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Medicaid 19.7%. Uninsured 20.2%. Insured 60.0%. Extent of Insurance Coverage. 912,000 uninsured (4th in U.S.) 891,000 Medicaid eligible. The healthcare of over 40% of Louisiana’s population is dependent on public funding. A Good Model
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Medicaid 19.7% Uninsured 20.2% Insured 60.0% Extent of Insurance Coverage 912,000 uninsured (4th in U.S.) 891,000 Medicaid eligible The healthcare of over 40% of Louisiana’s population is dependent on public funding
A Good Model Multi-specialty Clinic System Linked with Hospitals James J. Mongan, MD President and CEO, Massachusetts General Hospital, Brigham and Womens Hospital, The Harvard Hospitals, Boston “Structured systems of care that link hospitals, clinics, and doctors together in an organized fashion, often represent the best hope to begin real programs of managing care, of disease management, and of quality and utilization control.” -Governor’s Health Care Reform Panel Presentation, 12/16/04
State Public Hospitals and Clinics E. A. Conway Medical CenterMonroe University HospitalShreveport Huey P Long Medical Center Pineville Katrina Lallie Kemp Regional Medical Center Independence Bogalusa Medical Center Bogalusa W O Moss Regional Medical Center Lake Charles Earl K Long Medical Center Baton Rouge University Medical Center Lafayette Rita Medical Center of Louisiana at New Orleans Leonard J. Chabert Medical Center Houma -Charity Hospital -University Hospital
The LSU Hospitals and Clinics In Brief • Mission-driven to care for the uninsured and provide training opportunities for future health professionals • A statewide Safety Net system in which everyone is eligible for care • No income thresholds • No local residency requirements • No enrollment process • People with means expected to pay • Provides comprehensive inpatient, outpatient hospital and primary and specialty clinic services • 350+ clinics • Relies on medical residents for a substantial component of physician care as part of GME training programs
LSU InitiativesDisease Management • Asthma • Diabetes • Congestive Heart Failure • HIV/AIDS • Cancer
The Charity Model A Principle for Reform Louisiana needs all of its programs for the uninsured, and more are required as well. We don’t need to tear down systems of care that we have, but instead should find ways to secure and improve these systems and to supplement them with more.