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Oklahoma consultant looks at Arkansas health care plan for insuring the poor

Oklahoma has hired a Utah firm to make recommendations for insuring the poor in Oklahoma.
BY CLIFTON ADCOCK Modified: April 5, 2013 at 8:43 pm •  Published: April 6, 2013

A consultant hired by Oklahoma to look at new ways to provide health care coverage to low-income people ineligible for Medicaid is studying an Arkansas plan that would channel federal Medicaid money through private insurers.

Leavitt Partners, a Utah consulting firm, is examining whether the plan proposed in Arkansas could be applied in some way in Oklahoma, state Health Commissioner Terry Cline said. An Oklahoma Hospital Association official also confirmed Leavitt's inquiry.

Whether Oklahoma will pursue such a path remains to be seen.

If not, it's unclear how or whether Oklahoma will find a way to provide health coverage for about 200,000 people who could remain uninsured next year because of Gov. Mary Fallin's decision not to accept federal funds to expand Medicaid under the Affordable Care Act.

The state contracted with Leavitt Partners for $500,000 to come up with recommendations for an Oklahoma-based plan to address health care.

Leavitt Partners is headed by Mike Leavitt, former Utah governor and former U.S. Secretary of Health and Human Services. The firm was hired after Fallin decided to reject Medicaid expansion, which would have covered all Oklahomans whose income is at or below 133 percent of the federal poverty level.

Cline said the firm is considering several options, including a proposal by Arkansas. That plan could allow low-income people to use Medicaid expansion funds to buy private insurance through a health care exchange, where people can shop for coverage online.

Since the Arkansas proposal became public in February, several states that rejected Medicaid expansion have signaled an interest in similar plans.

The Patient Protection and Affordable Care Act, commonly known as Obamacare, provides eligibility to Medicaid for all individuals and families with income up through 133 percent of the poverty level. That equates to $15,282 for a single person and $31,322 for a family of four.

In refusing to expand Medicaid, Oklahoma will leave more than 130,000 people in a “crater,” meaning they earn too much to qualify for Medicaid but not enough to buy insurance on a health exchange.

Governor opts out

Last summer, the U.S. Supreme Court upheld the Affordable Care Act as constitutional, but it also decided states could not be forced to expand Medicaid.

Fallin decided not to set up a state-operated health care exchange, thus letting the federal government run Oklahoma's exchange. She also refused federal funds to expand SoonerCare, the state's Medicaid program.

In February, Fallin announced the state would pursue its own plan, focusing on improving health outcomes, reducing the cost of care and expanding access to care.

Fourteen other states also have declined to participate, and three others are leaning against, according to The Advisory Board Co., a research firm.

Other states' plans

In February, Arkansas Gov. Mike Beebe, a Democrat, announced he had received verbal approval from U.S. Health and Human Services Secretary Kathleen Sebelius to use federal money intended for Medicaid expansion to subsidize private insurance for low-income people. The insurance would be bought through a health care exchange. Arkansas is still working on a written plan.

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Right now, we, as an administration, are interested in what other states are doing, but we're not driven by what other states are doing.”

Alex Weintz,
Communications director for

Gov. Mary Fallin


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