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Louisiana
As a result of Hurricaine Katrina, Louisiana accrued substantial federal funding to rebuild its primary care infrastructure and reform its state-based system of health care delivery. Many of their grant-funded initiatives used patient-centered medical home as their primary care model.
In 2012 Louisiana implemented Bayou Health, a sweeping health care delivery system reform that transitioned nearly 900,000 Medicaid enrollees from the state’s fee-for-service program to a managed care model. Bayou Health uses five commericial entities (Louisiana Healthcare Connections, Amerihealth Mercy of Louisiana, AmeriGROUP Louisiana, UnitedHealthcare of Louisiana, and Community Health Solutions of America) to administer Coordinated Care Networks (CCN) that deliver quality, coordinated care to Medicaid recipients. In December of 2013, Emergency Rule LAC 50:I.3103 extended eligibility for CCNs to include individuals on the LaCHIP Affordable Plan.
Established in 2007, the Louisiana Health Care Quality Forum (LHCQF) is a private, non-profit organization that serves as a neutral convener, bringing together providers, purchases, payers, and consumers to drive improvements in health care quality in Louisiana. The LHCQF uses a learning collaborative model to support health care professionals in clinical quality improvement, quality analytics, health IT, and transformation to patient-centered medical homes. In 2010 they received federal funding to assist providers with the adoption of EHR's and facilitating the statewide health data exchange.
CHIPRA:
No
MAPCP:
No
Dual Eligible:
No
2703 Health Home:
No
CPCi:
No
SIM Awards:
No
PCMH in QHP:
No
Legislative PCMH Initiative:
No
Private Payer Program:
Yes
State Facts:
Population:
4,514,900
Uninsured Population:
12%
Total Medicaid Spending FY 2013:
$7.1 Billion
Overweight/Obese Adults:
67.4%
Poor Mental Health among Adults:
34.7%
Medicaid Expansion:
No
CPC+:
CPC+
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