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Oklahoma State Medical Association to file legal challenge against state's managed care contracts

Oklahoma State Medical Association to file legal challenge against state's managed care contracts

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In 2019, the Legislature redrew apportionment on the courts. The Supreme Court now has four at-large seats and five representing the congressional districts.

The Oklahoma State Medical Association announced Saturday it intends to file a motion next week asking the Oklahoma Supreme Court to issue an injunction against Medicaid managed care contracts.

The move comes nearly a week after the Oklahoma Health Care Authority voted to push forward with advancing the state’s Medicaid program to privatized managed care from a fee-for-service model.

“While we certainly have strong feelings about outsourcing the state Medicaid program to for-profit companies, this is about process,” said Dr. Pete Aran, chairman of the OSMA board of directors. “The fact remains that Oklahoma’s legislature has not passed the appropriate legislation or funding to move managed care forward. We believe it is premature to move ahead with these contracts until the legislative process is completed.”

The state expects to spend more than $2 billion on the initial effort backed by Gov. Kevin Stitt despite health care providers and some lawmakers opposing privatizing Medicaid.

Physicians groups have opposed manage care, saying Oklahoma previously failed to execute a similar version that forced state health care providers to leave the Medicaid program and compromised the ability of residents to quality care.

“Every state taxpayer should be concerned,” said Dr. George Monks, a Tulsa physician and president of the Oklahoma State Medical Association. “Do we want to allow unelected agency boards and commissions to potentially put the state on the hook for billions of dollars in future spending without discussion and approval by the legislators who must ultimately approve the funding? We are simply asking the Court to put the process on hold until the legislature can decide if this is a proper path forward.”Stitt, however, explained that Oklahoma operating under a managed care system would “deliver better health care for Oklahomans” and support education and transportation.

The Oklahoma Health Care Authority’s actuary set the payment rates on the assumption that inpatient care will be reduced by 40% while behavioral health will be reduced by 20% in the first year.

“As a rural physician, I find this especially concerning as it will affect rural patients disproportionally,” Dr. Woody Jenkins, co-chair of the OSMA Rural Section, said in a statement. “We all want state agencies to run more efficiently, but to date, we’ve yet to hear a good explanation removing billions of dollars from the Health Care Authority and sending it to largely out-of-state private companies can achieve this goal.”

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Oklahoma Gov. Kevin Stitt on Feb. 1 said that "we need to resolve the many unanswered questions from this ruling."

Tulsa-area state legislators and how to contact them


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