Oregon performs relatively well on Medicaid budget exposure, improper payment performance, MFCU enforcement activity, existing APCD infrastructure, and independent NP practice. The state also benefits from MCO presence. Still, Oregon’s overall score is weighed down by Medicaid expansion, no early work requirement activity, weak redetermination performance, low private coverage retention, rapid Medicaid spending growth, active CON laws, and no IMLC activity.
Strengths
Low Medicaid share of the state budget
Moderate program integrity scores
Existing APCD infrastructure
Independent NP practice
Weaknesses
Medicaid expansion
No early work requirement activity
Low private-to-Medicaid coverage ratio
Rapid Medicaid spending growth and active CON laws
