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 coordinate care and allowing payers to elect how they reimburse providers. The Oklahoma Health Care Authority currently reimburses providers through a fee-for-service model.