Oklahoma Complete Health Now Serving SoonerSelect Members
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Insights
The expansion of Oklahoma Complete Health's services to include SoonerSelect members represents a significant development in the healthcare landscape of Oklahoma. The integration of comprehensive healthcare solutions, including preventive care, primary care and behavioral health services, aligns with the broader trend of value-based care, which emphasizes the quality rather than the quantity of healthcare services. By focusing on preventive measures and primary care, Oklahoma Complete Health is likely to contribute to better health outcomes and potentially reduce overall healthcare costs in the long term.
Moreover, the inclusion of telehealth services and healthy living rewards programs could lead to increased patient engagement and accessibility, particularly in rural areas where healthcare services are often limited. The targeted approach towards children in foster care and juvenile-justice involved children through the SoonerSelect Children's Specialty Program is a strategic move that addresses a vulnerable population with specific healthcare needs. By automatically enrolling eligible families and children in these programs, Oklahoma Complete Health ensures continuity of care, which is important for improving long-term outcomes for these demographics.
Centene Corporation's subsidiary, Oklahoma Complete Health, is likely to see a positive financial impact from its service expansion under the SoonerSelect program. The increase in membership and the broadening of services can potentially lead to higher revenue streams. From an investor perspective, this strategic move could be seen as a growth opportunity for Centene Corporation, which may positively influence its stock market performance.
However, it's important to monitor the costs associated with the expansion, such as investments in technology for telehealth and the administration of new programs. The company's ability to manage these costs effectively will be essential in determining the actual financial benefit of the expansion. Additionally, the success of the service expansion will depend on the seamless integration of new members and the effectiveness of the healthcare services provided, which if not managed well, could lead to increased churn rates and impact customer satisfaction.
The selection of Oklahoma Complete Health by the Oklahoma Health Care Authority (OHCA) as one of the care management organizations is a testament to the company's reputation and operational capabilities. This decision may influence the competitive dynamics within the Oklahoma healthcare market, as it positions Oklahoma Complete Health as a key player in the state's Medicaid program. The focus on provider-led plans suggests a shift towards localized and coordinated care, which can be a differentiator in the market.
The healthcare market in Oklahoma and similar states is becoming increasingly consumer-centric, with an emphasis on integrated care models. The ability of Oklahoma Complete Health to deliver on its promises of high-quality, integrated care will be critical in attracting and retaining SoonerSelect members. It will also be important to observe how competitors respond to this development and whether they will introduce similar programs or services to maintain market share.
"With strong partnerships with our provider community, Oklahoma Complete Health is working to make the transition for members as smooth as possible while offering broad access to a network of healthcare providers and an expanded focus on preventive and primary care services," said Oklahoma Complete Health President and CEO Clay Franklin. "We are committed to providing excellent customer service and being attentive to SoonerSelect members' needs as we work to transform the health of the communities we serve, one person at a time."
SoonerSelect coverage offers necessary prescriptions, health services and behavioral health services. Additional key features of Oklahoma Complete Health plans include telehealth services, healthy living rewards, new parent programs and enhanced vision coverage.
Oklahoma Complete Health also serves the SoonerSelect Children's Specialty Program. This program is specifically designed to improve the health outcomes of children in foster care, former foster care children, juvenile-justice involved children, children receiving adoption assistance, and eligible American Indian/Alaskan Native (AI/AN) members.
Families receiving adoption assistance and former foster care children (18-26) who aged out of foster care will be automatically enrolled into the Children's Specialty Program unless another SoonerSelect Plan is chosen during open enrollment. Eligible American Indian/Alaskan Native (AI/AN) members must opt-in to the Children's Specialty Program. Children in Oklahoma Human Services custody/foster care and custody of Office of Juvenile Affairs will be automatically enrolled.
"As a main provider behind this provider-led plan, OU Health shares a common goal with Oklahoma Complete Health of delivering high-quality, integrated care that addresses the distinct health needs and care objectives of Oklahomans," said OU Health President & CEO Richard P. Lofgren, M.D., MPH. "Together, our efforts are centered on improving health outcomes and uplifting the overall health of the state."
As a provider-led entity, Oklahoma Complete Health's Board of Directors is comprised of representatives from
Oklahoma Complete Health was selected by the Oklahoma Health Care Authority (OHCA) in June 2023 as one of the care management organizations to provide coverage for eligible members.
About Oklahoma Complete Health
Oklahoma Complete Health is a Care Management Organization that serves the needs of Oklahomans through a range of health insurance solutions. Oklahoma Complete Health serves our communities by focusing on under-insured and uninsured individuals through its SoonerSelect Medicaid plan and SoonerSelect Children's Specialty Program, its federal insurance marketplace plan, Ambetter of
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SOURCE Oklahoma Complete Health
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