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The state agency that administers the Medicaid program in Oklahoma is facing huge budget hole when federal and state budget cuts along with increased costs are added together the Oklahoma Healthcare authority needs 191 million dollars to meet the health care requirements fits clients state legislators have differing views on how to address that shortfall the governor's proposed budget cuts more than 47 million dollars from the Oklahoma Health Care authority president forefinger the head of office of Management at EnterpriseServices says it×39’s fiscallresponsible IIT is time that we put our foot down on these never-ending Medicaid costs increases taxpayers can×39’t keep throwing money at it without getting improved results it is unsustainable or and it snot responsible Nike Gomez is the CEO of the health care authority he ISN×39;counting the governor's budget cuts in his budget just yet because that could change, but he says there is little doubt the agency will need more money to meet the ever rising numbers of Oklahomanswho get their health care through Medicaid but the end of day we're going to need some additional appropriations above what our initial funding is and will continue to roost reduce our program as much as we can to try to make those numbers meet in the middle those numbers are a combination of how much the agency can save and how much the legislators changes may further cut costs over the last six months the health care authority has saved some major money we×39’ve actually saved about thirty-six million dollars and now in percentage that's about three percent savings that we×39’ve able to achieve Justin this first six months but how much of that money is left over at the end of the current fiscal year depends on whether healthcare needs to increase or decrease by those who get their healthcare through Medicaid we continue to see more people coming into the program Andre can see you see more people utilizing services appropriately, and so we have to be able to pay for it is×39’s an entitlement pro gr, solo we're required we×39’re going to have a program rejoining to have to be able to provide those services to the people who qualify one proposal to make major changes tithe health care authority has already cleared the house Public HealthCommittee IN×39’ll spill 2788representing mark McCullough would return the Medicaid program to managed care he bit out our the entirety of our Medicaid population into managed care this is a bill that is modeled specifically after Florida's law that was changed recently well actually a few years ago it also follows the president of Louisiana and most recently Kansas that same bill passed the house last year but was not acted upon in the Senate one reason for that is managed care is not a new approach for the Medicaid system he was tried earlier it failed miserably what Medicaid managed care does is take part of the very limited Medicaid dollars give it to manager to manage and therefore removes...