"We got a 40-member panel to unanimously agree," Bruder says. "That's been a goal of ours for three years now. We've been criticized for a long time for just meeting and meeting and meeting. I'm very excited that it's finally getting moving."
But while the panel, known as the Louisiana Healthcare Redesign Collaborative, may have agreed on a new model for public health care, it's still a long way from becoming reality. Any makeover of the current system will require the approval of the state Legislature, which has been traditionally wary of any radical changes in health care delivery. And U.S. Department of Health and Human Services Secretary Michael Leavitt, who offered federal assistance for the redesign, has balked at the hefty price tag that comes with the committee's current plan.
Formed at the request of Leavitt, the Louisiana Healthcare Redesign Collaborative was created to help the hurricane-ravaged New Orleans area rebuild with a progressive new model for delivering public health care. While the committee's plan would initially be set up only in the storm-struck parishes of Orleans, Plaquemines, St. Bernard and Jefferson, the plan calls for the model to be adapted across the state over the next five years. And Leavitt expressed hope that it would also become a national model for other states to eventually follow.
"That Secretary Leavitt is giving us so much of his personal attention, this is a blessing," notes Bruder.
The committee's proposal, submitted last month, is visionary in its approach to transforming the state's health care system. The plan incorporates a number of ideas many health care policy experts have been advocating for Louisiana for years: eliminating the "two-tiered" system of health care in Louisiana, where the insured get services almost exclusively through private providers and the uninsured are directed to separate public "charity" hospitals; setting up more primary and preventative clinic-based care that will reduce the need for costly emergency room trips; creating a paperless, electronic system of health records that is cheaper to maintain and easier to transfer with patients; putting less resources in institutionalized charity hospitals and specialized care centers; and focusing on getting more uninsured patients some type of coverage.
"Most of this is targeted toward the small businesses," Bruder says, "which are 95 percent of the businesses in Louisiana. They don't have a bulk of employees that makes health insurance coverage affordable enough. We would simply be subsidizing the purchase of that insurance."
But the new vision won't come cheap. The proposal requests $150 million for hospitals that remained open in the wake of Katrina and another $120 million annually toward recruiting and retaining physicians and nurses. If implemented, the new programs and expanded Medicaid coverage will total an additional $522 million a year on top of what the state now pays. This does not include another $650 million LSU is seeking from both FEMA reimbursement and federal grant dollars to rebuild its Big Charity hospital in New Orleans as a state-of-the art medical education facility.
According to State Sen. Tom Schedler of St. Tammany Parish, "There is a big disparity between the [state] Department of Health and Hospitals' analysis of the costs to implement this versus what [the federal government's] cost is. They think the changes need to be done a lot cheaper."
Schedler, who sits on the health and welfare committee in the state Senate, has been pushing for major reforms to Louisiana's charity hospital system for almost a decade now. He's generally in favor of all the reforms being proposed now, but he's not convinced of their financial feasibility. His main concern lies with LSU's proposal to build a new 350-bed Big Charity hospital in New Orleans. While the redesigned health care model reduces the need for large charity hospitals for the uninsured, LSU and other state officials insist the university needs a sizeable medical training hospital in New Orleans in order to sustain its medical school there. The proposed solution has been to build a new, state of the art Big Charity hospital, with an emphasis on cutting-edge medical research that would help bolster LSU's New Orleans medical school and at the same time put the hospital in a position to compete with the private sector for paying customers, as well as taking in uninsured patients.
Schedler says the plan sounds good, but it is based on a questionable business model ' one that assumes that by the time the hospital is built, in another six years, New Orleans will be back to a population of around 400,000. He also says that the charity hospitals suffer from a stigma that keeps privately insured patients away. "Just because we build a new hospital," he says, "if it's still the charity hospital, I question, have you changed the culture enough that [privately insured] people will start going there?"
Schedler suggests down the road the state will not be able to financially sustain both a major Medicaid expansion and the continual funding of all of the state's rapidly deteriorating charity hospitals. In addition to Big Charity, LSU is seeking funds to rebuild its aging hospitals in Baton Rouge and Alexandria.
"To try to go rebuild new charity hospitals and do redesign at the same time, at some point, after three, four, five years the federal government assistance peels off," Schedler says. "So how are we going to support both systems? We can hardly support the system we have right now. You're in for a collision course."
With financial issues still a major sticking point, most health care reform advocates are nonetheless encouraged that the tide of public opinion seems to have shifted in their favor, and some type of reform seems imminent. "There's been a lot of misinformation thrown around about what people think about the public health system," says Barry Erwin, president of the nonprofit advocacy group Council for A Better Louisiana. "There are some politicians who will tell you, 'Look, we can't change it, this is what everybody wants, this is what the people want. That's not the case."
CABL recently commissioned a statewide survey on health care reform, which found an overwhelming majority of the public, 72 percent, feels the state's public health care system either needs reform or complete rebuilding. Erwin says the survey, which included a high number of uninsured respondents, also substantiated several flaws in the state's current system. "People without health insurance have to wait longer, they have a harder time seeing specialists, their primary place to receive health care is in the emergency room, and they have a whole host of issues that the people with insurance don't have.
"We sort of knew all this anecdotally already," Erwin adds. "It's not a surprise, but what this does is quantify it and show in a fairly straightforward way just what that two tiered system is like."
Erwin maintains Louisiana has traditionally overemphasized various forms of institution-based care such as charity hospitals, nursing homes or developmental centers, rather than community-based public health clinics. "We have been an advocate in the past and continue to be of trying to move away from an overemphasis on institution-based care in the state versus community based care," he says. "We're generally supportive of the direction that things are going. The funding is an issue, and there's still some things to be worked out. But fundamentally, the direction that they are going, we are supportive of."
The Independent Weekly Health Care Reform Luncheon
11:45 a.m. Wednesday, Nov. 29, The Petroleum Club of Lafayette
Participants: State Sen. Tom Schedler of Mandeville; Gery Barry, president of Louisiana Blue Cross/Blue Shield; Dr. Anthony Blalock, president of the Lafayette Parish Medical Society; John Spain, executive vice-president of the Baton Rouge Area Foundation and a member of the Louisiana Recovery Authority health care committee
Acadian rep notifies would-be supporters that an April 25 fundraiser for the embattled U.S. rep won’t go on as planned.
While it isn’t all too unusual for public bodies to have hired security present during meetings, the LPSB’s push to do so is arguably a response to the antics of one board member.
“I’m running. Why would I be raising all this money? Just to have to return it to people?”
With incumbent U.S. Sen. Mary Landrieu watching from afar, and with a united Democratic Party in her corner, the fight to get the GOP officially behind Congressman Bill Cassidy is gaining just as much momentum as it is hushed controversy.
15th Judicial District Judge Durwood Conque has announced that he will not seek re-election after 27 years on the bench.
The controversial standardized tests are set to be used in third-grade through eighth-grade public school classrooms next year.
The Louisiana Senate has agreed to prohibit unmanned aircraft from flying over chemical plants, water treatment systems, telecommunications networks and other items considered "critical infrastructure" in Louisiana.
It didn’t take long for KATC TV 3 to jump all over the news of a dead body found in Girard Park, but in its rush to produce headlines, the local TV station got sloppy.
Tuesday's Blogs from the Bog!
Here's your daily look at late-breaking national and international news, upcoming events and the stories that will be talked about Tuesday, April 15, 2014:
An unholy trinity of civil-society upheavalers whose first names are not Conner, Tanner or Logan are facing charges in Eunice.
Now that lawmakers have shot down efforts to cap annual interest rates for payday loans, supporters for stricter regulations of the storefront lenders are rallying behind another strategy.
The Appropriations Committee held public testimony day, letting people talk about what they like or don't like about Gov. Bobby Jindal's budget recommendations for the 2014-15 fiscal year that begins July 1.
Lafayette police are investigating the death of a 21-year-old woman whose body was found early Sunday in a drainage ditch in Girard Park.
Former Grant parish District Attorney Ed Tarpley says he's running for the U.S. House seat currently held by Republican Vance McAllister of Swartz.
Louisiana-Lafayette got strong starting pitching and timely hitting to hold off Arkansas-Little Rock 6-3 in Sun Belt Conference baseball in Lafayette, La.
Chris Williams knows how to pilfer from the public coffers, this time with a back-pay lawsuit filed three years ago against the Lafayette Housing Authority, which netted the former city-parish councilman a cool five figures.
McAllister's office vowed that he intended to stay in office — for now. As for questions about whether he would stand for re-election in November, those were dodged.
The Green Army's Lafayette brigade has announced it will pay a visit Friday morning to Sen. Page Cortez to urge him to vote against Sen. Robert Adley's SB 553, which the group is calling the "Big Oil Bailout Bill of 2014."
For the sixth consecutive year, Andy Nyman, LSU associate professor of wetland wildlife management, and his service-learning students plan to spend spring break differently from those students flooding the beaches of Florida.
When a BP oil well began gushing crude into the Gulf of Mexico four years ago, fisherman George Barisich used his boat to help clean up the millions of gallons that spewed in what would become the worst offshore spill in U.S. history.
The legislation — House Bill 503 by state Rep. Thomas Carmody, R-Shreveport — passed by an 8-5 vote and advances next to the full House.
The Republican Party of Louisiana has had enough with the philandering hypocrite Vance McAllister. David Vitter? Eh...
A top aide to a Louisiana congressman videotaped kissing a married woman who is not his wife was one of the few people with access to the leaked security footage that exposed the dalliance.
Louisiana would repeal an unconstitutional state law prohibiting intercourse between two people of the same sex, if lawmakers agree to a bill that narrowly received the backing of a House committee Wednesday.