SHARE Initiative

The Supporting Health for All through Reinvestment, or SHARE Initiative, was developed by the Oregon Health Authority (OHA) to implement the legislative requirement of House Bill 4018 (Oregon Legislature, 2018) which aims to address Social Determinants of Health (SDOH). The primary goals are to: (1) Safeguard public dollars by requiring that a portion of Coordinated Care Organization’s (CCO’s) profits are reinvested in their respective communities; and, (2) Improve Member and community health by requiring reinvestments go toward upstream factors that impact health.

Social Determinants of Health and Health Equity (SDOH+E) means the social, economic, political, and environmental conditions in which people are born, grow, work, live, and age.  These conditions significantly impact length and quality of life and contribute to health inequities.  Social Determinants of Health include, but are not limited to: poverty; education; employment; food insecurity; diaper insecurity; housing; access to quality child care; environmental conditions; trauma/adverse childhood experiences; and transportation.

SDOH+E means the systemic or structural factors that shape the unfair distribution of the social determinants of health in communities.  Institutional racism is one example. Health Equity occurs when all people can reach their full health potential and well-being and are not disadvantaged by their race, ethnicity, language, disability, gender, gender identity, sexual orientation, social class, or other socially determined circumstances. Together, SDOH+E is the combined factors of the Social Determinants of Health and the Social Determinants of Health Equity.

To view the 2023 SHARE Initiative guidance for CCO’s, click HERE

To view Advanced Health’s 2022 SHARE Initiative spending plan, click HERE

If you questions regarding SHARE, email us at