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Could Managed Care Offset OK's Surge in Medicaid Spending for Emergency Room Visits?
Medicaid-financed emergency room costs statewide grew nearly $10 million to $178.3 million in fiscal year 2013.
Medicaid-financed emergency room costs statewide grew nearly $10 million to $178.3 million in fiscal year 2013.
The increase, from $169.6 million in 2012, came as SoonerCare, the state Medicaid system, expanded to cover for the first time ever more than a quarter of the state’s 3.8 million people.
Emergency room spending rose sharply in spite of a state Health Care Authority effort begun in late 2011 to curb costs by contacting and counseling frequent ER users.
“After-the-fact” intervention programs, like Oklahoma’s, have marginal or no utility, said Jonathan Small, fiscal analyst at the Oklahoma Council of Public Affairs.
Read the full story here: http://bit.ly/1ntJS7h
Source: Oklahoma
Managed Care Reflections: A Q&A With A. Mark Fendrick, MD, and Michael E. Chernew, PhD
December 2nd 2025To mark the 30th anniversary of The American Journal of Managed Care (AJMC), each issue in 2025 includes a special feature: reflections from a thought leader on what has changed—and what has not—over the past 3 decades and what’s next for managed care. The December issue features a conversation with AJMC Co–Editors in Chief A. Mark Fendrick, MD, director of the Center for Value-Based Insurance Design and a professor at the University of Michigan in Ann Arbor; and Michael E. Chernew, PhD, the Leonard D. Schaeffer Professor of Health Care Policy and the director of the Healthcare Markets and Regulation Lab at Harvard Medical School in Boston, Massachusetts.
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