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OHCA Selects Four Managed Care Organizations to Assist in Serving Oklahoma Medicaid

Friday, January 29, 2021

For Immediate Release

Media Contact: 
Melissa Richey, Chief of Communications
405-982-8707 | melissa.richey@okhca.org

Katelynn Burns, Senior Media Relations Professional
405-522-7266 | katelynn.burns@okhca.org


OHCA Selects Four Managed Care Organizations to Assist in Serving Oklahoma Medicaid

Oklahoma City, OK – The Oklahoma Health Care Authority has selected four qualified and experienced managed care organizations (MCOs) to assist in executing OHCA’s comprehensive managed care delivery system for certain SoonerCare members. 

This program will be known as SoonerSelect.  

The selected MCOs are Blue Cross Blue Shield of Oklahoma, Oklahoma Complete Health, Humana Healthy Horizons and UnitedHealthcare. Each of the MCOs are established in Oklahoma and currently serving Oklahomans. An estimated 1,500 new jobs are expected to be created.

"Today we are one step closer to improving health care outcomes for Oklahomans,” said Oklahoma Governor Kevin J. Stitt. “Right now our state ranks 46th in the nation for health outcomes and that is unacceptable. Oklahomans deserve better which is why moving to a managed care delivery system is the right move for the health of our state.”   

The managed care delivery model will allow the State to improve health outcomes for Oklahomans; move toward value-based payment and away from payment based on volume; improve SoonerCare beneficiary satisfaction; improve access to prevention and treatment services through better care coordination; and increase cost predictability in the State.

“The selected managed care organizations are the best at what they do, and I am confident in their ability to assist us in providing high quality services to our SoonerCare members,” said OHCA CEO, Kevin Corbett.

Oklahoma joins 40 other states in engaging in managed care organizations to assist them in administering certain Medicaid benefits. States have reported positive outcomes by investing in primary care and preventative services, as well as effective quality improvement strategies.  

This is one of the largest contracts procured in the state’s history. The contracts were competitively bid and were selected after a technical evaluation and oral presentations. The contracts are for an initial one-year term through June 2021 and five optional one-year extensions at the discretion of OHCA.

“This selection is incredibly impactful to the state’s economy. Our new partners already have an established footprint in Oklahoma and will further invest in the local economy by generating over a thousand new jobs resulting in holistic, quality health care for SoonerCare members,” said Senator Kim David. “This is our opportunity to move the needle in health outcomes and boost the state’s economy.”

 

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About Blue Cross Blue Shield of Oklahoma

Throughout its 80-year history, Blue Cross and Blue Shield of Oklahoma has been committed to meeting the health care financing needs of Oklahomans. As the state’s oldest and largest private health insurer, Blue Cross and Blue Shield of Oklahoma provides health care benefit plans for more than 800,000 Oklahomans. For more information, visit bcbsok.com.

Blue Cross and Blue Shield of Oklahoma is a Division of Health Care Service Corporation (which operates Blue Cross and Blue Shield plans in Texas, Illinois, Oklahoma, Montana and New Mexico), the country’s largest customer-owned health insurer and fourth largest health insurer overall. Health Care Service Corporation is a Mutual Legal Reserve Company and an Independent Licensee of the Blue Cross and Blue Shield Association.

 

About Humana Healthy Horizons

In 2020, Humana launched its new Medicaid brand, Humana Healthy Horizons™. With this new brand, the organization is committed to continue demonstrating our strong ability to manage complex populations and create solutions that lead to a better quality of life for our members. Nationally, the organization serves Medicaid enrollees through Medicaid Managed Care (MMC), Managed Long Term Services and Supports (MLTSS) programs, Centers for Medicare and Medicaid Services (CMS) Financial Alignment Initiative Dual Demonstrations, MA, D‐SNPs, and PDPs.

Humana has served Medicaid populations continuously for more than two decades and currently manages Medicaid benefits for nearly 800,000 members nationally. Humana has developed expertise providing care management, care planning, and specialized clinical management for the complex needs of Temporary Assistance for Needy Families (TANF); Children’s Health Insurance Program (CHIP); Medicaid Expansion; aged, blind, or disabled (ABD); and dual eligible populations within a social supports‐based framework. Through these years of experience, Humana has also developed significant expertise in integrating physical health, behavioral health, pharmacy, and social services and supports for a whole-person centered approach to improve the health and well‐being of our members and the communities we serve.

Humana Healthy Horizons is a Medicaid Product of Humana Health Plan, Inc.

 

About Oklahoma Complete Health

Oklahoma Complete Health, a subsidiary of Centene, is a managed care organization that offers healthcare services through SoonerSelect and the SoonerSelect Specialty Children’s Plan. Oklahoma Complete Health exists to improve the health of our members through focused, compassionate and coordinated care delivered locally. For more information on Oklahoma Complete Health, please visit www.oklahomacompletehealth.com/

Centene Corporation, a Fortune 50 company, is a leading multi-national healthcare enterprise that is committed to helping people live healthier lives. The Company takes a local approach – with local brands and local teams – to provide fully integrated, high-quality, and cost-effective services to government-sponsored and commercial healthcare programs, focusing on under-insured and uninsured individuals. Centene offers affordable and high-quality products to nearly 1 in 15 individuals across the nation, including Medicaid and Medicare members (including Medicare Prescription Drug Plans) as well as individuals and families served by the Health Insurance Marketplace, the TRICARE program, and individuals in correctional facilities. The Company also serves several international markets, and contracts with other healthcare and commercial organizations to provide a variety of specialty services focused on treating the whole person. Centene focuses on long-term growth and the development of its people, systems and capabilities so that it can better serve its members, providers, local communities, and government partners.

Centene uses its investor relations website to publish important information about the Company, including information that may be deemed material to investors. Financial and other information about Centene is routinely posted and is accessible on Centene's investor relations website, http://investors.centene.com/.

 

About UnitedHealthcare

UnitedHealthcare is dedicated to helping people live healthier lives and making the health system work better for everyone by simplifying the health care experience, meeting consumer health and wellness needs, and sustaining trusted relationships with care providers. In the United States, UnitedHealthcare offers the full spectrum of health benefit programs for individuals, employers, and Medicare and Medicaid beneficiaries, and contracts directly with more than 1.3 million physicians and care professionals, and 6,500 hospitals and other care facilities nationwide. The company also provides health benefits and delivers care to people through owned and operated health care facilities in South America. UnitedHealthcare is one of the businesses of UnitedHealth Group (NYSE: UNH), a diversified health care company. For more information, visit UnitedHealthcare at www.uhc.com or follow @UHC on Twitter.

Last Modified on Jan 29, 2021
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