Under what it says is increasing financial strain, CareOregon, the Oregon Health Plan’s largest insurer, recently added McKinsey & Company to its roster of consultants.

A nonprofit, CareOregon provides mostly Medicaid-funded health insurance to hundreds of thousands of Oregonians, with a particular concentration in the Portland area. It says per-person payments it gets from the state are not covering the actual cost of care—especially when it comes to behavioral health. It seeks far better funding rates from the state.

It’s also looking to make some adjustments internally.

“We have no choice but to rethink our approach to everything we do, from staffing to network policies,” CareOregon tells WW in a statement.

The decision to bring in McKinsey, a high-powered management consultancy,

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