HLS 16RS-1878 ENGROSSED
2016 Regular Session
HOUSE CONCURRENT RESOL UTION NO. 77
BY REPRESENTATIVE MONTOUCET
HEALTH/DHH: Directs the Dept. of Health and Hospitals to evaluate and report on
prospective models for improving care management in the Bayou Health program
1 A CONCURRENT RESOL UTION
2To authorize and direct the Department of Health and Hospitals to evaluate and report on
3 select healthcare delivery models for improving management of care before releasing
4 its next request for proposals to procure Medicaid managed care services.
5 WHEREAS, the Department of Health and Hospitals, referred to hereafter as the
6"department", launched the Medicaid managed care program known as Bayou Health in
72012 as a new model of delivering Medicaid-covered healthcare services in Louisiana; and
8 WHEREAS, since the inception of Bayou Health, the department has twice issued
9requests for proposals (RFPs) for services of Medicaid managed care organizations, and has
10contracted with five health plans pursuant to each RFP; and
11 WHEREAS, a thorough evaluation of the state's Medicaid managed care program
12conducted before the next Bayou Health RFP is issued, and prior to any attempt to extend
13any current Medicaid managed care organization contract, could help the department to
14ensure that this state is meeting the needs of its Medicaid enrollees in the most appropriate
15manner; and
16 WHEREAS, notable examples of innovative and successful pilot programs in other
17states that improve health system efficiencies and quality of care for Medicaid enrollees
18operate under the "accountable care organization" model; and
19 WHEREAS, accountable care organizations are groups of physicians, hospitals, and
20other healthcare providers who come together voluntarily to deliver coordinated, high-
21quality care to their patients; and
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HCR NO. 77
1 WHEREAS, Louisiana has numerous community based organizations that provide
2critical primary and preventive care for underserved individuals and families, regardless of
3patients' ability to pay; and
4 WHEREAS, through better coordination of its existing healthcare infrastructure,
5Louisiana can become a leader in adapting best practices of other states, and can innovate
6a Louisiana-specific program which excels in providing comprehensive primary care,
7preventive care, and public health outreach to underserved patient populations and citizens
8with complex healthcare needs.
9 THEREFORE, BE IT RESOLVED that the Legislature of Louisiana does hereby
10authorize and direct the Department of Health and Hospitals to evaluate select healthcare
11delivery models for improving management of care before releasing its next request for
12proposals to procure Medicaid managed care services.
13 BE IT FURTHER RESOLVED that the department is hereby authorized and directed
14to evaluate the effectiveness of coalitions organized in other states under the accountable
15care organization model which have assumed responsibility for the total cost and overall
16quality of care delivered for an assigned patient population.
17 BE IT FURTHER RESOLVED that in conducting its evaluation, the department
18shall consider models of delivery that would be allowed by the Centers for Medicare and
19Medicaid Services, Medicaid managed care programs of other states which utilize
20accountable care organizations, and the methods by which Louisiana could incorporate
21lessons learned from other states in the next Bayou Health plan procurement process in order
22to institute the optimal Medicaid managed care system for our state.
23 BE IT FURTHER RESOLVED that the department shall provide findings and
24recommendations resulting from its evaluation of the subjects required by this Resolution
25in the form of a written report, which may include any other information deemed necessary
26by the secretary of the department, and shall submit the report to the legislature no later than
27January 1, 2017.
28 BE IT FURTHER RESOLVED that a copy of this Resolution be transmitted to the
29secretary of the Department of Health and Hospitals.
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HCR NO. 77
DIGEST
The digest printed below was prepared by House Legislative Services. It constitutes no part
of the legislative instrument. The keyword, one-liner, abstract, and digest do not constitute
part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)]
HCR 77 Engrossed 2016 Regular Session Montoucet
Directs the Dept. of Health and Hospitals to evaluate and report to the legislature on select
healthcare delivery models for improving management of care before releasing its next
request for proposals to procure Medicaid managed care services within the program known
as Bayou Health.
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