CareOregon said its out-of-network care restriction affects about 15,000 OHP and Medicare Advantage members, while critics warned it could disrupt care.
CareOregon reports member impact
The Oregonian/OregonLive reports that CareOregon said its restriction on out-of-network care affects about 15,000 Oregon Health Plan, or OHP, and Medicare Advantage members. The source describes CareOregon as Oregon’s largest Medicaid benefits manager.
According to The Oregonian/OregonLive, CareOregon identified both OHP members and Medicare Advantage members among the people affected by the out-of-network care restriction. The reported figure is about 15,000 members.
CareOregon’s role in Oregon Medicaid
The Oregonian/OregonLive reports that CareOregon manages OHP benefits for roughly 560,000 members. According to the source, that number is just under 40% of Oregon’s Medicaid population.
The source presents the 560,000-member figure alongside CareOregon’s statement that about 15,000 OHP and Medicare Advantage members are affected by the out-of-network care restriction. The Oregonian/OregonLive identifies CareOregon as the state’s largest Medicaid benefits manager.
Concerns about disruption
The Oregonian/OregonLive reports that critics warned the restriction could disrupt care. The source describes this as a warning from critics about the possible effect of the change on affected members.
CareOregon said the change concerns out-of-network care, according to The Oregonian/OregonLive. The source reports the affected population as including members with OHP coverage and Medicare Advantage coverage.
Coverage access remains the focus
According to The Oregonian/OregonLive, the reported change affects access to out-of-network care for about 15,000 members. The source also reports CareOregon’s larger role in managing OHP benefits for roughly 560,000 members statewide.
The Oregonian/OregonLive reports critics’ concern that the restriction could disrupt care. The extract does not provide further details about individual members’ care arrangements.
What this means for Oregon patients
For people looking for treatment locally, the directory lists 39 published clinics in Oregon. The Oregonian/OregonLive reports that CareOregon’s out-of-network care restriction affects about 15,000 OHP and Medicare Advantage members, and critics warned it could disrupt care.
This is general information, not medical advice.
More Oregon reporting on access & coverage.
This report is educational and is not medical advice. Coverage, availability and eligibility can change; verify details with the named source or your care team.