It looks like the state of Louisiana gets it. As the discipline of primary care medicine becomes known more for cuts in Medicare and Medicaid reimbursements than for treatment and prevention of disease, the state — whose brush with hurricane Katrina in 2005 has done more for its sense of healthcare activism than in many other southern states — is being proactive in overhauling its healthcare delivery systems to its un- and underinsured. How is Louisiana approaching primary care reform? By lobbying hard for government pilot projects that emphasize parity among provider networks in the delivery of chronic disease management, while giving traditional fee-for-service Medicaid programs a run for their money. | LINK