Louisiana Managed Medicaid Association

What it reported doing in 2025

Improvement in business conditions: the association's members provide managed care services to over 1.5 million medicaid recipients in the state of Louisiana. The association promotes mutual regulatory interests, which include but are not limited to, increasing healthcare options for recipients, improving the relevant industrial climate, identifying additional forms of healthcare, and reducing the cost of healthcare. There are six entities contracted with the Louisiana department of health to provide medicaid managed care services, and allfive are members of the association. The association's activities are for the collective benefits of its members as participants in the medicaid managed care industry; the improvement of the business conditions of the industry; and the identification of better, additional, or lower-cost service offerings for consumers.promotion of common interest of its members: the association provides a forum for its members to develop common policies and procedures to improve efficiencies of operation, provide better healthcare to recipients, create a more favorable regulatory climate, and reduce the cost of healthcare. The association identifies and addresses problems associated with managed care industry in general and specifically with the medicaid managed care industry in the state of Louisiana. The association formulates streamed procedures for dealing with thelouisiana department of health, identifies common and systemic issues requiring uniform or standardized solutions, and reviews and provides industry comments on regulations affecting medicaid managed care organizations. The goal of these activities is to improve the industryclimate and the public perception of the industry to increase the quality and variety of healthcare options to make the provision of managed care services more efficient and to provide more transparency and clarity to affected parties. Since its founding, the associationhas held over 38 meetings of its members and plans to hold regularly scheduled monthly meetings and special meetings as necessary.continued strategies to achieve legislative and regulatory objectives: the association identifies, monitors, and lobbies issues germane to the industry to ensure a coordinated strategy on behalf of its members to achieve legislative, regulatory, and/or political objectives. The association, when appropriate, acts as a liaison with the louisianadepartment of health and with those organizations and associations that participate in the medicaid managed care business. The association engages in legislative and executive branch lobbying activities to support or opposed legislation or administrative actions that arerelevant to medicaid managed care organizations. The association has not and does not plan to intervene in any campaign on behalf of or in opposition to any political candidate.

Financial Efficiency

• Mission deployment rate: 94.8%; rating input score 95
• Program expense ratio: 75.1%; rating input score 75
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 64th percentile among comparable filings
• Pay-setting controls: Limited
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Limited
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 64th percentile among comparable filings
• Governance controls: 3 of 7 controls in place; rating input score 43
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Fail
  • Document-retention policy: Fail
  • CEO compensation review process: NotApplicable
  • Other executive compensation review process: NotApplicable
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Missing
  • Independent financial-statement audit: Fail

Sustainability

• Operating margin: -26.2%; rating input score 9; 9th percentile among comparable filings
• Total-asset coverage ratio: 0.75; rating input score 34; 34th percentile among comparable filings
• Liabilities to assets ratio: 0; rating input score 77; 77th percentile among comparable filings
• Officer compensation ratio: 0%; rating input score 67; 67th percentile among comparable filings

Growth

• Program expense growth: 70.7% per year; rating input score 100; 97th percentile among comparable filings
• Revenue growth: 10.7% per year; rating input score 100; 71st percentile among comparable filings
• Asset growth: 37.2% per year; rating input score 100; 93rd percentile among comparable filings