Quick Facts About Louisiana's Health#01
According to MedPAC, fee-for-service payments discourage coordination among providers. Coordinated Care Networks will require better coordination of health care services.
Despite spending nearly $7 billion of taxpayer funds every year, Louisiana’s current Medicaid system does little to actually improve the health of our poorest citizens.
Louisiana has the highest rate of death from breast cancer in the nation, yet, only 40% of eligible Medicaid women are screened. Coordinated Care Networks are designed to increase screenings for chronic diseases like breast cancer.
Only 56 percent of eligible Medicaid women receive the recommended cervical cancer screening. Better coordination of care can increase that percentage.
Less than 5 percent of adults in the Medicaid program had a preventive visit last year. Better coordination of care can increase that percentage.
In 2008, only 66 percent of Medicaid-covered diabetics tested their blood sugar level (Hemoglobin A1c) to help manage their disease. Better coordination of care can increase that percentage.
Louisiana has the highest diabetes related death rate in the nation. Better coordination of care can decrease this rate.
Only 35 percent of eligible children received an adolescent well-care visit last year. Better coordination of care may increase that percentage.
Only 52 percent of eligible infants 0-15 months received the recommended six or more doctor visits last year. Coordinating care can increase that percentage.
Forty-four percent of children with asthma in Medicaid visited the ER last year. Better coordinating care may improve management of chronic diseases and decrease unneeded use of the ER.
CCNs, on average, can save a state between 2 percent and 19 percent of total cost, according to a Lewin Group analysis.
Medicaid health plans can improve Medicaid recipients’ access to services, earn high satisfaction ratings from enrollees and contain costs, according to a Lewin Group analysis.
Nationwide, the majority of children enrolled in children’s health insurance programs like Louisiana’s LaCHIP receive their benefits through prepaid programs.
Forty-eight (48) states already have more than half of their Medicaid recipients enrolled in a Medicaid health plan.
In 2008, there were 3,833 hospital admissions in Medicaid due to bacterial pneumonia infection, which is highly preventable. Better coordination of care and a focus on primary and preventive care can decrease this rate.
Heart disease is a primary cause of death in Louisiana, accounting for 25 percent (11,008) of all deaths in Louisiana. Better coordinating care provides chronic disease management that may decrease heart disease-related deaths.
As of 2005, 31 percent of the deaths in Louisiana were due to cardiovascular disease. Better coordinating care provides chronic disease management that may decrease cardiovascular disease-related deaths.
Louisiana’s obesity rates have skyrocketed, posting a 150 percent increase, since 1990. Better coordinating care may lead to better management of chronic conditions like obesity.
The CDC reports that, more than 75% of the nation’s $2 trillion in annual medical care costs is spent on chronic conditions or diseases. Better coordinating care leads to better management of chronic conditions.
Disease management programs have reduced per member per month costs by as much as $700 in some states.
Average cost of an ER visit: $1,000, much greater than the cost of a visit to a primary care provider for the same symptoms. Louisiana ranks third in the nation in per capita ER use. Better coordinating care can decrease unnecessary ER use.
Average cost of an ER visit - $1,000. In 2008, Louisiana ERs saw 511 visits per 1,000 in population, well above the national average of 401. Better coordinating care can decrease unnecessary ER use.
According to a recent report from the Commonwealth Fund, Louisiana leads the nation in avoidable hospital stays and costs. Coordinated Care Networks can significantly reduce avoidable hospitalizations.
According to CMS, 10.7 percent of Medicaid money—$32.7 billion—is spent improperly. Coordinated Care Networks can help to reduce fraud by holding plans and providers accountable.
The United Health Foundation ranks Louisiana 50th in its state-by-state ranking of overall health. Coordinating care may lead to better health outcomes and improve our state’s rankings.
The 2006 Kids Count Data Book ranks Louisiana 49th in overall child well being. Coordinating care may lead to better health outcomes and improve our state’s rankings.
The Commonwealth Fund ranks Louisiana 46th in its state-by-state rankings on overall health. Coordinating care may lead to better health outcomes and improve our state’s rankings.
Louisiana has the highest infant mortality rate in the nation. Coordinating care may lead to better health outcomes and decrease negative health outcomes like infant mortality.
Louisiana has the third highest cancer deaths in the nation. Coordinating care may lead to better management of chronic diseases like cancer and decrease cancer deaths.