Tuesday, August 7, 2012

Alternate plan from Roxane Bly

Hi there!  This is a very rough draft of an alternative to the mandatory managed care that is proposed in the Centennial Care plan.  I'd be interested in any feedback you all might offer.  I don't feel strongly about pushing forward with this idea, but I do feel it's critical that we offer some type of alternative rather than simply stating our opposition. 

My thinking is that we could consider piloting (in one maybe two counties) a partially capitated managed care model that would continue the Fee For Service structure for primary care while capitating payments for specialty care. 


I'm attaching a summary evaluation report of the Sooner Care model (Oklahoma's Medicaid program) which I think is also really helpful when formulating compelling arguments in opposition to the mandatory managed care proposal outlined in Centennial Care. 


Anyway, hope this might of use to some of you and am interested in any feedback you might offer.





Please comment on the Draft document on this site or email Roxane

Roxane.bly@gmail.com or the Blog nahainformation@gmail.com

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