Louisiana’s elderly and developmentally disabled wait longer than people in other states to get community-based services through Medicaid, the legislative auditor reported Monday. As of October, the auditor said 54,677 people remained on lists for the various Medicaid programs with wait times ranging from 21/2 to 10 years. The national average for home and community-based programs serving the elderly and individuals with physical disabilities is 10 months to 13 months, the audit report said. … The Legislative Auditor’s report is designed to provide information on the current use, cost and quality of care in Medicaid Home and Community-Based Services in order to have a baseline for evaluation after privatization. …
Louisiana legislators want to see more information about Bayou Health
Source: Marsha Shuler and Mark Ballard, The Advocate, May 4, 2015
After three years in operation, Gov. Bobby Jindal’s signature effort to privatize Medicaid might be saving taxpayers millions of dollars and providing about 20 percent of the state’s population with better health care. Or it might not. …… Judging the success of the privatization initiative has proven complicated.
Nursing home industry’s resistance to privatization stalls bidding process to Gov. Bobby Jindal’s Medicaid long-term care plan
Source: Marsha Shuler, The Advocate, April 22, 2015
Louisiana’s nursing home industry is trying to exempt itself from the final phase of Gov. Bobby Jindal’s Medicaid privatization. The industry’s objection is stalling release of initial steps in the bidding process — called request for proposals or RFP — that would seek a private company to take over management of long-term care programs for the elderly and developmentally disabled. Under “managed care,” the idea is to provide needed services to people at the right time and in the most appropriate and generally less expensive setting. About 72,000 people considered elderly, developmentally disabled or disabled by an adult-onset condition are getting their care covered by Medicaid in either institutional or home-based settings. The price tag is $2.1 billion. The Jindal administration already has contracted with private managers to handle the medical and behavioral health components of the state’s $8 billion Medicaid program. The long-term care portion is the third and final installment….
Auditor questions data used in health department review of Medicaid privatization program
Source: Melinda Deslatte, Associated Press, August 18, 2014
An annual report evaluating Gov. Bobby Jindal’s privatization of Medicaid lacked important financial information and presented rosy performance reviews not corroborated by data, according to a review released Monday. Legislative Auditor Daryl Purpera’s office raised questions about the report that Jindal’s Department of Health and Hospitals submitted to lawmakers in January. … The auditor’s non-partisan review said the report included “mathematical errors and inconsistencies” and used primarily self-reported data from the managed-care organizations that the department didn’t appear to verify.
Department of Health and Hospitals – Consideration of the Bayou Health Transparency Report
Source: Louisiana Legislative Auditor, Informational Audit, Audit Control #:80140104, August 13, 2014
Bayou Health faces changes, and queries from legislators
Source: Marsha Schuler, Advocate, July 8, 2014
The state’s Medicaid privatization initiative is approaching its third birthday and the Jindal administration claims it’s resulting in taxpayer savings. But the administration has been unable to provide the numbers that would compare the costs of traditional government-provided Medicaid versus the costs under the private healthcare model. It’s an elusive number because of the complexity of the program, state Department of Health and Hospitals Chief of Staff Calder Lynch said. But legislators have been asking for specific numbers as the first contracts are set to expire and as the administration contemplates changes in how health care services are provided to about 900,000 Louisiana residents — most of them pregnant women and children — for the next few years. … Legislators have received “no proof of savings” promised when the administration launched its privatization effort, agreed state Rep. Katrina Jackson, D-Monroe, who serves on appropriations and health care committees. …
La’s Medicaid privatization rollout rocky
Source: Associated Press, Posted Jan 16, 2012
Medicaid privatization firm selection challenged again
Source: Bill Barrow, The Times-Picayune, August 23, 2011
Louisiana Medicaid makeover attracts 12 corporate applicants
Source: Jan Moller, Times-Picayune, June 30, 2011
Twelve companies have applied to participate in the state’s new “coordinated care networks” initiative, which will steer nearly 900,000 Medicaid recipients into private managed-care plans starting early next year.