HJBR Mar/Apr 2022

HEALTHCARE JOURNAL OF BATON ROUGE  I  MAR / APR 2022 47 Jamie Schlottman CEO & Plan President Louisiana Healthcare Connections Working in partnership with the state to evolve their approaches to managed care, MCOs will continue improving their ef- fectiveness and performance in order to achieve health equity in Louisiana. n REFERENCES 1 Hinton, E., Rudowitz, R., Stolyar, L., Singer, N. “10 Things to Know about Medicaid Managed Care.” October 29, 2020 https://www.kff.org/medicaid/ issue-brief/10-things-to-know-about-medicaid- managed-care/ 2 Stolyar, L., Hinton, E., Singer, N., Rudowitz, R. “Growth in Medicaid MCO Enrollment During the COVID-19 Pandemic.” June 24, 2021. https://www. kff.org/coronavirus-covid-19/issue-brief/growth- in-medicaid-mco-enrollment-during-the-covid- 19-pandemic/ 3 Louisiana Department of Health, Bureau of Health Services Financing. Medicaid Managed Care Transparency Report 2020. August, 2021. https://ldh.la.gov/assets/HealthyLa/Act212/ SFY20/FY2020.Annual.TransparencyReport.pdf Jamie Schlottman is a 28-year veteran of the health- care industry. A native of Hattiesburg, Mississippi, he holds a B.S. in business administration and mar- keting/management from the University of South- ern Mississippi. Jamie began his career with Blue Cross Blue Shield of Mississippi and, before joining Louisiana Healthcare Connections,was president of Humana Health Benefit Plan of Louisiana, Inc.,where he oversaw their statewide commercial health plan operations. A motivated leader who values positive perspectives and thoughtful collaboration, Jamie is focused on enhancing community-based resources and supporting partners who are dedicated to remov- ing the barriers to health equity in our healthcare sys- tem for the health and well-being of all Louisianans. frequent, highly structured reports for quality standards, monitoring, and federal and state oversight requirements that con- tribute to the overall efficacy and transpar- ency of the program. Health equity: MCOs work with com- munity partners to address a variety of needs their members face. From food in- security, housing instability, and home- lessness to lack of transportation, social isolation, unemployment, and educational support, MCOs provide services and inter- ventions that remove barriers to care and help members overcome circumstances that ongoing poverty exacerbates. The Future of Managed Care Having become the nation’s preferred model for managing Medicaid programs because it achieves value and results, managed care will continue to grow across the country. In Louisiana, Healthy Louisi- ana will continue its demonstrated record of improving health outcomes by serving its recipients with holistic care and by pro- viding budget predictability and value-add for both federal and state investments. bers understand their benefits, how to use them and to answer any questions or concerns. Care managers give members one-on-one help with things like finding a doctor, making appointments, or creating a personal care plan. They also help with housing, food, or job needs. Data infrastructure tools: MCOs invest in advanced data analytics that improve member care and population health man- agement as well as reduce fraud, waste, and abuse. With data analytics, predictive modeling, and early warning techniques, staff and providers have enhanced insights for ways to improve key health outcomes. Value-based payment models: MCOs have the flexibility to offer creative, incen- tive-driven value payment models to their providers. By aligning provider success with member well-being, they are able to drive meaningful improvement in the health of the patients their provider part- ners treat while lowering the overall cost of care. Monitoring and evaluation: MCOs must comply with contractual mandates or face stringent penalties. They submit