House Resolution No. by Representative Jackson urges the Louisiana Department of Health (LDH) to address oversight gaps in the Managed Care Incentive Payment (MCIP) program. The resolution highlights findings from a March 2024 performance audit by the Louisiana legislative auditor, which recommended improvements in outcome definitions, data reporting, and performance evaluation mechanisms. The audit also pointed out the significant state investment in various Medicaid services without adequate measures to assess their return on investment or impact on the population. Given the nearly $2.5 billion invested in Medicaid incentive initiatives from 2018 to 2023, the resolution emphasizes the need for enhanced transparency, accountability, and alignment with health outcomes to effectively improve the health of Louisiana's Medicaid population.
The resolution calls for LDH to enhance oversight and performance tracking of the MCIP program and similar initiatives, develop metrics to better evaluate health outcomes and cost-effectiveness, and collaborate with managed care organizations (MCOs) and community partners to implement evidence-based practices. Additionally, it mandates that LDH submit quarterly progress reports on these reform efforts to the House Committee on Health and Welfare, starting no later than October 1, 2025, and continuing through July 1, 2026. This initiative aims to ensure that the funds allocated to the MCIP program are utilized effectively to benefit Louisiana's most vulnerable populations.