Oklahoma City, OK – The Oklahoma Health Care Authority is looking for proposals to implement a complete medical supply system for the company’s new well being care mannequin, SoonerSelect, following Gov. Kevin Stitt’s signing of two supply system reform payments.
SoonerSelect will permit OHCA to higher incentivize well being outcomes whereas sustaining oversight and authority over Oklahoma’s Medicaid program and this system funding. The company is dedicated to enhancing the well being and lives of SoonerCaremembers and will maintain its SoonerSelect companions to excessive requirements via sturdy accountability measures.
“OHCA is required to choose at least three contracted entities for medical services and one contracted entity for the children’s specialty plan. Contracted entities can include accountable care organizations, provider-led entities, and commercial plans,” mentioned Kevin Corbett, OHCA CEO and Secretary of Health and Mental Health.
This partnership will permit OHCA to reinforce the high quality of service SoonerCare members obtain by leveraging the sources of the contracted entities and investing in enhanced care coordination and social dedication of well being, resulting in improved well being outcomes for Oklahomans.
All well being plans will probably be required to supply SoonerSelect members the identical well being care providers at the moment provided bySoonerCare however could provide additional advantages to assist enhance the well being of its members.
“We have high expectations for the contracted entities such as achieving specific quality metrics and developing strategies to address health disparities and social determinants of health,” mentioned State Medicaid Director, Traylor Rains. “I look forward to seeing how these organizations help further our mission and improve health outcomes for Oklahomans.”
The transition in well being care supply will permit the company to attain the next fee and supply system reform targets:
- Improve well being outcomes for Oklahomans
- Move towards value-based fee
- Improve SoonerCare member satisfaction
- Contain prices by investing in preventive and major care
- Increase price predictability to the State
Oklahoma joins 40 different states in participating third-party organizations to manage sure Medicaid advantages. States have reported optimistic outcomes, akin to price containment by investing in major care, preventive providers and efficient high quality enchancment methods. It is widespread for these contracted organizations to be closely invested in infrastructure, together with know-how, staffing and analysis on finest practices to coordinate care for members. The chosen organizations will probably be required to have an Oklahoma presence together with key workers and name heart operations.
“Working alongside these highly qualified contracted entities is the first step in strengthening our ability to serve Oklahomans,” mentioned Corbett.
The RFP bidding course of will finish on Feb. 8, 2023. The contracts will probably be awarded and introduced early subsequent yr.
For extra information and updates about supply reform in Oklahoma, go to https://oklahoma.gov/ohca/about/delivery-reform.html.
To view the medical RFP, go to https://oklahoma.gov/omes/services/purchasing/solicitations/8070000052.html.
To view the Children’s Specialty Plan RFP, go to https://oklahoma.gov/omes/services/purchasing/solicitations/8070000053.html.
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