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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+

Cigna Accountable Care Program - The Baton Rouge Clinic ACO

Cigna and the Baton Rouge Clinic have launched a collaborative accountable care  initiative to improve patient access to health care, enhance care coordination and achieve the “triple aim” of improved health, affordability and patient experience. Collaborative accountable care is Cigna's approach to accomplishing the same population health goals as accountable care organizations, or ACOs.

Quality Blue Program

Quality Blue Primary Care (QBPC) is Blue Cross and Blue Shield of Louisiana's innovative population health and quality improvement program. QBPC is designed to get better outcomes for patients with chronic diseases, support doctors and transform healthcare delivery. To implement QBPC, Blue Cross and Blue Shield of Louisiana is targeting primary care physicians in the network family medicine, internal medicine or general practice that have high volumes of patients who are Blue Cross members with one or more chronic conditions.

Community Blue - BlueCross BlueShield of Louisiana

Community Blue offers comprehensive, coordinated, patient-centered care for people in the Baton Rouge market, including East Baton Rouge, West Baton Rouge and Ascension parishes. Members have a select network of doctors and providers from within the BlueCross network to choose from, and in exchange pay lower premiums.

Bayou Health Medicaid Coordinated Care Networks - Shared Savings plans

In 2012, Bayou Health implemented new phase of the Coordinated Care Network Program. A Shared Savings CCN is a primary care case manager that provides enhanced primary care case management in addition to being the entity contracting with primary care providers (PCP) for PCP care management.

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