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Baton Rouge, LA Market Overview
HealthLeaders Interstudy, Dec 2011
The health systems sector of the Baton Rouge market is getting a makeover as a public-private partnership transfers services and programs of safety net hospital Earl K. Long Medical Center to the largest private hospital in the market, Our Lady of the Lake Regional Medical Center. Other hospitals in the market have voiced concern that a large portion of the region's uninsured residents will seek care in their emergency departments instead of at Our Lady of the Lake. Meanwhile, physicians in the market are bracing for additional Medicaid reimbursement cuts, a move that carries significant weight considering nearly a quarter of residents are enrolled in the program. Although the Baton Rouge economy was hit by recession, the market's unemployment rate has remained lower than the national rate and economists are projecting job growth in 2011, which bodes well for stable commercial health insurance enrollment. There is evidence in the market that health plans are going to take a more active role in cost containment and area industry insiders say the development of narrow networks is likely.
Questions answered in this report:
- The highly consolidated health systems sector of the Baton Rouge market is being reshaped through a public-private partnership between the state, Louisiana State University and Franciscan Missionaries of Our Lady Health System. Which health systems have been vocal in their opposition to the plan to transfer services from Earl K. Long Medical Center to Our Lady of the Lake? Which local hospitals are participating in a Centers for Medicare & Medicaid Services initiative to reduce readmission rates for senior citizens? Other than Our Lady of the Lake, which facilities are expanding and where?
- Most of Baton Rouge's physicians are organized into small groups or solo practices, although the largest and most dominant are owned by health systems. What key source of income for pediatricians in the market is in danger of being cut by lawmakers? Which health system-owned medical group is expanding outpatient services? Which health system acquired a surgical practice in 2010?
- As providers in the market continue to feel the effect of Medicaid reimbursement cuts, health plans are likely to feel increased pressure to increase reimbursements and this dynamic sets the stage for contentious negotiations. Which health plan has indicated it wants to switch hospitals to a flat-rate, diagnosis-based reimbursement structure? What are the prospects for implementation of managed Medicaid in Louisiana? Which health plans lead the market in enrollment?
Metrics:
- Key market indicators and leading organizations among health systems, physicians and health plans
- Health systems' market share
- Income, revenue, enrollment and pharmacy spend for leading health plans
- Demographics
Scope:
Ascension, East Baton Rouge, East Feliciana, Iberville, Livingston, Pointe Coupee, St. Helena, West Baton Rouge and West Feliciana parishes in Louisiana.
Primary Research:
Analysis of HealthLeaders-InterStudy data, Billian's HealthDATA, local and state news and industry reports and interviews with local healthcare executives.
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