Requests the La. Department of Health to require all Medicaid managed care plans to participate in the quality incentive program
Impact
The resolution is intended to bolster the quality of healthcare within the state's Medicaid system by establishing specific performance metrics for managed care plans, effectively making quality improvement a contractual obligation. By mandating participation in the incentive program, HCR111 seeks to ensure that hospitals are allowed to contract with these plans, thus promoting a higher standard of care among a wider range of healthcare providers in Louisiana. This shift may lead to more detailed reporting and discussions around the quality of care provided to recipients.
Summary
HCR111 urges the Louisiana Department of Health (LDH) to require all Medicaid managed care plans to participate in a quality incentive program. The resolution emphasizes the need for improved quality of healthcare for Medicaid recipients in Louisiana, highlighting the significant funding allocated for the Medicaid program and the desire to ensure that incentive payments are tied to performance standards. It calls for all managed care plans to present their quality improvement criteria and how these criteria will enhance care and reduce costs.
Sentiment
The sentiment surrounding HCR111 appears to be generally supportive in the legislature, with significant acknowledgment of the need for quality improvements in Medicaid services. There was a strong emphasis on the urgency of improving healthcare quality, which resonates well with both legislators and constituents who rely on Medicaid services. Nonetheless, there may have been concerns raised about the effectiveness of the plans and how the quality metrics would be defined and monitored. The legislative discussions suggest a recognition of both the challenges and necessities involved in implementing such a program.
Contention
Notable points of contention include the details surrounding the implementation of the quality incentive program and concerns about transparency in the reporting process. Critics may argue that without adequate input from healthcare providers and stakeholders, the program may not effectively address local needs or might impose barriers to participation for smaller hospitals. Additionally, there was apprehension about how the quality standards would be enforced and the equitable distribution of incentive payments, raising questions on whether all hospitals have equal opportunities to meet the established criteria.
Requests the La. Department of Health to study and report to the legislature concerning the potential implementation of mandatory case management in the Medicaid program
Request the La. Department of Health to implement certain reforms in the nonemergency, non-ambulance medical transportation component of the Medicaid managed care program
Requests the La. Department of Health to fully utilize the NASPO ValuePoint process to procure Medicaid management information system components and services
Requests the La. Department of Health to authorize coverage through the Medicaid managed care program for services delivered by chiropractic physicians
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.