Oklahoma Governor Kevin Stitt announced the state is moving its Medicaid business to 4 for-profit healthcare companies: Blue Cross Blue Shield of Oklahoma, Humana Healthy Horizons, Oklahoma Complete Health (a subsidiary of Centene Corp) and, yep—you guessed it—United Healthcare. According to The Oklahoman, the governor justified the deal by asserting that state leaders have “a moral obligation to make life better for the people that we serve.” We would like to know whose lives will be better in this new managed Medicaid model.
The state has a history of failed implementation of managed Medicaid, and critics have pointed to previous instances where a Medicaid managed care model has limited patient access and choice, forcing many physicians to stop seeing patients. In this model, insurers profit by driving down costs—which they claim they can do by encouraging members to seek more preventive care. But here’s the challenge: Medicaid populations tend to have more chronic illness and more complex care requirements. Many in this population will need treatment, in addition to preventive care. Our prediction? These for-profit insurers (especially United) will find a way to lower payments to physicians and hospitals providing this more complex care, without doing much to actually prevent disease in the Medicare population. Then they’ll say they’re “reducing the cost of care,” and pocket the difference.
For good reason, the new managed care plan faced opposition from legislators and members of the medical community. According to The Oklahoman, the Oklahoma Hospital Association, Oklahoma Dental Association, Oklahoma Pharmacists Association and Oklahoma Medical Equipment Providers Association oppose this new agreement, as well as the Senate minority leader, who raised concerns that this shift happened without input from the legislature. We are seeing the privatization of Medicaid grow at the expense of those most in need of high-quality care. We’ll see how it works out for Oklahoma and if any other states follow suit.