Directs the Dept. of Health and Hospitals to evaluate and report on prospective models for improving care management in the Bayou Health program
Impact
Should its recommendations be implemented, HCR77 could significantly influence the operational framework of Medicaid managed care in Louisiana. By emphasizing an evaluation prior to the next request for proposals (RFP), it aims to ensure that the state's healthcare delivery models are efficient and adequately meet the needs of Medicaid enrollees. Furthermore, the study could lead to heightened efficiency in health systems and improved care outcomes for underserved communities, thereby enhancing the overall effectiveness of Louisiana's healthcare provision.
Summary
House Concurrent Resolution 77 (HCR77) requests the Louisiana Department of Health and Hospitals to evaluate and report on potential healthcare delivery models aimed at enhancing care management strategies within the Medicaid managed care system, specifically the Bayou Health program. This initiative arises from a recognition of the necessity to improve management and quality of care under the existing Medicaid services. The resolution aligns with the state's ambition to innovate by learning from successful programs employed in other states, including the 'accountable care organization' model, which encapsulates coordinated, high-quality care aimed at specific patient populations.
Sentiment
The sentiment surrounding HCR77 appears to be broadly positive, as it is seen as a proactive measure to refine and enhance the state's healthcare delivery system. The support from a large majority of legislators indicates a unified acknowledgment of the need for evolving healthcare strategies. Stakeholders are optimistic that a thoughtful evaluation could lead to the adoption of best practices that would ultimately improve care quality for vulnerable populations.
Contention
Despite general support, potential points of contention may arise regarding the implementation of the recommended models and the types of evaluations conducted by the department. There is a possibility that differing opinions could emerge on which healthcare delivery models to prioritize, and concerns may also surface regarding the feasibility and cost implications of altering the existing Medicaid managed care framework. Engaging various stakeholders in the evaluation process may be essential to address these concerns and ensure the implemented changes truly reflect the needs of the state's diverse populations.
Directs the Department of Health and Hospitals to evaluate and report on the number of Bayou Health plans that are necessary and appropriate before releasing another RFP to procure such plans.
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)
Authorizes and directs healthcare professional licensing boards to evaluate potential models for an independent scope of practice review program for this state
Directs the Dept. of Health and Hospitals to submit a report to the House and Senate committees on health and welfare evaluating the health benefits and healthcare costs of adding adrenoleukodystrophy to the mandatory screenings to be performed on a newborn child
Requests the Department of Health and Hospitals to study and report concerning the economic impact of prospective employee criminal background check costs on licensed healthcare agencies
Directs the Louisiana Department of Health to evaluate the current standards for psychiatric hospitals and residential substance abuse facilities and make recommendations to the legislature
To Amend The Medicaid Fraud Act And The Medicaid Fraud False Claims Act; And To Update Language And Definitions To Reflect Changes Within The Healthcare System;.
Requires Medicaid reimbursement for covered behavioral health services provided by local education agency to student who is eligible Medicaid beneficiary.
Requires Medicaid reimbursement for covered behavioral health services provided by local education agency to student who is eligible Medicaid beneficiary.
Provides for presumptive eligibility for home and community-based services and services provided through program of all-inclusive care for the elderly under Medicaid.