What if healthcare organizations didn't have to choose between serving patients and serving shareholders? What if surplus healthcare dollars stayed in your community instead of flowing to distant investors?

In Jackson County, Oregon, this isn't a hypothetical—it's been working since 2012.

Jackson Care Connect covers one in four residents (67,000 people) and manages hundreds of millions of dollars. But it operates according to a logic that's almost extinct in American healthcare: no stockholders, no profit extraction, and local governance by people who actually live in the community they serve.

When this nonprofit CCO generates surplus revenue, it doesn't go to Wall Street. It goes to $4.5 million for withdrawal management services, $3.5 million for family addiction treatment, and millions more for school-based health centers, supportive housing, and mobile healthcare teams.

In this episode, you'll discover:

• Why "capitated payment" completely changes healthcare incentives (and why for-profit insurers will never voluntarily adopt it)
• How the Community Advisory Council gives Oregon Health Plan members actual voting power over where healthcare dollars go—and how you can join
• The "Traditional Health Worker" network that's solving problems doctors can't (recovery peers, doulas, and community health workers with lived experience)
• Why school-based health centers eliminate the impossible choice between missing work and getting your kid medical care
• How Mobile Integrated Healthcare brings medical teams to homebound patients instead of forcing people to come to clinics
• The structural reason corporate hospitals accumulate billions in reserves while community health infrastructure crumbles
• Exactly where tens of millions in surplus revenue went (spoiler: it stayed in Jackson County, not shareholder pockets)

This episode is for you if:

• You're tired of healthcare organizations that answer to shareholders instead of patients
• You want proof that community-governed healthcare actually works (not theory—12 years of results)
• You're an OHP member who didn't know you could join the decision-making council shaping local investments
• You're curious why healthcare in Jackson County looks different than everywhere else
• You believe your community deserves infrastructure that serves residents, not distant investors

Host Noah Volz breaks down how Oregon's Coordinated Care Organization model restructures incentives, governance, and accountability—and why this matters even if you're not a Jackson Care Connect member. Because when JCC invests in behavioral health capacity, school clinics, and supportive housing, everyone in Southern Oregon benefits from stronger community health infrastructure.

The uncomfortable truth: Most Americans assume healthcare has to work like it does—profit-driven, shareholder-controlled, optimized for quarterly returns. Jackson Care Connect proves that assumption wrong. The model exists. It's operational. It's producing measurable results. The question is whether we have the political will to defend it, strengthen it, and replicate it.

Resources mentioned:

• Jackson Care Connect: jacksoncareconnect.org

This is what healthcare looks like when structure aligns with mission—when communities own their health systems instead of corporations. Listen now to discover the model that's been hiding in plain sight for over a decade.