County administrator signs roughly $1 million CareOregon contract for primary care payment model

The County Administrator reported that, during the board’s recess from Dec. 18, 2025, through Jan. 12, 2026, they signed a revenue health care services contract with CareOregon for the Primary Care Payment Model program worth approximately $1,000,000 for one year.

The administrator said the contract was executed under County Code Appendix C, section C-050-0100 (section 5), which authorizes the county administrator to sign contracts on the board’s behalf when the board is in recess for at least two consecutive weeks. The contract was due Dec. 31, 2025, and the administrator said no county general funds were involved because funding is provided through CareOregon.

The administrator told the board the contract will be published in county records and the public record, and invited commissioners to raise questions or concerns. "I felt comfortable signing this, and I did it," the administrator said, noting staff had acted correctly and that CareOregon did not return required information in time for the last business meeting of the calendar year.

The county did not present a motion or vote on the contract during the meeting; the administrator characterized the execution as an administrative action taken under the cited county code during the recess. The contract and related documents will appear in the county’s posted records for review.

Details not specified in the discussion include the contract number and any performance metrics or reporting requirements tied to the Primary Care Payment Model contract. The administrator said funding is through CareOregon and that no county general funds were used.