Panel to advise DHH on delivery system
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Development of a plan to implement a new health-care delivery system for the state’s poor and uninsured is underway, state Department of Health and Hospitals Secretary Alan Levine said Tuesday.
Levine told an LSU Health Care Services Division conference that he has appointed a 10-person committee to advise his agency on the revamp.
Levine said the panel will assist DHH in fulfilling a legal mandate to create a patient-centered medical home model of care required in Louisiana’s Health Care Reform Act of 2007.
Medical home models rely on preventive care, management of chronic disease and coordination of health-care services through public and private provider networks, including physicians, specialists and hospitals.
“Instead of reforming our system, we have to talk about transforming our system,” Levine said.
The state allocated some $7 billion for the Medicaid program for the poor and uninsured for the current fiscal year.
“Just because we have Medicaid doesn’t mean we have access,” Levine said.
Levine said access is a major hurdle any new plan must resolve.
In addition, he said Medicaid must change from a fee-for-services program to one that takes into account the type and quality of care that is delivered when payments are made.
Levine said the system must also get away from a mindset that the future of health care is in “bricks and mortar.”
Instead it must focus on people, technology uses and biosciences, Levine said.
Levine issued a news release Tuesday naming those who will sit on the Medicaid Reform Committee.
The panel will assist DHH as it crafts the federal applications necessary to implement what is being called “Louisiana Health First” — a system of provider service networks. The state would seek approval of a demonstration project to test its viability.
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Mr. Levine has appointed to the committee Dr. Karen DeSalvo, whose organization (Tulane) will be bidding or becoming a provider for contract services. Dr. Salvo and Shannon Robshaw Keck are very close as Mrs. Keck is the executive director of the Quality Forum. Mrs. Keck is the wife of Tony Keck who is the chief of staff of Mr. Levine. It just seems to me that of all the members on the board and the Quality Forum's subcommittee of the Medical Home someone besides Dr. DeSalvo should be on the DHH advisory committee. I see a major conflict of interest and an unfair bidding advantage for Tulane!! I understand the LSU connection as they are a state agency and are not subject to the same requirements as outside entities. Please investigate. No one on the advisory committee should be from and receive indirectly funds that will result from this new proposal (waiver). It just seems that nothing has changed!!
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Look a little closer Concerned DHH employee...... Tulane already has at least 1 contract with DHH.
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Another connection of concern: Didn't Tony Keck worked at Louisiana Public Health Institute? Clayton Williams is representing LPHI This many related people usually results in charges of incest ;P
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Um...Guys. Its an advisory board. All they are doing is giving the Secretary ADVICE. They are not making any decisions. I would hope he would ask people who represent organizations that will be affected by the policy their advice, since they are the ones who are going to have to make the changes work. Concerned DHH employee (who sent your comment in ON THE CLOCK at 9:53 a.m. on MY dime - THAT should be investigated), given your theory, no doctor, hospital administrator, pharmacist, or any other health care professional would qualify to serve on the advisory committee since they ALL receive Medicaid payments. Why don't you get your backside off the blogs, and get back to work, and let the people who know what they are doing do their jobs.
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This committee includes the same people who have given us the failed health care system that we already have. Can they transform the system they made and are profiting from (by their positions and influence)? Where are the citizens on the committee? Where is the diversity? This reminds me of what happened in Florida.
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