Requests the Louisiana Department of Health to address oversight gaps in the managed care incentive payment program
Impact
The resolution emphasizes that between 2018 and 2023, Louisiana invested nearly $2.5 billion in Medicaid incentive payments aimed at improving health equity and addressing social drivers of health. However, the lack of rigorous performance tracking and outcome assessment has raised concerns regarding transparency and cost-effectiveness. By urging improvements in the MCIP program’s oversight, HR312 aims to better align these investments with tangible health outcomes for Louisiana's Medicaid beneficiaries.
Summary
House Resolution 312 urges the Louisiana Department of Health (LDH) to address oversight gaps in the managed care incentive payment program (MCIP). This resolution comes in response to recommendations made by the Louisiana legislative auditor, which highlighted the need for clearer outcome definitions, improved data reporting, and effective performance evaluation mechanisms. The resolution stresses the importance of ensuring that the state’s substantial investment in various Medicaid initiatives translates into measurable health benefits for vulnerable populations.
Sentiment
Overall sentiment around HR312 is positive, reflecting a consensus on the need for improved oversight and accountability within state health programs. Legislative support, demonstrated by a vote of 91 to 0 in favor of the resolution, indicates a united front in recognizing the importance of effectively utilizing Medicaid funds to serve the most marginalized communities. The willingness to enhance program metrics to assess the impact reinforces a collective commitment to health equity.
Contention
Despite its generally favorable reception, some concerns may arise regarding the practical implementation of enhanced oversight and the adjustments needed within the LDH to facilitate these changes. Stakeholders, including managed care organizations (MCOs) and community partners, may express varying opinions on how new performance metrics will impact existing operations and funding allocations. The resolution calls for collaboration to address these potential challenges while emphasizing the need for evidence-based practices aligned with Medicaid goals.
Requests the Louisiana Department of Health, through its Medical Care Advisory Committee, or the creation of a subcommittee thereof, to study ways for Medicaid to invest in community-based social service organizations that address health-related social needs and determinants
Requests the Louisiana Department of Health to form a group to study alternative tools to inform reimbursement rates for outpatient behavioral health services
Requests the Louisiana Department of Health to study and promulgate additional rules for single broker NEMT services relative to compliance and oversight