Health Share of Oregon

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.

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

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

• Medicaid managed care
• Coordinated care organization
• Health plan coordination
• Behavioral health services
• Dental care benefits

Headquarters

HQ city

Portland

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. 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

Core 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.

Named customers1 record

Segments1 record

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration8 records

Feature5 records

Partnerships

Nine partnerships are on record, tiered core.

• CareOregoncoreStrategic or Co-development PartnerCareOregon 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 PermanentecoreStrategic or Co-development PartnerKaiser 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 LegacycoreStrategic or Co-development PartnerPacificSource 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)coreStrategic or Co-development PartnerOHSU 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 AssurancecoreStrategic or Co-development PartnerProvidence Health Assurance is one of five health plan partners providing coverage to Health Share of Oregon members.
• Ride to CarecoreStrategic or Co-development PartnerTransportation program that provides rides to medical appointments for Health Share members, ensuring access to care for members who face transportation barriers.
• Advantage DentalcoreChannel Partner/ Reseller/ DistributorDental 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 DentalcoreChannel Partner/ Reseller/ DistributorDental provider network partner serving Health Share members. Available at 800-342-0526 or odscommunitydental.com.
• Willamette Dental GroupcoreChannel Partner/ Reseller/ DistributorDental provider network partner for Health Share members. Contact at 855-433-6825 or locations.willamettedental.com.

Scale indicators3 records

Expansion highlights4 records

Direct 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

• Xx.com/HealthShareOR
• Facebookfacebook.com/HealthShareOregon

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

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 Health Share of Oregon