A week ago, the federal Centers for Medicaid Services once again threw a wrench in Louisiana’s works, giving a thumbs down to the privatization of the LSU charity hospital system, which is nonetheless charging forward.
Louisiana got some bad news from the federal Center for Medicaid Services (CMS) late last Friday. CMS says “no deal” on six of the LSU hospital public-private partnerships.
“I don’t know what their issue is, but it appears that the basis for the denial is related to the means of financing—specifically as it relates to the advance lease payments,” Commissioner of Administration Kristy Nichols told the House Appropriations committee Monday.
At the conclusion of nearly five hours of emotional testimony, Senate Health and Welfare Committee Chairman David Heitmeier read the names of those weighing in on Senator Ben Nevers’ bill. The proposal would have put a constitutional amendment to expand Medicaid under the Affordable Care Act before voters in Louisiana.
“You’ve got a lot of support here, Sen. Nevers," Heitmeier said.
But Nevers didn’t have the support of the committee. His bill was stopped on a 6 to 2 vote that fell along party lines.
It’s been nearly a year since the state started implementing public-private partnerships for the LSU Hospital System, formerly known as Louisiana’s Charity Hospitals. The plan was pushed as a cost-saver for the state. How is it working out? Good for some and not so good for others—with patients and hospital caregivers caught in the middle.
A recent report by the Public Affairs Research Council of Louisiana concludes that with the privatization of the charity hospital system, Louisiana’s safety net is being reinvented.
The reinvention will likely come up again in the legislature when it convenes in March as lawmakers dig up debate on Medicaid expansion under Obamacare. And the candidates for governor will be staking out positions on healthcare reform.