Oklahoma § 63-5010 - Analysis of state health care programs - Exploration of

§ 63-5010. Analysis of state health care programs - Exploration of

cost containment and delivery alternatives.

A. The Oklahoma Health Care Authority shall analyze the statepurchased and state-subsidized health care programs and explore

options for cost containment and delivery alternatives for those

programs that are consistent with the purposes of those programs,

including, but not limited to:

1. Creation of economic incentives for the persons for whom the

state purchases or subsidizes health care to appropriately utilize

and purchase health care services, including the development of

flexible benefit plans to offset increases in individual financial

responsibility;

2. Utilization of provider arrangements that encourage cost

containment and ensure access to quality care, including, but not

limited to, prepaid delivery systems, utilization review, and

prospective payment methods;

3. Coordination of state agency efforts to purchase drugs

effectively;

4. Development of recommendations and methods for purchasing

medical equipment and supporting services on a volume discount

basis; and

5. Development of data systems to obtain utilization data from

state-purchased and state-subsidized health care programs in order

to identify cost centers, utilization patterns, provider and

hospital practice patterns, and procedure costs.

B. 1. The Authority shall prepare for the Governor, the

Legislature and the Joint Legislative Oversight Committee for the

Oklahoma Health Care Authority an annual report on the savings

Oklahoma Statutes - Title 63. Public Health and Safety

realized and all costs incurred in the implementation of any drug

cost containment programs including, but not limited to:

a.

development and implementation of a drug prior

authorization list, and

b.

other uses of prior authorizations.

2. Costs shall include direct costs such as staffing, contracts

and other resources used.

Added by Laws 1993, c. 332, § 8. Amended by Laws 2004, c. 218, § 1,

eff. Nov. 1, 2004.