Requests the Department of Health and Hospitals to develop a plan for the creation of a demonstration program to coordinate and integrate the health care for an individual eligible for both Medicare and Medicaid.
If implemented, SCR112 could lead to significant changes in how healthcare services are delivered to dual eligibles in Louisiana. The resolution directs the department to ensure that the integration process does not disrupt existing services or the care continuum that beneficiaries have been accustomed to. Additionally, it suggests soliciting feedback from existing Medicare managed care plans to incorporate their perspectives into the development of the program, which could lead to a more effective and stakeholder-sensitive proposal.
SCR112 is a resolution that requests the Department of Health and Hospitals in Louisiana to develop a comprehensive plan aimed at creating a demonstration program intended to coordinate and integrate healthcare services for individuals who qualify for both Medicare and Medicaid, known as dual eligibles. This resolution acknowledges the potential benefits of such integration, which may enhance health outcomes and reduce costs associated with the two programs. It emphasizes the importance of maintaining the existing quality of care provided by Medicare managed care plans while augmenting the service delivery model for those eligible for both programs.
Discussions surrounding SCR112 reveal a generally supportive sentiment towards the need for better coordination of services for dual eligibles. Lawmakers and health advocates recognize the challenges faced by this vulnerable population and the potential for improved health outcomes through a cohesive care model. However, there may be underlying concerns regarding the execution of such a program and its implications on existing managed care plans and beneficiary autonomy.
Notably, one point of contention is the balance between effectively implementing a new integrated care program and preserving the beneficiary's right to choose and retain their current Medicare plans. The resolution explicitly instructs that any new program developed should not impair this choice, highlighting a critical aspect of stakeholder engagement. The success of SCR112 will ultimately hinge on how well the Department of Health and Hospitals designs the program to address the unique needs of dual eligibles while honoring existing rights and maintaining quality care.