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Carrum Health reports positive savings, expanded network and 43% utilization for mandated joint replacements

State Employee Health Commission · April 16, 2026
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Summary

The Commission received a semi‑annual Carrum Health report showing a 2025 Net Promoter Score of 76, 43% utilization with 68 surgeries and reported positive savings; the State is evaluating adding substance-use-disorder services.

Carrum Health presented its semi-annual results to the State Employee Health Commission, reporting program performance and network changes.

Presenters said outpatient total knee and hip replacements are required through Carrum while other service lines (musculoskeletal beyond knee/hip, bariatric, cardiac, oncology) remain voluntary. For July 2025–March 2026 the program reported a Net Promoter Score of 76, 43% utilization with 68 surgeries, 24 additional scheduled episodes of care, and 21 additional qualified members. The Center of Excellence network expanded in Portland and Carrum is evaluating a substance use disorder treatment facility as a voluntary service line.

Commissioners were presented with utilization and savings figures; staff said the program produced positive savings for the State. No formal policy change or vote was recorded at the meeting.