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 enrollee to coor