Oregon Health Authority (OHA) has finalized the 2024 capitation rates for coordinated care organizations (CCOs). These rates are the per-member-per-month amounts the state pays CCOs to coordinate health care for Oregonians who are members of the Oregon Health Plan (OHP). Overall CCO rates met the legislatively approved budget for 2024 and CCOs continue to be financially stable. The rate increase represents a 3.4 percent rate of growth for 2024 compared to 2023.
“The CCO rates represent a sustainable source of funding to ensure quality is delivered to members on the Oregon Health Plan,” said Interim OHA Director, Dave Baden.
The average net payment in 2024 is $518, which is approximately 3.4 percent more than the comparable average per-member, per-month payment in 2023. These rates renew and continue the historic investment to increase behavioral health reimbursement rates that began January 2023 by Oregon Legislature’s. For more information on the increases to the behavioral health rates, please click here.
There are 12 rate categories for CCOs, which take into account the average cost for members in these specific categories. For example, the state pays CCOs more for members who are disabled than it does for children because members who are disabled generally have higher health care costs. The rates are also based on average provider rate costs in each region.
A full CCO capitation rate certification can be found on OHA’s website.