§ 63-5010. Analysis of state health care programs - Exploration of cost containment and delivery alternatives.

A.  The Oklahoma Health Care Authority shall analyze the state-purchased 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 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.