俄克拉荷马州医疗补助支付差错率仅 0.15%：远低于全国 6.12% 的平均水平
Oklahoma City——俄克拉荷马州医疗保健管理局（Oklahoma Health Care Authority，OHCA）发布的数据显示，该州医疗补助（Medicaid，即 SoonerCare）2025年支付差错率为0.15%，远低于全国6.12%的平均水平。
据该局新闻稿，该州儿童健康保险计划（CHIP）的支付差错率为0.88%，同样低于全国7.05%的平均水平。两项计划的支付差错率每三年评估一次，俄克拉荷马州在2022年与2025年两次评估中均位列差错率最低的州之列；2022年该州医疗补助差错率为1.95%，为全国第二低。
OHCA 临时首席执行官 Aaron Morris 在声明中说，俄克拉荷马州居民期望每一分纳税人的钱都花得正确，该局以此标准要求自己，并持续改进工具，确保医疗补助资金得到保护、用于有需要的居民。该局表示，其维护计划完整的措施包括严格的服务提供者资格审查与高风险提供者复核、核查医疗必要性与文书记录的事后审计，以及防火墙、自动化申请筛查与数据验证等手段。州总检察长 Gentner Drummond 今年4月曾要求审计 OHCA 对管理式医疗组织的监管情况。（GSM 据俄克拉荷马州医疗保健管理局新闻稿与 Oklahoma Voice 报道）
Oklahoma Medicaid Payment Error Rate Is Just 0.15%, Far Below the 6.12% National Average
OKLAHOMA CITY — Oklahoma's Medicaid payment error rate was 0.15% in 2025, far below the national average of 6.12%, according to figures released by the Oklahoma Health Care Authority (OHCA), which administers the program known as SoonerCare.
The state's Children's Health Insurance Program also posted a low improper payment rate of 0.88%, compared with a national average of 7.05%, according to the agency's news release. The two programs' payment error rates are evaluated every three years, and Oklahoma was among the states with the lowest rates in both the 2022 and 2025 reviews; in 2022 its Medicaid error rate was 1.95%, the second lowest in the nation.
Aaron Morris, interim CEO of the Health Care Authority, said in a statement that Oklahomans expect every taxpayer dollar to be spent the right way and that the agency is continuously enhancing its tools to preserve Medicaid dollars for residents in need. The agency said its program-integrity plan combines strict provider credentialing and revalidations of high-risk providers with targeted post-payment audits, firewalls, automated application screenings, and data validation. Attorney General Gentner Drummond in April requested an audit of how OHCA oversees managed care organizations. (GSM, based on the Oklahoma Health Care Authority news release and Oklahoma Voice reporting)
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图片来源：图：Oklahoma City 天际线（资料图）。照片：Urbanative，Wikimedia Commons（CC BY-SA 3.0）。Oklahoma City skyline (file photo). Photo: Urbanative, Wikimedia Commons (CC BY-SA 3.0).
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