Improving Health, Health Care and Health Insurance in Oklahoma Presented by Insurance Commissioner Kim Holland

The Commonwealth Fund. (2007). Aiming Higher: Results from a State Scorecard on Health System Performance.

Access 662,000 uninsured – Almost 20% of Oklahoma’s population RWJF/SCI planning grant for uninsured coverage Core Health Benefits Task Force created/ CHAT (Choosing Healthplans All Together) Premium assistance expansion

Recent Legislation House Bill 1225 (2007) Expansion of the Premium Assistance Program Author/Co-Authors: Representative Benge and Senator Crutchfield Expands the premium assistance program to include parents of children eligible for Medicaid Authorizes OHCA to seek waivers to expand the premium assistance program to employers with 250 or fewer employees Authorizes OHCA to seek waivers to extend the premium assistance program to include employees whose family income does not exceed 250% FPL

Quality Formation of the Oklahoma Health Care Quality Improvement advisory committee under the leadership of Secretary of Health Dr. Mike Crutcher. Health Information Security and Privacy Collaboration and SMARTNET

Avoidable Hospital Use & Costs Uncompensated hospital care cost $515 million According to a report by the health consumer organization Families USA, cost shift adds $1,781per family of four annually to the cost of health insurance *Uncompensated care is defined as hospital bad debt, write off and charity cost given for free

Equity Significant racial disparities in access to coverage and quality of care Significant investment by our Native American communities in health promotion, disease prevention, primary and chronic degenerative diseases for the benefit of their populations

Equity Targeted efforts to better understand and address disparities in health status among the African American population - state and philanthropic involvement Expansion of Medicaid and other programs targeted at vulnerable populations particularly, children

Recent Legislation Senate Bill 424 (2007) The All Kids Act Author/Co-Authors: Senator Adelson and Representative Cox The Act directs the Oklahoma Health Care Authority (OHCA) to establish and maintain a program to provide medical coverage assistance to children 18 or younger Family incomes must be between 185% and 300% FPL Children in the program are offered a voucher and/or subsidy toward the cost of privately sponsored health insurance

Healthy Lives Governor Brad Henry’s statewide effort to improve the health of our residents - Strong and Healthy Oklahoma

Done That (Past) Programs currently in place/ individuals covered Children: 480,000 Adults: 263,000 Total: 743,000 Doing This (Present) Areas that are either developed or being developed/ refined Children: 90,000 Adults: 380,000 Total: 470,000 Could Do (Future) Processes and resources that are necessary for universal coverage/access Children: 22,000 Adults: 170,000 Total: 192,000

We endorse the IOM foundation principle that health care should be safe, effective, patient- centered, timely, efficient and equitable. Sustainability is essential and will require a substantial involvement of resources to improve our rankings.