Workgroup Goal: Work with the actuarial contractor to integrate a new value based payment model based on pay-for-success and perform actuarial analysis of OSIM interventions and evaluations.
Public Meetings
All OSIM Health Finance Meetings are open to the public and anyone can attend.
Please view the Upcoming Meetings below to see the times and locations for all meetings.
Health Finance Workgroup Chair
Julie Cox-Kain Senior Deputy Commissioner of Health Deputy Secretary for Health & Human Services Oklahoma State Health Department
Meeting Presentation
Oklahoma Insurance Market Analysis
Joint Meeting Presentation
Care Delivery Models Assessment Presentation
High Cost Services - Presentation
Value Based Analytics Tool: Stakeholder Meetings
September 9 (OKC)
September 11 (Tulsa)
Oklahoma CCO Overview
Presentation
January 27, 2016
Draft RCO Certification Criteria
Medicaid Reference Codes
Total Joint Replacement
CHF Codes
Perinatal Codes
Comment Rubric for Health Finance Meeting
1115 and 1332 Waiver Summary
OSIM Financial Analysis Meeting
March 16, 2016
Actuarial Analysis
Analysis of Care Delivery Models in Oklahoma
Objectives: Identify existing delivery models in Oklahoma and new delivery models adopted in other states.
Market Effects on Health Care Transformation
Objectives: Assess market effects on health care transformation for the Federal Exchanges, Medicaid, EGID, Medicare, and private insurance groups.
High-Cost Delivery Services:
Objective: Create a roadmap for Oklahoma to develop a VBA tool that supports health care and payment reform initiatives, addresses the need for transparency in health care costs, and supports health care consumers and purchasers by highlighting key considerations and potential solutions based on previous experience in early-adopting VBA states.
Financial Forecast of New Delivery Models:
Objectives: Forecast costs for various payment models and high-cost services and discuss implications and challenges of different economies of scale across Oklahoma.
Comments
Leave a Comment: Health Finance Workgroup Deliverables
Objectives: Please click the link above to provide any comments on the deliverables and reports for the workgroup. All workgroups are seeking feedback to improve the contents of the reports and include the perspectives of diverse stakeholders.
