Secure continuation funding

1
THE LEGISLATIVE SESSION HCSD Priorities

• Secure continuation funding
• Eliminate cap on Medicaid funding to pay state
  public hospitals on same basis as other
  facilities
• Secure funding for replacement hospitals

2
THE LEGISLATIVE SESSION The FY 06 Budget

• Funded at continuation level
• Increased spending authority for Medicaid
• Progress on replacement hospitals

3
THE LEGISLATIVE SESSION The Budget
Budget HistoryFY 02 - 05
Millions
65.5 M
59.0 M
-45.3 M
End FY02
Start FY03
End FY03
Start FY04
End FY04
Start FY05
4
HCSD PRIORITIES Other Legislation

• Sen. Duplessis Charity Hospitals Governance
  Structure Study - passed
• Sen. Nevers Study of State Public Hospitals -
  passed
• Rep. LaBruzzo Rescind Group Purchasing
  authority - deferred

5
WHAT WE COST HCSD and Medicaid Expenditures
increase from 96 to 04 47.1 - Medicaid
(Av. 5.9 per year) 14.0 - HCSD (Av. 1.8
per year)
4,840B
Medicaid
3,290B
705M
6
THE DHH MEDICAID WAIVERA Promising Initiative

• Supports primary care
• Stimulates local participation
• Support both local coverage and safety net
  approaches
• Supports payment for physician costs in hospitals
  and their clinics
• Emphasizes high quality, cost-effective providers

7
WHERE LSU IS GOINGStrategic Direction

• Reorganization of the hospitals within LSU
• Reinvestment in facilities
• Greater decentralization of clinics
• Expansion of Disease Management and other Health
  Care Effectiveness initiatives
• Partnerships with other providers and with local
  communities

8
SUPPORT FOR THE LSU HOSPITALSAdvocate Poll - 2005
Should the hospitals be closed and the state
pay for needy patients to go to private
hospitals?
QUESTION
85
10
5
NO
YES
No Opinion
9
ALBATROSS OR ASSET?
James J. Mongan, MD President and CEO, Partners
Healthcare System, 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.

-Governors Health Care Reform Panel
Presentation, 12/16/04