Managing care in Medicaid managed care.

Autor: Fogarty M; Oklahoma Health Care Authority, Oklahoma City, Oklahoma 73107, USA. carter.kimble@okhca.org, Splinter GL, Kimble LC
Jazyk: angličtina
Zdroj: The Journal of ambulatory care management [J Ambul Care Manage] 2013 Jul-Sep; Vol. 36 (3), pp. 173-7.
DOI: 10.1097/JAC.0b013e3182955b37
Abstrakt: This commentary discusses the journey of SoonerCare, Oklahoma's Medicaid program, and its experience going from a statewide fee-for-service system to a partially capitated, commercial managed care system to a statewide medical home program. It describes in detail the current program and how the Oklahoma Health Care Authority, the state's Medicaid agency, addresses utilization control through various patient interventions. While the system and many of its interventions are young, the Oklahoma Health Care Authority continues to look forward in how to build upon and improve its system to ensure quality, appropriate, and efficient service delivery.
Databáze: MEDLINE