On February 1, 2012, DHH launched the single-largest transformation of the delivery of health care services in Louisiana Medicaid history when it transitioned nearly 900,000 Medicaid and LaCHIP enrollees from the state's 45-year old legacy, fee-for-service program to a managed health care delivery system for acute care services, known as Bayou Health.
A core component of reorganizing Louisiana's Medicaid acute care delivery system was an expansion and realignment of the state's capacity to monitor health plan operations, system performance and member health outcomes. Through a variety of tools - from provider and CAHPS (Consumer Assessment of Healthcare Providers and Systems) surveys to more than 50 monthly, quarterly and annual reports, Bayou Health is tracking and assessing each Health Plan's performance, as well as, the outcomes of Bayou Health as a whole.
Act 212 of the 2013 Legislative Session reinforces this high level of transparency in reporting, ensuring Medicaid managed care operates in the most efficient and sustainable method possible. The Act calls for 24 separate reports on Health Plan performance, many compared to pre-Bayou Health Medicaid data.
This report outlines responses to the request made by the legislature in Act 212 relative to Bayou Health management and performance.