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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 Ge Bai, PhD, CPA
October 2nd 2025To mark the 30th anniversary of The American Journal of Managed Care, 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 October issue features a conversation with Ge Bai, PhD, CPA, professor of accounting at Johns Hopkins Carey Business School and professor of health policy and management at Johns Hopkins Bloomberg School of Public Health in Baltimore, Maryland.
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