share of Oregon partnerships and signals
Strategic signalPartnerships
Nine partnerships are on record, tiered core.
- CareOregoncoreCareOregon is a primary health plan partner within the Health Share CCO network. CareOregon manages the mental health and substance use provider network for all Health Share members regardless of their physical health plan assignment. Members can reach CareOregon at 503-416-4100 for behavioral health services.
- Kaiser PermanentecoreKaiser Permanente serves as one of five health plan partners providing physical health coverage to Health Share of Oregon members in the tri-county service area.
- PacificSource LegacycorePacificSource Legacy is one of five health plan partners within the Health Share CCO network providing coverage to Oregon Health Plan members.
- OHSU (Oregon Health & Science University)coreOHSU serves as both a health plan partner and major healthcare provider within the Health Share network. OHSU Health provides member services including the MyChart patient portal.
- Providence Health AssurancecoreProvidence Health Assurance is one of five health plan partners providing coverage to Health Share of Oregon members.
- Ride to CarecoreTransportation program that provides rides to medical appointments for Health Share members, ensuring access to care for members who face transportation barriers.
- Advantage DentalcoreDental provider network partner available to Health Share members. Members can find dentists through Advantage Dental at 866-268-9631 or providerportal.advantagedental.com.
- ODS Community DentalcoreDental provider network partner serving Health Share members. Available at 800-342-0526 or odscommunitydental.com.
- Willamette Dental GroupcoreDental provider network partner for Health Share members. Contact at 855-433-6825 or locations.willamettedental.com.
Scale indicators3 records
Expansion highlights4 records
Health Share of Oregon competitors and assessment
Company assessmentDirect peers
- PacificSource Community Solutions: PacificSource Community Solutions operates as an Oregon CCO serving Medicaid members in multiple counties and is also one of Health Share's plan partners. Direct peer in CCO model with overlapping governance relationships.
- Kaiser Permanente Northwest: Kaiser Permanente serves as a Health Share plan partner and operates its own Medicaid plan in multiple states. Comparable integrated managed care delivery model and overlapping provider network in the Portland metro.
- CareOregon: CareOregon is both a core partner and a structural peer to Health Share of Oregon—it operates as a Medicaid managed care plan and a separate CCO in other Oregon counties, coordinating physical, behavioral, and dental care for Oregon Health Plan members. Direct overlap in mission, regulatory model, and beneficiary population.
- Trillium Community Health Plan: Trillium is another Oregon Coordinated Care Organization serving Medicaid members in Lane, Clackamas, and other counties under Oregon Health Plan. Direct peer operating under identical state regulatory framework and CCO contract model.
- Providence Health Assurance: Providence Health Assurance is both a Health Share plan partner and operates as a Medicaid managed care plan in Oregon. Comparable in serving OHP members through integrated provider systems with similar benefit structures.
- InterCommunity Health Network CCO: InterCommunity Health Network is another Oregon CCO serving Medicaid members in Linn, Benton, and Lincoln counties. Direct peer operating under the same Oregon CCO regulatory framework with comparable capitated revenue model.
Broad incumbents
- Molina Healthcare: Molina Healthcare is a major national Medicaid managed care company serving low-income individuals across multiple states. Operates in Oregon and serves a similar Medicaid population but at a much larger geographic scale as a publicly traded incumbent.
- Centene Corporation: Centene is the largest Medicaid managed care insurer in the U.S., serving low-income populations across dozens of states. Comparable in serving Medicaid beneficiaries through capitated arrangements, but at a vastly larger national scale.
- UnitedHealth Group (UnitedHealthcare Community & State): UnitedHealth Group's Community & State division is a leading national Medicaid managed care operator serving millions of beneficiaries. Comparable in serving Medicaid populations through integrated plan-provider models at massive scale.
Others
- Oregon Health Authority: Oregon Health Authority is the state agency that contracts with and oversees all CCOs, including Health Share. Not a competitor, but the primary regulator and contracting counterparty that defines Health Share's operating model.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat4 records
Key risks5 records
Key highlights5 records
Customer concentration
Health Share of Oregon social profiles
Digital presenceHealth Share of Oregon compliance and trust
Trust signalCompliance2 records
Health Share of Oregon financial estimates
Financial estimateRevenue estimate
Valuation estimate
Health Share of Oregon leadership team
Management profileNumber of profiles
Health Share of Oregon funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Health Share of Oregon M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Health Share of Oregon
What does Health Share of Oregon do?
Health Share of Oregon is a Coordinated Care Organization (CCO) that coordinates medical, dental, and mental health care for Oregon Health Plan (Medicaid) members in Clackamas, Multnomah, and Washington counties. It integrates five health plan partners (CareOregon, Kaiser Permanente, PacificSource Legacy, OHSU, and Providence) and a broad provider network to deliver no-cost, integrated healthcare coverage and care coordination services to enrolled Medicaid beneficiaries.
Is Health Share of Oregon a public or private company?
Health Share of Oregon is a private company. It is classified as nonprofit foundation owned and is currently operating.
When was Health Share of Oregon founded?
Health Share of Oregon was founded in 2012. It employs 251 to 500 people.
Where is Health Share of Oregon based?
Health Share of Oregon is headquartered in Portland, United States, in the North America region.
How does Health Share of Oregon make money?
One revenue line is on record: medicaid Capitated Payments.
Who are Health Share of Oregon's main competitors?
Direct peers on record are PacificSource Community Solutions, Kaiser Permanente Northwest, CareOregon, Trillium Community Health Plan, Providence Health Assurance and InterCommunity Health Network CCO. Broad incumbents are Molina Healthcare, Centene Corporation and UnitedHealth Group (UnitedHealthcare Community & State). Oregon Health Authority is listed as an others.
Does Health Share of Oregon have an API?
Yes. Health Share of Oregon provides several APIs enabling interoperability: Patient Access API (shares claims, visits, and prior authorizations with third-party apps), Provider Directory API (shows current provider, clinic, and hospital information including network status, locations, phone numbers, specialties, and languages), Pharmacy Formulary API (lists preferred medications for Health Share members), Payer-to-Payer API (enables secure health information sharing between health plans when members request it), and Prior Authorization API (coming 2027, helps health plans and doctors approve services faster). All APIs meet CMS regulations and follow national data standards (FHIR). Developer portals available through CareOregon, Kaiser Permanente, OHSUHealth, and Providence Health Assurance. Developer documentation is at fdp.edifecsfedcloud.com/#/portal/careoregon/home.
What industry is Health Share of Oregon in?
Health Share of Oregon's product category is Medicaid Managed Care. Its primary akta.pro industry code is HLAFAAAO, Hospital Shared Services, GPOs & System Support Organizations. Its NAICS code is 621 and its SIC code is 8000.