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Jindal looks to overhaul Medicaid

09:53 PM CST on Friday, November 14, 2008

Susan Edwards / Eyewitness News

Video: Watch the Story

Governor Bobby Jindal laid out a blueprint of the state's healthcare future for the poor and uninsured Friday afternoon.

The plan is called, "Louisiana Health First," and already has some physicians concerned about details and how it will be executed.

"What we are concerned about is the system will be harder to navigate, and that moneys will be spent on other items other than healthcare," said Dr. Keith Perrin, a local pediatrician. "That concern is one we think would potentially lead to less quality and not more quality."

The plan would take the state's $7 billion dollar Medicaid program and move low-income residents into private managed care networks. It would also increase funding to include more uninsured children and allow patients to choose from community clinics, hospitals or health centers that would track their care.

The networks would contract with the state, said Department of Health and Hospitals Secretary Alan Levine, negotiating instead individual prices as opposed to a flat service fee.

"We have to move away from a fee for service system that doesn't reward performance but instead rewards more volume," he said.

Dr. Roger Smith, president of the Louisiana State Medical Society, said there are still a lot of questions and details that have not been pieced together.

“(For example) is this going to be done through two or three large managed care organizations that then would force all patients into one system, one group, and also force doctors to practice in one way with the patients," he said.

State officials must have approval from federal officials to use federal health care dollars to finance the plan. If that approval goes through, details of the plan would be further worked out with lawmakers, health care groups and patient groups.