In February 2013, the Oklahoma Health Care Authority (OHCA) contracted with Leavitt Partners toevaluate its current Medicaid program and to make recommendations on how to optimize access and
quality of health care in the State. The outcomes produced from this work will support the OHCA’soverall mission statement, which is to “purchase state and federally funded health care in the most
efficient and comprehensive manner possible and to study and recommend strategies for optimizing the
accessibility and quality of health care.”
The contract includes two separate, but related, projects. The first project is an evaluation of the
existing acute care component of SoonerCare, the State’s Medicaid program. As part of this evaluation,
Leavitt Partners addressed whether SoonerCare is operating efficiently and effectively, what value the
program provides to the State, the strengths and weaknesses of the program, and the program’s
existing opportunities and threats.For the second project, Leavitt Partners proposed a Medicaid demonstration proposal. Thisdemonstration proposal provides the State with a creative approach for optimizing access and quality of
health care in Oklahoma. It outlines recommendations for an “Oklahoma Plan,” which will include state
-based solutions to improve health outcomes, contain costs, and make efficient use of state resources inproviding quality health care and reducing the number of uninsured families. The plan addresses andintegrates all points of health care delivery in the State, including Medicaid, the public health system,and the commercial insurance system. It focuses on market-based solutions and population healthmanagement.This report addresses the second component of the contract, providing recommendations for aMedicaid demonstration waiver proposal. It should be reviewed in tandem with the report evaluatingthe current SoonerCare acute care program,
as some of the areas identified for improvementinfluenced the proposals outlined in this paper.
Leavitt Partners used a two-fold approach in developing its recommendations. It first reviewed the
State’s current Medicaid program, gathering multiple
perspectives of the program and its processes inorder to gain an understanding of the social, political, and financial environment in which the programoperates. As part of this review, Leavitt Partners performed an extensive environmental scan of SoonerCare by both reviewing publicly available documents and interviewing stakeholders to discuss theprogram and gain external perspectives on specific issues.
“About Us,” Oklahoma Health Care Authority. Accessed June 17, 2013. http://www.okhca.org/about.aspx?id=32.
“Program Strengths and Areas for Continuing Improvement: An Evaluation of Oklahoma’s SoonerCare Acute CareProgram,” Leavitt Partners (June 27, 2