Telligen is excited to announce the results of the latest independent evaluation of the SoonerCare Health Management (HMP) program. Over the last six years, Telligen has helped save Oklahoma taxpayers $182.5 million with a return on investment of $2.90 in net medical savings for every $1 in administrative expenditures.
Telligen is responsible for implementation and operations of the statewide program. Telligen contracts with the Oklahoma Health Care Authority, the state agency that administers SoonerCare, Oklahoma’s Medicaid program. The program delivers value by identifying members for health coaching who are high-risk or at-risk for developing chronic conditions and working with primary care providers to provide higher-quality, more patient-centered and cost-effective care. The program’s combination of personalized health coaching and one-on-one practice facilitation provides: 1) increased education and support to members with chronic conditions; and 2) strategies that help physician practices identify and prioritize improvement goals and track progress.
The SoonerCare Health Management Program, which began in 2008, has so far achieved a net taxpayer savings of more than $364.3 million.
For members with chronic conditions – from heart disease, to asthma, to diabetes – Telligen embeds registered nurses within primary care practices and provides one-on-one health coaching, telephone support and home visits. In addition, the HMP features on-site practice facilitators who help physicians redesign clinical processes and eliminate gaps in care. Over the past six years, these strategies allow for savings to go back to the state. An independent annual evaluation of the program from FY 2019 found that 91% of members reporting a “very satisfied” experience with their health coaches, and 90% of providers view the program favorably and would recommend it to other providers.
About Oklahoma Health Care Authority
The Oklahoma Health Care Authority administers two health programs for the state. The first is SoonerCare, Oklahoma’s Medicaid program. SoonerCare works to improve the health of qualified Oklahomans by ensuring that medically necessary benefits and services are available. Qualifying Oklahomans include certain low-income children, seniors, the disabled, those being treated for breast or cervical cancer and those seeking family planning services. The second program OHCA operates is Insure Oklahoma, which assists qualifying adults and small business employees in obtaining health care coverage for themselves and their families. Currently, there are 905,803 Oklahomans enrolled in OHCA’s programs. The agency contracts with a network of approximately 60,000 providers. For more information, visit www.okhca.org or www.insureoklahoma.org.