Draft:CareOregon

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CareOregon is Oregon’s largest managed care administrator of the Oregon Health Plan (OHP), the state’s Medicaid program.[1] Doing business as Columbia Pacific CCO, Jackson Care Connect and a partner in Health Share of Oregon, CareOregon operates in seven counties.[2]

CareOregon is involved in five broad areas of health care: health insurance for Medicaid enrollees (including a dental plan); health insurance for those who are eligible for both Medicaid and Medicare due to a combination of age, disability or income; home-based care; research-based health care quality improvement[3] and reform,[4] and collaborative process improvement.[5]

CareOregon has built a network of multidisciplinary health care practitioners, per terms detailed in state contracts.[6] The length of the state contract, in partnership with Health Share, is five years, with an option for amendments each year.

The Oregon Health Plan covers eligible medical, dental and behavioral health (mental health care and substance use treatment) services. In the Oregon Health Authority’s model, CareOregon is responsible for coordinating its members’ care, which includes communication among primary and specialty providers, social service agencies and community-based organizations, and providing tools for culturally and linguistically appropriate care.[7][8][9][10]

Housecall Providers,[11] a subsidiary organized in 2017, provides home-based primary, palliative and hospice care services.[12]

CareOregon and its subsidiaries are also obligated to provide non-emergency medical transportation (NEMT) options to members for care covered by the Oregon Health Plan.[13]

Operations[edit]

Working largely with federally qualified health centers (FQHCs), including county health departments, migrant health clinics and other entities,[14] CareOregon emphasizes primary and preventive care for its child and adult members. It is certified by the state Office of Medical Assistance Programs (OMAP).[15]

As of 2020 and the Oregon Health Authority’s revised 5-year Medicaid contracts, CareOregon also manages behavioral health (previously handled by county health departments), oral health, and non-emergency medical transportation (NEMT) benefits for Health Share of Oregon clients in the Portland tri-county area.[16]

Members[edit]

As of January 2024, CareOregon administered various managed health care services and broader support to more than 500,000 Oregonians[17] in locally focused coordinated care organizations and its Medicare Advantage plan.[12]

Statewide, enrollment in Oregon Health Plan as of December 2023 was more than 1.5 million,[18] meaning CareOregon and its subsidiaries serve roughly one third of Oregon Health Plan clients in some combination of medical, dental and behavioral health care, or non-emergency medical transportation services.

History[edit]

The nonprofit group health plan[15] was founded “in 1993 by three safety-net providers – Multnomah County Health Department, the Oregon Primary Care Association, and [then-] Oregon Health Sciences University – shortly before Oregon received a Medicaid waiver that enabled the state to expand the number of low-income residents it covered.”[19] After months of planning, CareOregon began operations with 10,000 clients on Feb. 1, 1994, the same day the Medicaid portion of the Oregon Health Plan enrolled its first Medicaid members.[20]

The timing was intentional. CareOregon was formed with the stated purpose of being a committed, stabilizing force for the Oregon Health Plan, an experiment in health care reform. From its start, CareOregon viewed “managed care” unconventionally, focusing on managing its complex members to improved health, while also functioning as a payor.[20]

Its April 1994 vision statement, included in “CareOregon: The Early Years” (n.d.) held that “CareOregon collaborators are committed to building a health plan that is grounded in the community, is responsive to culturally diverse populations and is a model for facilitating health care for all Oregon residents. . .On April 1, 1997, CareOregon, Inc. spun off from Multnomah County and became a fully independent non-profit organization.”

CareOregon’s origins in county public health oriented the company to recognizing and responding to socioeconomic influences on health. As noted in its 2021 financial report, “CareOregon’s mission is to inspire and partner to create quality and equity in individual and community health. CareOregon’s vision is healthy communities for all individuals, regardless of income or social circumstances.”[12]

Coordinated care organizations[edit]

In 2010-2012 – after the U.S. Congress expanded Medicaid eligibility as part of the Affordable Care Act, and the Oregon Legislature approved a shift to coordinated care organizations – CareOregon helped form and administer five of the state’s 15 original CCOs.[21] (Varying sources put the initial number of CCOs at 15 and 16.) The move by Oregon was seen as “a significant transformation of its Medicaid program.”[22]

Coordinated care organizations’ emphasis on primary and preventive care mirrors much of CareOregon’s longtime approach. In 2006, at a U.S. Senate roundtable before the Special Committee on Aging, then-CareOregon President & CEO David Ford stated, “It is not the care that people receive that is driving the cost of health care; it is the care that they don’t receive.”[23]

Lines of business[edit]

CareOregon refers to itself as “the CareOregon family” and is the umbrella entity for several lines of business.[24]

The parent wholly or partially operates three of the Oregon Health Plan’s 16 coordinated care organizations, spanning seven of Oregon’s 36 counties: Columbia Pacific CCO, Jackson Care Connect and Health Share of Oregon. CareOregon formed them in spring 2012, the year that Oregon rolled out CCOs as a new approach to Medicaid.[2][12]

CareOregon was a founding partner and funder of Health Share, a nonprofit coordinated care organization[25] that is a partnership of 11 health and social service organizations, including CareOregon. Health Share covers three counties in the Portland area.[26] Of its five health care partners, CareOregon “operates the largest plan under Health Share of Oregon,” the Portland Business Journal wrote in 2019.[27] CareOregon differentiates its work within Health Share as “CareOregon Metro.”[28]

Additional lines of business are CareOregon Dental, which offers dental care to Oregon Health Plan clients in four counties[29] (the Oregon Health Authority required coordinated care organizations to offer dental benefits beginning in 2014); Housecall Providers, a home-based hospice, palliative care and primary care service in the Portland area and CareOregon subsidiary since 2017;[12] and Tribal care coordination for self-identified American Indians and Alaska Natives who are covered by the Oregon Health Plan on a fee-for-service basis.

In 2005, CareOregon formed Health Plan of CareOregon, Inc, which began operations Jan. 1, 2006 as a Special Needs Medicare Advantage Drug Plan (MA-PD plan). It is a nonprofit public benefit corporation. As CareOregon Advantage, it mainly enrolls members who are eligible for both Medicaid and Medicare.[30] Until Dec. 31, 2018, CareOregon also offered a commercial Medicare Advantage plan.[12]

Funding[edit]

State and federal monies fund the Oregon Health Plan. The Oregon Health Authority contracts with coordinated care organizations, paying them a per-member-per-month amount, to coordinate health care for enrollees in the Oregon Health Plan.

CareOregon is a fully capitated health plan. In exchange for the monthly per-member fee, CareOregon holds the full financial risk for its members’ actual health care expenses.

In 2022, the latest publicly posted audited financial report, the company’s total revenues were $2.36 billion. Total operating expenses were $2.28 billion.[31]

Governance[edit]

CareOregon, Columbia Pacific CCO and Jackson Care Connect officers are overseen by a largely local board of directors.[32][33][34] Directors are not compensated.[35] Member advisory boards or councils provide input to each coordinated care organization.[36][37][38] In addition, Jackson Care Connect has a Youth Advisory Council.[39]

Leadership[edit]

2016-present: Eric C. Hunter, President and CEO[40]

2016: Scott Clement, CEO (interim)

2012-2016: Patrick Curran, CEO

2003-2012: David Ford, CEO

1994-2003: Mary Lou Hennrich, Executive Director

Location[edit]

In 2005, CareOregon began moving its staff into a building it purchased at 315 SW Fifth Ave. in downtown Portland. The company also rents offices in the Oregon cities of Seaside and Medford. In March 2020, due to the COVID-19 pandemic, CareOregon shifted temporarily to a largely remote workforce.

The fledgling CareOregon set up its first office in November 1993, in Portland’s Crown Plaza building, in space lent to the organization by then-Oregon Health Sciences University. In 1995, CareOregon relocated to the Commerce Building (now Broadway Commons) and, in 1999, to 522 S.W. Fifth Ave. before moving to its current headquarters.[20]

Financial downturns[edit]

In 2003, CareOregon was on the edge of bankruptcy, “prompted in part by declining state reimbursements (that), ‘forced us to confront who are we and what is our core value in the world,’ said David Labby, M.D., Ph.D., CareOregon’s [then] medical director.”[19]

The situation led to layoffs, new leadership, a reorganization, and efforts to improve quality, performance and population health as both a business and health strategy. These efforts included the CareSupport and Primary Care Renewal programs.[19]

In 2015-2018, CareOregon experienced losses that its executives expected to exceed $96 million by the end of 2018. The company was stabilized by its large reserves and revised state contracts.[41]

Also in 2018, CareOregon Metro assumed care for about 80,000 of the 100,000 clients of Family Care, a coordinated care organization that closed its Medicaid plan Dec. 31, 2017.[42]

The 80,000 new members represented a 40 percent expansion of CareOregon’s enrollment in less than six weeks.[43]

Providence affiliation[edit]

In August 2019, CareOregon announced its intention to affiliate with Providence Plan Partners, a subsidiary of Providence St. Joseph Health and fellow founding member of the Health Share coordinated care organization.[44]

In early 2020, the CareOregon president and CEO wrote in an op-ed that in joining Providence, CareOregon would retain its secular and nonprofit status and strengthen its long-term financial position, given “a shifting funding landscape and increased community needs on the horizon.”[45]

A weekly alternative newspaper, Willamette Week, reported immediate criticisms of the plan.[46]

In spring 2020, four federal elected officials, nonprofit leaders and others expressed concerns to CareOregon leaders that its coverage of certain reproductive health and gender-identity services, and medical aid in dying, would, in time, change under a Catholic institution.[47][48]

By mid-May 2020, CareOregon and Providence Plan Partners had ended their discussions to affiliate.[49]

Innovation[edit]

CareOregon has a longstanding reputation as a national leader in innovation in health care for the Medicaid population.[50] Its efforts in the 2020s increasingly moved to address issues such as social needs, access to care, housing and behavioral health.

In 2020, the Center for Health Strategies noted that CareOregon “supports its provider network by funding individuals who operate in a [community health worker] capacity to contribute additional care coordination services.”[51]

Such workers can include peers, community health workers and doulas and are a path for improving health equity and social determinants of health.[52] CareOregon expanded its support of traditional health workers with $455,000 in grants to eight community-based organizations that provide culturally specific care.[53]

In 2021, to address shortages in the behavioral health workforce, CareOregon awarded $7.5 million to boost hiring at 25 organizations that provide mental health and addiction treatment to low-income residents.[54]

In early 2023, to meet the dual needs for housing for health care workers and supportive housing for members, CareOregon acquired the Red Lion Inn & Suites in its coastal Columbia Pacific region to convert it to apartments.[55]

The Institute for Health Care Improvement (IHI) was a major influence in CareOregon’s drive to innovate. CareOregon was among the first 15 sites nationally to work with the institute, starting in 2007, to develop ways of delivering care that met the so-called Triple Aim of improving population health, enhancing patients’ experience of care and controlling costs. (The Triple Aim has since been expanded to include clinician well-being and health equity.)

Those early care delivery strategies – including patient-centered medical homes and multidisciplinary case management for members with complex health needs – have endured.

Social determinants of health[edit]

When Oregon adopted coordinated care organizations, CareOregon increased its attention on non-medical factors that affect health, known as social determinants of health.[56] One social determinant, housing insecurity, became a particular focus, most notably with the Housing is Health initiative.

In 2016, CareOregon gave $4 million of a combined $21.5 million donation, joining five Portland hospitals to help fund three housing projects, including one with onsite treatment for mental illness and substance use disorder.[57] The move was “hailed by national housing advocates as the largest private investment of its kind in the nation,” wrote the Associated Press.[58]

CareOregon has also tried various strategies to take health care outside of typical clinical settings, such as offering nutritious foods to eligible members,[59][60] a screening study in which colorectal cancer screening kits were mailed to Medicaid and Medicare members’ homes,[61] and, with Jackson Care Connect, pioneering a HIPAA-compliant system that broadly connects health care providers and social service organizations to expedite referrals.  

Community benefit organization[edit]

CareOregon has had an increasing interest in a role as a community benefit organization, which is also an expectation of the Oregon Health Authority. CareOregon awards grants to community-based organizations that address various social determinants of health beyond housing,[62] including hunger, education, culturally and linguistically responsive care, disabilities, mental health and drug treatment services, staff support, and trauma-informed care. A major grant announced in 2021 was $7.5 million to “recruit and retain mental health and substance use treatment providers.”[63][64][65]

The company has been recognized in multiple years by the Portland Business Journal for its community giving.

Trauma-informed care[edit]

CareOregon has specialized staff who use principles of trauma-informed care to develop relationships with members who have been identified as high acuity and high cost.[66]

CareOregon partnered in the past with the city of Portland, with a $70,000 grant to shore up the systems supporting those in mental health and drug-related crises or non-medically urgent 911 calls.[67] Columbia Pacific CCO created a $400,000 fund in 2023 to help groups in two counties increase efforts to prevent adverse childhood experiences and support trauma-informed services.[68] Columbia Pacific also committed $594,000 to recruit and retain behavioral health providers. [69]

Sponsorships[edit]

On Nov. 29, 2021, CareOregon announced a 10-year, $2 million partnership with the Boys & Girls Club of the Portland Metropolitan Area. It focused efforts on the club in Rockwood, an eastern Multnomah County neighborhood that is home to a large share of families on the Oregon Health Plan. As part of the partnership, the facility was renamed the CareOregon Boys & Girls Club at Rockwood.[70][71][72]

Diversity, equity and inclusion[edit]

CareOregon’s early leaders built a staff to reflect the populations using its services. In 2003, according to the founding CEO, more than 30% of CareOregon staff were people of color.[73][74] The company was recognized in 2021 by Modern Healthcare for its workforce diversity, including leadership.[75][76]

During the COVID-19 pandemic, CareOregon put a greater emphasis on community justice[77] and in March 2021 added an officer-level role for diversity, equity and inclusion.

For members, it supports programs to provide culturally specific care to improve health outcomes for immigrants, Tribal members and people of color.[56]

Public policy[edit]

CareOregon participates in lobbying efforts on issues related to the Oregon Health Plan and health reform, testifying at public policy hearings and holding meetings with legislators at the local, state and national levels.

References[edit]

  1. ^ "Profiles in Innovation" (PDF). Center for Health Care Strategies, Inc. May 2013.
  2. ^ a b "Coordinated Care Organization 2.0 Service Areas" (PDF). Oregon Health Authority. 2020.
  3. ^ Meenan, Richard T; Feeny, David; Labby, David; Ramsay, Rebecca; Spofford, Mark; Mosen, David (2008). "Using health-related quality of life assessments to evaluate care support within Medicaid". Care Management Journals : Journal of Case Management ; the Journal of Long Term Home Health Care. 9 (2). National Library of Medicine: 42–50. doi:10.1891/1521-0987.9.2.42. PMID 18619084. S2CID 25436112.
  4. ^ Rigsby, Jeremiah (March 30, 2021). "Healthcare Transformation in Oregon: What's Happening Now?". Oregon Health Forum.
  5. ^ Jones, Maggie; Hsu, Clarissa; Pearson, Dave; Wolford, Diana; Labby, David (2011). "An alternative to pay-for-performance: one health plan's approach to quality improvement". Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality. 33 (1). National Library of Medicine: 22–29. doi:10.1111/j.1945-1474.2010.00100.x. PMID 21199070. S2CID 22781342.
  6. ^ "CCO Contract Forms". Oregon Health Authority. Oregon.gov. 2024.
  7. ^ "Oregon Health Plan Health Plan Services Contract Coordinated Care Organization Contract #161759 with Health Share of Oregon" (PDF). Oregon Health Authority. Oregon.gov. pp. 8, 109–110.
  8. ^ "CCO 2.0 Final Evaluation Report Applicant E Jackson Care Connect" (PDF). Oregon Health Authority. Oregon.gov. 2019.
  9. ^ "CCO 2.0 Final Evaluation Report Applicant F Health Share of Oregon" (PDF). Oregon Health Authority. Oregon.gov. 2019.
  10. ^ "CCO 2.0 Final Evaluation Report Applicant M Columbia Pacific CCO, LLC" (PDF). Oregon Health Authority. Oregon.gov. 2019.
  11. ^ "CareOregon/Housecall Providers NEWS RELEASE: First Anniversary". The Lund Report. May 31, 2018.
  12. ^ a b c d e f KPMG (2021). "CareOregon, Inc. and Subsidiaries Consolidated Financial Statements (With Supplementary Information)" (PDF). Oregon Health Authority. Oregon.gov.
  13. ^ "Health Systems Division: Medical Assistance Programs - Chapter 410 Division 136 Medical Transportation Services". Oregon Secretary of State. 2024.
  14. ^ "Safety Net Clinics in Oregon: Federally Qualified Health Centers" (PDF). Oregon Health Authority. Oregon.gov. 2020.
  15. ^ a b "Charitable Organizations Registered in Oregon". Oregon Department of Justice Charitable Activities. 2022.
  16. ^ Terry, Lynne (June 12, 2019). "In Portland Area Medicaid Market, CareOregon Gains Power Behind The Scenes". The Lund Report.
  17. ^ "CareOregon Annual Report 2022". CareOregon.
  18. ^ "Medicaid Monthly Population Report for Oregon". Oregon Health Authority. 2024. p. 1.
  19. ^ a b c Klein, Sarah; McCarthy, Douglas (July 2010). "CareOregon: Transforming the Role of a Medicaid Health Plan from Payer to Partner" (PDF). Issues Research, Inc. The Commonwealth fund. p. 3.
  20. ^ a b c "CareOregon: The Early Years" (PDF). CareOregon.
  21. ^ Johnson, Kirk (2013). "Experiment in Oregon Gives Medicaid Very Local Roots". New York Times.
  22. ^ John McConnell, K.; Marie Chang, Anna; Cohen, Deborah J.; Wallace, Neal; Chernew, Michael E.; Kautz, Glenn; McCarty, Dennis; McFarland, Bentson; Wright, Bill; Smith, Jeanene (2014). "Oregon's Medicaid transformation: An innovative approach to holding a health system accountable for spending growth". Healthcare. 2 (3): 163–167. doi:10.1016/j.hjdsi.2013.11.002. PMC 4273859. PMID 25540719.
  23. ^ Securing Medicaid's Future: Spotlight on Managed Care, Roundtable Before the Special Committee on Aging, United States Senate, One Hundred Ninth Congress Second Session. U.S. Government Printing Office. 2007. p. 63.
  24. ^ "CareOregon Annual Report 2017 Strengthening our communities by making health care work for everyone" (PDF). CareOregon. p. 5.
  25. ^ "Return of Organization Exempt From Income Tax 2022". Nonprofit Explorer. ProPublica. 9 May 2013.
  26. ^ "About Us". Health Share of Oregon.
  27. ^ Hayes, Elizabeth (2019). "Two Oregon health care giants to join forces in Medicaid". Portland Business Journal.
  28. ^ Weedman, Jonathan; Kapka, MD, Tonya. "Using Electronic Tools for Improved Care Coordination & Network Support" (PDF).
  29. ^ "Welcome to CareOregon Dental". CareOregon Dental.
  30. ^ "Health Plan of CareOregon, Inc. Statutory Basis Financial Statements with Supplementary Information" (PDF). KPMG. p. 7.
  31. ^ "CareOregon, Inc. and Subsidiaries Consolidated Financial Statements" (PDF). KPMG. 2023. p. 5.
  32. ^ "Board of Directors". CareOregon.
  33. ^ "Board of Directors". Columbia Pacific CCO.
  34. ^ "Board of Directors". Jackson Care Connect.
  35. ^ "Form CT-12 for Oregon Charities". 2019. p. 9.
  36. ^ "Community Advisory Council". Columbia Pacific CCO.
  37. ^ "Community Advisory Council". Jackson Care Connect.
  38. ^ "Community Advisory Board (COCAB)". CareOregon.
  39. ^ "Youth Advisory Council". Jackson Care Connect.
  40. ^ Contreras, Briana (3 November 2021). "Meet the Board: Eric Hunter of CareOregon Discusses Medicaid in Oregon and What Managed Care Has Become Over Time". Managed Healthcare Executive.
  41. ^ Manning, Jeff (2018). "CareOregon, major Medicaid player, approaches $100 million in losses". The Oregonian.
  42. ^ Allen, Patrick (2017). "An open letter to the Portland-area health care community from Director Patrick Allen". Oregon Health Authority.
  43. ^ "Annual Report 2018" (PDF). CareOregon. p. 7.
  44. ^ Hayes, Elizabeth (2019). "Two Oregon health care giants to join forces in Medicaid". Portland Business Journal.
  45. ^ Hunter, Eric (2020). "Opinion: CareOregon is innovating to meet Oregon's evolving health-care needs". The Oregonian.
  46. ^ Jaquiss, Nigel (2019). "The Merger of Two Health Giants Raises Questions About Access to Reproductive Health Services". Willamette Week.
  47. ^ Merkley, Jeffrey; Wyden, Ron; Bonamici, Suzanne; Blumenauer, Earl. "Congress of the United States letterhead" (PDF).
  48. ^ "Joint Statement Issued by ACLU of Oregon, Basic Rights Oregon, Compassion & Choices, Forward Together, NARAL Pro-Choice Oregon Planned Parenthood Advocates of Oregon and SEIU Local 49" (PDF). 2020.
  49. ^ Terry, Lynne. "Merger Of CareOregon Into Providence Off Over CareOregon's Independence, Secular Status". The Lund Report.
  50. ^ Meenan, R.; Mosen, D.; Luke, S.; Perrin, N. (2012-08-01). "CA8-03: Evaluating Primary Care Renewal in Oregon's Safety Net Clinics: Preliminary Quantitative Findings from CareOregon's Adult Medicaid Population". Clinical Medicine & Research. 10 (3): 176–177. doi:10.3121/cmr.2012.1100.ca8-03. ISSN 1539-4182. PMC 3421418.
  51. ^ Canonico, Michael (2020-02-13). "Supporting the Non-Traditional Health Care Workforce: Community Health Workers and Promotores - CHCS Blog". Center for Health Care Strategies. Retrieved 2024-02-22.
  52. ^ "Dave Fife on LinkedIn: CareOregon's Traditional Health Workers Grant Program | 10 comments". www.linkedin.com. Retrieved 2024-02-22.
  53. ^ "Health Workers with Lived Experience Help Close Gaps in OR". www.publicnewsservice.org. Retrieved 2024-02-22.
  54. ^ "CareOregon Donates $7.5 Million For Mental Health, Addiction | The Lund Report". www.thelundreport.org. Retrieved 2024-02-22.
  55. ^ Bailey, Victoria (2023). "CareOregon Initiative Boosts Access to Housing for Community Members. Healthpayer Intelligence".
  56. ^ a b Tegethoff, Eric (2021). "Health Workers with Lived Experience Help Close Gaps in OR". Public News Service. Retrieved 2024-02-22.
  57. ^ Hayes, Elizabeth (2016). "6 Portland health organizations pledge $21.5M for 3 low-income housing projects". Portland Business Journal. Retrieved 2024-02-22.
  58. ^ Flaccus, Gillian (2016-09-23). "6 Portland health providers give $21.5M for homeless housing". AP News. Retrieved 2024-02-22.
  59. ^ "Food Supports Partnerships: Adelante Mujeres, Zenger Farm, Project Access NOW, & CareOregon. CareOregon" (PDF). oregon.gov. 2021.
  60. ^ Hayes, Elizabeth (2014). "Prescription veggies? CareOregon pilot program helps patients eat healthier food". Portland Business Journal. Retrieved 2024-02-22.
  61. ^ Coronado, Gloria D.; Green, Beverly B.; West, Imara I.; Schwartz, Malaika R.; Coury, Jennifer K.; Vollmer, William M.; Shapiro, Jean A.; Petrik, Amanda F.; Baldwin, Laura-Mae (2019-10-28). "Direct-to-member mailed colorectal cancer screening outreach for Medicaid and Medicare enrollees: Implementation and effectiveness outcomes from the BeneFIT study". American Cancer Society. 126 (3): 540–548. doi:10.1002/cncr.32567. ISSN 0008-543X. PMC 7004121. PMID 31658375.
  62. ^ Chronicle, The (2021-02-26). "Financial Support: $400,000 for Iron Tribe Network". The Columbia County Chronicle & Chief. Retrieved 2024-02-22.
  63. ^ Hayes, Elizabeth (2021). "CareOregon to give out $7.5M to behaioral health providers to address burnout". Portland Business Journal. Retrieved 2024-02-22.
  64. ^ Chronicle, The (2021-06-18). "Mental Health Funding: Region to see $7.5 million investment". The Columbia County Chronicle & Chief. Retrieved 2024-02-22.
  65. ^ "CareOregon To Invest $7.5 Million In 25 Behavioral Health Provider Organizations To Improve Professional Recruiting & Retention". OPEN MINDS. Retrieved 2024-02-22.
  66. ^ "Health Resilience Program™ of CareOregon". Trust for America's Health. Retrieved 2024-02-22.
  67. ^ Middaugh, Jim (2021-03-03). "City, CareOregon Creating a Network Approach to Lower Barriers to Care For People Experiencing Mental Health and Drug-Related Crises | Portland.gov". www.portland.gov. Retrieved 2024-02-22.
  68. ^ Bales, Nicole (2023-03-04). "A regional fund seeks to reduce childhood trauma". The Daily Astorian. Retrieved 2024-02-22.
  69. ^ "CareOregon, Columbia Pacific CCO invest in local behavioral health providers". Tillamook Headlight-Herald. 2021-06-25. Retrieved 2024-02-22.
  70. ^ Shalin, Dan (2021-11-29). "Boys & Girls Clubs And CareOregon Team Up In Rockwood". Portland, OR Patch. Retrieved 2024-02-22.
  71. ^ Hayes, Elizabeth (2021). "CareOregon, Boys & Girls Club announce 10-year partnership". Portland Business Journal. Retrieved 2024-02-22.
  72. ^ Vaughn, Courtney (2021-12-01). "Rockwood Boys & Girls Club changes name and gets $2 million in funding". TheOutlookOnline.com. Retrieved 2024-02-22.
  73. ^ Hennrich, Mary Lou (2021). "Testimony in support of Oregon HB 2337".
  74. ^ Hennrich, Mary (2021-07-20). "Readers respond: Oregon must face workplace biases". The Oregonian. Retrieved 2024-02-22.
  75. ^ "Top Organizations for Diversity - 2021". Modern Healthcare. 2021.
  76. ^ "Top Diversity Leaders in Healthcare 2021". Modern Healthcare. 2021.
  77. ^ Hunter, Eric C. (2020). "Black lives matter - a message to the community". CareOregon. Retrieved 2024-02-22.
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