A. The Oklahoma Health Care Authority shall develop a formal program for disease management to improve the quality of care and reduce the cost of care. The Authority is authorized to contract for the development of the program if contracting is more cost effective to the state than developing the program internally. The disease management program may utilize pharmacy services including, but not limited to, Medication Management Therapy. The program may include, but not be limited to, asthma, diabetes, chronic obstructive pulmonary disease, renal disease and/or congestive heart failure.
The disease management program shall consist of:
1. Claims data analysis;
2. Population selection and targeting;
3. Intervention through educational tools for patients and providers and treatment guidelines for physicians;
4. Quality measurements of program structure, performance indicators, and outcome measures; and
5. Reporting of outcome measure data.
B. The Oklahoma Health Care Authority shall evaluate and report findings to the Governor and the Legislature no later than eighteen (18) months after the start of the program.
Added by Laws 2006, c. 315, § 6, emerg. eff. June 9, 2006.