Louisiana lawmakers address high maternal mortality rates and Medicaid claim denials

May 28, 2025 | Insurance, HOUSE OF REPRESENTATIVES, Committees, Legislative, Louisiana


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Louisiana lawmakers address high maternal mortality rates and Medicaid claim denials
Louisiana lawmakers are taking significant steps to address the state's alarming maternal mortality rates, which are among the highest in the nation. During a recent legislative meeting on May 28, 2025, discussions centered around proposed amendments aimed at improving access to care for pregnant women and new mothers, particularly in light of the high denial rates for Medicaid claims.

The meeting highlighted three critical factors contributing to Louisiana's maternal health crisis: mental health issues, domestic abuse, and substance abuse. Lawmakers expressed urgency in addressing these challenges, emphasizing that timely intervention is crucial for families facing these difficulties. Senator Sellers was commended for introducing practical solutions to enhance care for women during pregnancy and the postpartum period.

A key point of concern raised was the 24% denial rate for claims related to maternal health services, with a staggering 22.8% of those denials coming from Medicaid. Kevin Guidry, Vice President of Pay Relations at Woman's Hospital, noted that this denial rate is significantly higher than the national average of 1-3% for similar services. The high denial rates hinder access to necessary care, prompting calls for legislative action to streamline the process and ensure that women receive timely support.

The proposed amendments aim to create an "easy button" for women in need of care, allowing them to access services without unnecessary delays. Lawmakers acknowledged the importance of collaboration with private insurers, such as Blue Cross, which has reportedly been more accommodating in approving claims compared to Medicaid.

As the legislative session progresses, the focus remains on refining these proposals to ensure they effectively address the pressing needs of mothers and infants in Louisiana. The discussions underscore a commitment to improving maternal health outcomes and reducing the tragic rates of maternal mortality in the state.

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