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Oklahoma State Medical Association to challenge state's Medicaid managed-care program


Oklahoma State Medical Association to challenge state s Medicaid managed-care program
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The Oklahoma State Medical Association on Tuesday said it plans to seek a court injunction against the state s recently announced $2.1 billion Medicaid managed-care program.
The association plans to challenge the Oklahoma Health Care Authority s decision to allow UnitedHealthcare, Blue Cross and Blue Shield of Oklahoma, Humana Healthy Horizons and Centene Corp. subsidiary Oklahoma Complete Health to manage Medicaid benefits for the state s 903,000 enrollees come Oct. 1. The initiative, named SoonerSelect, covers lower-income adults, Temporary Assistance for Needy Families and the Children s Health Insurance Program.
The group said it takes issue with private companies operating the state s Medicaid program, rather than the Health Care Authority. Through SoonerSelect, the state will pay private insurers under a capitated payment model, offering payers a set fee per e ....

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Oklahoma lawmakers divided over method of health care delivery


By Janelle Stecklein | CNHI State Reporter
Feb 6, 2021
Feb 6, 2021
OKLAHOMA CITY — Debate over the future of Oklahoma’s health care system is heating up as legislators and medical professionals argue about the wisdom of a gubernatorial plan that seeks to overhaul the state’s insurance delivery method.
“It’s the most divisive issue at the state Capitol,” said state Sen. Greg Treat, R-Oklahoma City, Senate president pro tem. “It has been for a couple of years. My caucus is fairly evenly divided. I personally am agnostic on the delivery system as long as we can try to control costs and also ensure better health outcomes.” ....

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Oklahoma Chooses Vendors For $2B Partial Privatization Of Medicaid


By Catherine Sweeney & Kassie McClung | The Frontier

Jan 29, 2021
State officials announced the winners of up to $2.1 billion in health care contracts on Friday, a major milestone in implementing Oklahoma’s hotly debated privatized Medicaid program.
Four private health insurance companies will handle much of Oklahoma’s Medicaid program starting in October: Blue Cross and Blue Shield of Oklahoma; Humana Healthy Horizons; Oklahoma Complete Health, which is a subsidiary of managed care giant Centene; and United Healthcare.
Gov. Kevin Stitt has made partially privatizing Medicaid one of his administration’s top priorities. Using a policy called the managed care model, Oklahoma will begin paying private health insurance companies to coordinate much of the state’s Medicaid program, known as SoonerCare. Up to 75% of the state’s Medicaid enrollees will work with the private companies. That includes the anticipated 200,000 working adults ....

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