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Aetna challenges exclusion from Oklahoma s new Medicaid managed-care program
Kris Tripplaar/Sipa USA
Aetna Better Health of Oklahoma has filed a protest against the state s healthcare agency, alleging its fatally flawed process for awarding contracts for its $2.1 billion Medicaid managed-care system lacked legal authority and violated open records laws.
The Hartford, Conn.-based insurer s protest comes just weeks after the state s medical agency filed an injunction to the Oklahoma Supreme Court that aims to stop the privatization of the service for low-income residents.
The Oklahoma Health Care Authority, which declined to comment, announced in late January that it awarded Medicaid managed-care contracts to UnitedHealthcare, Blue Cross and Blue Shield of Oklahoma, Humana Healthy Horizons and Oklahoma Complete Health, a subsidiary of Centene Corp.
Lawmakers: Managed care plan complicates Medicaid funding By: Trevor Brown Oklahoma Watch February 22, 2021
With Oklahoma’s 2021 legislative session underway, lawmakers and the governor will need to simultaneously weigh funding options for an expanding state Medicaid program along with pros and cons of revamping the system that lower-income Oklahomans depend on for health care coverage. (Photo by National Cancer Institute on Unsplash)
More than half a year after voters approved a state question that will require Oklahoma to offer health care coverage to more than 200,000 low-income adults, state officials are still unsure how they’ll pay for it.
The passage of State Question 802 last June started a countdown for the state to start enrolling newly eligible Oklahomans in the state’s Medicaid program, known as SoonerCare, by July 1.
FAQ: What does the debate over managed care really mean? By: Trevor Brown Oklahoma Watch February 23, 2021
As the state prepares to expand its Medicaid program to include more lower-income Oklahomans, debate has heated up over the potential pros and cons of managed care. (Photo illustration courtesy Oklahoma Watch)
Oklahoma is on the verge of overhauling its Medicaid program and changing how about a quarter of the state’s population receives health care.
Gov. Kevin Stitt and the Oklahoma Health Care Authority announced in late January that the state will contract with four companies to provide managed care for hundreds of thousands of SoonerCare members.