ENROLLED
2016 Regular Session
HOUSE CONCURRENT RESOL UTION NO. 77
BY REPRESENTATIVE MONTOUCET
A CONCURRENT RESOL UTION
To urge and request the Department of Health and Hospitals to evaluate and report on select
healthcare delivery models for improving management of care before releasing its
next request for proposals to procure Medicaid managed care services.
WHEREAS, the Department of Health and Hospitals, referred to hereafter as the
"department", launched the Medicaid managed care program known as Bayou Health in
2012 as a new model of delivering Medicaid-covered healthcare services in Louisiana; and
WHEREAS, since the inception of Bayou Health, the department has twice issued
requests for proposals (RFPs) for services of Medicaid managed care organizations, and has
contracted with five health plans pursuant to each RFP; and
WHEREAS, a thorough evaluation of the state's Medicaid managed care program
conducted before the next Bayou Health RFP is issued, and prior to any attempt to extend
any current Medicaid managed care organization contract, could help the department to
ensure that this state is meeting the needs of its Medicaid enrollees in the most appropriate
manner; and
WHEREAS, notable examples of innovative and successful pilot programs in other
states that improve health system efficiencies and quality of care for Medicaid enrollees
operate under the "accountable care organization" model; and
WHEREAS, accountable care organizations are groups of physicians, hospitals, and
other healthcare providers who come together voluntarily to deliver coordinated, high-
quality care to their patients; and
WHEREAS, Louisiana has numerous community based organizations that provide
critical primary and preventive care for underserved individuals and families, regardless of
patients' ability to pay; and
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WHEREAS, through better coordination of its existing healthcare infrastructure,
Louisiana can become a leader in adapting best practices of other states, and can innovate
a Louisiana-specific program which excels in providing comprehensive primary care,
preventive care, and public health outreach to underserved patient populations and citizens
with complex healthcare needs.
THEREFORE, BE IT RESOLVED that the Legislature of Louisiana does hereby
urge and request the Department of Health and Hospitals to evaluate select healthcare
delivery models for improving management of care before releasing its next request for
proposals to procure Medicaid managed care services.
BE IT FURTHER RESOLVED that the department is hereby requested to evaluate
the effectiveness of coalitions organized in other states under the accountable care
organization model which have assumed responsibility for the total cost and overall quality
of care delivered for an assigned patient population.
BE IT FURTHER RESOLVED that in conducting its evaluation, the department
shall consider models of delivery that would be allowed by the Centers for Medicare and
Medicaid Services, Medicaid managed care programs of other states which utilize
accountable care organizations, and the methods by which Louisiana could incorporate
lessons learned from other states in the next Bayou Health plan procurement process in order
to institute the optimal Medicaid managed care system for our state.
BE IT FURTHER RESOLVED that the department provide findings and
recommendations resulting from its evaluation of the subjects required by this Resolution
in the form of a written report, which may include any other information deemed necessary
by the secretary of the department, and shall submit the report to the legislature no later than
January 1, 2017.
BE IT FURTHER RESOLVED that a copy of this Resolution be transmitted to the
secretary of the Department of Health and Hospitals.
SPEAKER OF THE HOUSE OF REPRESENTATIVES
PRESIDENT OF THE SENATE
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