Oregon’s Medicaid insurers paid out considerably more per member in 2024 than they did in 2023, according to an analysis the state made public Friday, adding to the steady drumbeat of evidence that health care costs in various arenas have recently been rising far faster than Oregon’s 3.4% annual target.

Funded by a combination of federal and state dollars, the Medicaid insurers—known as “coordinated care organizations”—manage cost-free health insurance for most of the roughly 1.4 million Oregonians on the Oregon Health Plan.

Some insurers have reported severe budget strain lately, and the newly public report from the Oregon Health Authority offers fresh insight into their finances.

CCO expenditures per member grew by more than 10% between 2023 and 2024, the state found. For context, f

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