SoonerCare, Oklahoma`s Medicaid program, has recently introduced the SoonerCare Medical Home Agreement for its members. This agreement aims to improve the quality of care and health outcomes for SoonerCare members by creating a partnership between the member, their primary care provider, and the SoonerCare program.
The SoonerCare Medical Home Agreement is a contract between the member and their primary care provider to work together to coordinate all aspects of the member`s healthcare needs. This includes preventative services, primary care, specialist referrals, and hospital care. By working together, the member and their primary care provider can better manage the member`s health and ensure that they receive the right care at the right time.
Under the agreement, the primary care provider agrees to provide a customized care plan for the member based on their individual healthcare needs. This plan may include regular check-ups, medication management, and referrals to specialists as needed. The primary care provider also agrees to provide care coordination services, such as helping the member navigate the healthcare system and coordinating referrals to other healthcare providers.
In return, the member agrees to actively participate in their healthcare by following the care plan provided by their primary care provider. This includes attending scheduled appointments, taking medications as prescribed, and following any other instructions provided by their primary care provider.
The SoonerCare Medical Home Agreement also includes incentives for both the member and their primary care provider. Members who actively participate in their healthcare may receive rewards, such as gift cards or reduced copays. Primary care providers who meet certain quality measures, such as providing timely and appropriate care, may receive financial incentives.
Overall, the SoonerCare Medical Home Agreement is a promising initiative that has the potential to improve the health outcomes and quality of care for SoonerCare members. By creating a partnership between the member, their primary care provider, and the SoonerCare program, this agreement ensures that members receive the right care at the right time, leading to better health outcomes and improved quality of life.