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OHA: 2026 CCO capitation rates rose to 10.6%, agency says rebalance would need $155.1M in general fund
Summary
Oregon Health Authority staff told the Ways and Means Human Services Subcommittee that actuarially sound capitation rates for Coordinated Care Organizations (CCOs) reached 10.6% for 2026 after updated data; OHA proposed offsetting measures and a rebalance request that it estimates would require $155.1 million in general fund support.
Oregon Health Authority officials told the Ways and Means Human Services Subcommittee on Feb. 18 that actuarially sound capitation rates for Coordinated Care Organizations (CCOs) rose to 10.6% for 2026 after OHA incorporated new 2025 data and CCO feedback.
"We have been historically really trying to reach… around a 3.4% year over year growth rate," said Dave Baden, deputy director for policy and programs at the Oregon Health Authority, describing the state target OHA has sought to meet for more than a decade. Chelsea Guest, OHA's CCO finance director, said the agency's initial draft in August put actuarial soundness closer to 6.8% before updated Q2 data from CCOs and other adjustments increased the final 2026 rate to 10.6%: "10.6% is what our 2026 rates ended up…
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