Datapoint: Oklahoma Supreme Court Nixes Medicaid Managed Care

The Oklahoma Supreme Court on June 1 ruled that the state’s public health agency cannot implement a managed care program as part of the state’s upcoming Medicaid expansion. In the original suit, the Oklahoma State Medical Association and other professional provider groups alleged that the agency did not have legislative authority to create a managed care program, and the court agreed, barring the state from implementing a capitated model for the time being. Blue Cross Blue Shield of Oklahoma, Humana Inc., Centene Corp. and UnitedHealthcare were set to participate in the managed care transformation. Oklahoma currently serves 868,167 Medicaid beneficiaries, with about 215,000 more people set to become eligible this October via the state’s voter-approved expansion.

Source: AIS’s Directory of Health Plans

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