Tag Archives: Oklahoma

  • As Drug Prices Rise, Oklahoma’s Medicaid Agency Advances Alternative Payment Models

    Escalating drug prices are forcing state Medicaid agencies to explore new payment models. According to Burl Beasley, director of Pharmacy Services for Oklahoma’s Medicaid program, older Medicaid payment strategies, such as negotiating enhanced rebates and multi-state purchase agreements, are not keeping pace with rising drug expenditures. Beasley cited the strain prescription drug costs were putting […]

    December 17, 2018 | Filed under: Drug Pricing, Front Page, State Health Policy Blog
  • Oklahoma Signs the Nation’s First State Medicaid Value-Based Contracts for Rx Drugs

    On the heels of Oklahoma’s first-in-the-nation, value-based purchasing deal to improve adherence to an antipsychotic drug, the state’s Medicaid agency just signed its second value-based contract for a prescription drug used to treat serious bacterial skin infections. While several private insurers have initiated value-based contracting, which links payments to a drug’s effectiveness and outcome, Oklahoma […]

  • State Medicaid agencies, which fund half of all births in the United States, are increasingly looking for ways to improve birth outcomes and maternal health while reducing costs by improving medical care and avoiding medically unnecessary cesarean sections. Two case studies from Wisconsin and Oklahoma show how these states successfully improved health care access and quality by […]

    September 25, 2017 | Filed under: Medicaid, Oklahoma, Publications, Wisconsin, Women's Health
  • In Oklahoma : As of July 1, 2011, there were 684,387 individuals enrolled in the state’s Medicaid program, SoonerCare; 591,850 of these individuals were enrolled in a prepaid ambulatory health plan (PAHP) that provides transportation benefits. 439,228 Medicaid enrollees receive physical, behavioral, and dental services through the state’s primary care case management (PCCM) program, known […]

    February 25, 2015 | Filed under: Oklahoma
  • Primary care practices transitioning to enhanced models of primary care require ongoing support to sustain their transformation efforts. Small and medium-sized practices in particular can benefit from shared resources facilitating care coordination and case management, use of data and technology, and ongoing practice improvement. This State Health Policy Briefing outlines key elements of a shared […]

  • Primary care extension programs improve the quality of primary care services by educating providers on new and innovative practices in areas such as preventive medicine, health promotion, and chronic disease management. Section 5405 of the Affordable Care Act authorizes the establishment of a national primary care extension program. To pursue this goal, the Agency for […]

  • Under construction–NASHP is continuing to populate this resource so please check back!   If you have any resources about the Medicaid benefit for children and adolescents in your state that you would like to share, please email kmooney@nashp.org.

    November 5, 2013 | Filed under: Oklahoma
  • SoonerCare Choice The Oklahoma Health Care Authority (OHCA) provides medical homes to most Medicaid enrollees through SoonerCare Choice, a primary care case management (PCCM) program. In January 2009, using recommendations from the provider community, the program underwent extensive revisions and identified the following goals: Enhance patient choice and participation in health decisions; Assure all members receive […]

    October 1, 2013 | Filed under: Oklahoma
  • Around the country, models are emerging to link primary care providers not only to other medical service providers but also to resources and services in the community. This report—the first in a series supported by The Commonwealth Fund to explore opportunities for improvement in federal and state policy–highlights relevant policy levers and federal and state […]

  • The effective management of patients’ complex illnesses across providers, settings, and systems places extraordinary demands on primary care providers, especially those that work in resource-limited small or rural practices. Medicaid programs in some states have adopted strategies to build practice capacity to care for high-need Medicaid beneficiaries through the development of local community health teams, […]