The University of Oklahoma (OU) Sooner Health Access Network (HAN) was one of the earliest community-based complex care management models in the nation and has grown into Oklahoma’s first NCQA-accredited complex care management program. Serving more than 80,000 Medicaid members—including individuals with complex medical, behavioral and social needs—the OU Sooner HAN blends evidence-based models, interdisciplinary care and person-centered engagement strategies. 

This session offers a practical, real-world look at how the HAN  model was developed and implemented in Oklahoma, how it evolved during major Medicaid reforms and how it consistently delivers measurable results. Attendees will learn the essential elements of a successful complex care management system that improves health outcomes, supports primary care practices, generates significant cost savings, and enhances member experience. Whether your organization is building a new program or strengthening an existing one, this session provides a proven roadmap.

Learning Objectives:

• Describe the six evidence-based core elements of an effective complex care management program and how they can be operationalized in community-based settings. 
• Identify strategies for integrating medical, behavioral and social driver needs within a person-centered care framework. 
• Apply risk stratification and data-driven targeting methods to identify members most likely to benefit from care management. 
• Explain the role of structured care transitions, real-time data exchange and interdisciplinary communication in reducing emergency department and inpatient utilization. 
• Implement key components of an effective care management training program to support workforce competency and model fidelity.