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The Oklahoma Health Care Authority has the primary duty of executing SoonerCare, the Oklahoma version of Medicaid. SoonerCare is a health coverage program jointly funded by the United States federal government and the Oklahoma state government. The program provides payments to cover medical services to economically challenged individuals.
The IPA assembles care providers in self-directed groups within a geographic region to invent and implement health improvement solutions, form collaborative efforts among care providers to implement these programs, and exert political influence upward within the community to effect positive change. [citation needed]
The Oklahoma Department of Human Services is an agency of the government of Oklahoma.Under the supervision of the Oklahoma Secretary of Health and Human Services, Oklahoma Human Services is responsible for providing help to individuals and families in need through public assistance programs and managing services for seniors and people with disabilities.
The department is led by the Secretary of Health and the Commissioner of Health. Oklahoma law requires the Commissioner of Health to have professional expertise as any of the following: 1) an actively licensed physician (MD/DO), 2) a doctoral-level degree holder in public health or public health administration, 3) a masters' degree holder with a minimum of five years experience in ...
Currently, managed care is the most common health care delivery system in Medicaid. In 2007, nearly two-thirds of all Medicaid beneficiaries are enrolled in some form of managed care – mostly, traditional health maintenance organizations (HMO) and primary care case management (PCCM) arrangements. [citation needed] This amounted to 29 million ...
Case managers working for health care providers typically do the following: Verify coverage & benefits with the health insurers to ensure the provider is appropriately paid; Coordinate the services associated with discharge or return home; Provide patient education; Provide post-care follow-up; and; Coordinate services with other health care ...
"That's straight out the door to rural providers in behavioral health, primary care, transportation services and maternal health, and we've requested another $150 million for the fiscal year '25 ...
The most common managed care financial arrangement, capitation, places healthcare providers in the role of micro-health insurers, assuming the responsibility for managing the unknown future health care costs of their patients. Small insurers, like individual consumers, tend to have annual costs that fluctuate far more than larger insurers.