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Stitt Administration's Partially Privatized Medicaid Plan Finds Unexpected Opponents: Oklahoma House Republicans


Oklahoma Gov. Kevin Stitt at his 2021 State of the State address.
From Day 1 of this year’s legislative session, the state’s executive branch has been hammering its dedication to usher in SoonerSelect.
Under that plan, instead of having Oklahoma’s Medicaid agency pay providers directly for their care, the state would shift about $2 billion in health spending to four private insurance companies, giving them a set amount for every client. Those companies would then coordinate care for nearly a million low-income Oklahomans, who are covered by SoonerCare, the state’s Medicaid program.
Here’s the idea: Insurance companies make more money when their clients are healthier and need less medical care. So they’re incentivized to improve health outcomes. They also have more flexibility in how they can spend on health, because state Medicaid agencies have stricter rules. Supporters often offer this example. A member with a heart condition has their air conditioner go ....

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