Extent of Insurance Coverage Medicaid19.7% Uninsured20.2% Insured60.0% 912,000 uninsured (4th in U.S.) 891,000 Medicaid eligible The healthcare of over 40% of Louisiana’s population is dependent on public funding

“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.” -Governor’s Health Care Reform Panel Presentation, 12/16/04 James J. Mongan, MD President and CEO, Massachusetts General Hospital, Brigham and Womens Hospital, The Harvard Hospitals, Boston A Good Model Multi-specialty Clinic System Linked with Hospitals

E. A. Conway Medical Center Monroe Huey P Long Medical Center Pineville W O Moss Regional Medical Center Lake Charles University Medical Center Lafayette Earl K Long Medical Center Baton Rouge Lallie Kemp Regional Medical Center Independence Bogalusa Medical Center Bogalusa Medical Center of Louisiana at New Orleans Leonard J. Chabert Medical Center Houma University Hospital Shreveport State Public Hospitals and Clinics -Charity Hospital -University Hospital Katrina Rita

Mission-driven to care for the uninsured and provide training opportunities for future health professionals A statewide Safety Net system in which everyone is eligible for care  No income thresholds  No local residency requirements  No enrollment process  People with means expected to pay Provides comprehensive inpatient, outpatient hospital and primary and specialty clinic services  350+ clinics  Relies on medical residents for a substantial component of physician care as part of GME training programs The LSU Hospitals and Clinics In Brief

LSU Initiatives Disease Management Asthma Diabetes Congestive Heart Failure HIV/AIDS Cancer

The Charity Model Louisiana needs all of its programs for the uninsured, and more are required as well. We don’t need to tear down systems of care that we have, but instead should find ways to secure and improve these systems and to supplement them with more. A Principle for Reform