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Health plan changes in the works for Bayou Health | Daily World | dailyworld.com
In one model, the state pays companies a monthly premium per Medicaid enrollee and the companies pay health care providers for services rendered. In the other model, the state pays companies a smaller management fee to coordinate patient care, but still reimburses health providers directly for services. DHH intends to only use premium-based health plans in the next contracts, even though the other model has more than half of Bayou official source Healths enrollees. Sen. Sherri Smith Buffington, R-Keithville, said doctors prefer the model that is being discarded, in which they get paid directly from the state for their services and dont have to negotiate fees with managed care organizations. But Kliebert said that model proved to be more expensive, on average $13 more for each Medicaid patient per month. Louisianas more than $8 billion Medicaid program, which is paid with state and federal tax dollars, accounts for nearly one-third of the states budget.