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The Coalition for a Healthy Oregon proved an effective political counterweight to insurance, pharmaceuticals and hospital interests, backing legislation to create and strengthen CCOs.

The FamilyCare CEO explained that his organization showed much higher profits than the other CCOs because the Oregon Health Authority has allowed the other CCOs to keep much of their profit secret that they pass through to partnering organizations such as hospital systems.

Charity care spending has begun to tick up, cutting into the margins of small rural hospital, echoing a trend seen at larger, urban medial centers.

During the same time, charity care reached its lowest level since 2008.