Provides for annual reports on the Coordinated Care Network program and for legislative authority relative to termination of the program. (gov sig)
Impact
By mandating the annual reporting of various metrics such as service access rates, member satisfaction, and health outcomes, SB207 intends to create a more transparent Medicaid system. This will allow for better oversight of the managed care aspect of Medicaid, shifting focus towards preventive care and chronic disease management. Enhanced reporting should provide legislators and providers with essential data to assess the effectiveness of coordinated care networks, ultimately aiming for improved healthcare delivery to Louisiana residents.
Summary
Senate Bill 207, known as the Louisiana Medicaid Coordinated Care Program Transparency Act, aims to enhance the accountability and efficiency of the state's Medicaid program. This bill enacts specific regulatory standards that require the Louisiana Department of Health and Hospitals to submit an annual report concerning the Coordinated Care Network Medicaid initiative. The bill focuses on improving patient care coordination, health outcomes, and service access while also decreasing fraud and waste in the Medicaid system. Overall, the legislation seeks to ensure the state Medicaid operates sustainably and effectively for its beneficiaries.
Sentiment
The sentiment surrounding SB207 appears largely supportive, particularly among those who advocate for healthcare reform and enhanced government accountability. Legislators recognized the need for structured oversight as the state transitions to a managed care approach in Medicaid. However, there is ongoing discussion regarding the effectiveness of these measures and how they will translate into real-world outcomes for patients and healthcare providers. Concerns remain regarding the potential administrative burden such reporting requirements may impose on the Department of Health and Hospitals.
Contention
Despite its general reception, there are points of contention regarding the bill. Some critics raise concerns over the feasibility of implementing extensive reporting requirements. They argue that the additional administrative costs could offset potential benefits. Additionally, there is apprehension regarding the sunset provision outlined in the bill, which states that the legislative authority for the Medicaid Coordinated Care Program will expire on December 31, 2014. This raises questions about the continuity of care and oversight for Medicaid beneficiaries after the sunset date.
Provides for certain "transparency" reporting to the legislature by the Department of Health and Hospitals concerning the Louisiana Medicaid Bayou Health program and the Louisiana Behavioral Health Partnership and Coordinated System of Care programs. (8/1/12)
Provides for reporting measures for the Medicaid managed care program and the Louisiana Behavioral Health Partnership program. (gov sig) (RE NO IMPACT See Note)
Requests the Coordinated System of Care Governance Board and the Department of Health and Hospitals to submit quarterly reports concerning the Coordinated System of Care.
Establishes the Medicaid Managed Care Authority as a policymaking and oversight body for the Medicaid managed care program (OR INCREASE GF EX See Note)