Based on the North Carolina Medicaid programme update, the request also asks for information on how the health plans use the data to identify and address the social determinants of the patient’s health and how they can apply this experience to the Medicaid population in Louisiana. Last week, Louisiana’s Department of Health told 37,000 members of Medicaid that they could be excluded because they earn too much to qualify for coverage. On Monday, Louisiana announced a call for proposals for managed care partnerships, hoping to serve more than 1.5 million Medicaid member states under new contracts from January 2020. The Louisiana Department of Health said it was looking for managed care companies focused on improving public health and reducing costs. The Department said it cited the health insurance plan requirements to integrate the physical and mental health services and improve access to primary health care. Rebecca Guy, secretary of the Louisiana Department of Health, said in a press release. Five of them, whose current contracts expire later this year, are Aetna, AmeriHealth Caritas, Healthy Blue Anthems, Centene’s Louisiana Healthcare Connections and UnitedHealthcare. The department is also seeking information from health insurers on how to implement cost-based payment systems with public providers. This is the third purchase of Louisiana for the Medicaid program, known as Healthy Louisiana, following the transition to the Medicaid Managed Program in 2012. Louisiana will sign a contract with four managed healthcare companies, compared to the current five insurers. Louisiana expanded its Medicaid program in 2016; since February, more than 500,000 low-income adults have joined the Medicaid program; the department has announced it will be offering by April 29 and will approve plans to conclude contracts by June 28. The department reported that notifications were received as a result of a computer update, which resulted in more frequent fitness tests for Medicaid. More attention needs to be paid to equity in health and the social determinants of health”, wrote Ana Gupte, an analyst at Leerink Partners, in “her” report, “The total value of contracts is about 12 billion dollars.