The Leavitt consultants recognize that this population has tremendous challenges, including many who engage in risky behaviors and have significant mental health disorders. The consultants suggest several approaches that would increase individual accountability and provide incentives to encourage healthy choices. They also suggest implementing new ways to pay providers to encourage them to be more efficient and focus on improved health outcomes.
To enhance accountability to all entities, Leavitt Partners recommends the Medicaid agency create a steering committee made up of key executive, legislative and community stakeholders that would consider issues such as working toward multi-payer models for the program's health home system, developing a strong evaluation component, demonstrating cost-effectiveness, and how best to leverage current OHCA initiatives as well as integrate public health initiatives into the approach.
This process will help ensure the approach maintains a broader focus on health outcomes and improving the state's overall health. This is truly a win-win-win proposal for citizens, health providers and the state.
Crawford practices medicine in Oklahoma City.