News from the South - Louisiana News Feed
Louisiana spent $2.4B to improve Medicaid. A lot of the money went to administrative functions.
Louisiana spent $2.4B to improve Medicaid. A lot of the money went to administrative functions.
by Julie O’Donoghue, Louisiana Illuminator
March 11, 2025
Louisiana spent nearly $2.4 billion over five years on hospital programs meant to improve health care outcomes for people in the Medicaid program. Yet hundreds of millions of dollars of that funding went to administrative functions not directly related to improving patients’ lives, according to a report from the Louisiana Legislative Auditor’s office released Monday.
The Manage Care Incentive Payment program [MCIP] allows the six private health insurance companies who manage Louisiana Medicaid to receive a 5% higher rate per enrollee if they provide better outcomes for Medicaid recipients and deliver health services efficiently.
It is supposed to promote services such as cancer screenings, blood testing for diabetics, identifying childhood obesity, smoking cessation and reducing emergency room trips for Medicaid patients.
But the majority of Louisiana’s MCIP funds have gone toward activities that do not enhance the health of Medicaid beneficiaries, Legislative Auditor Michael Waguespack said in a letter attached to his report.
The auditor raised questions about spending in the program from September 2019 through March 2024. Gov. John Bel Edwards was in office for all but the final three months of that period.
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During that time, the health department paid out $437.2 million of the program’s $2.39 billion for submitting reports correctly, meeting deadlines and holding annual meetings – functions the auditor said are not directly related to improving Medicaid patients’ health.
Additionally, the health department spent just $440.2 million (18%) of the total funding on reaching health care goals that the auditor could measure and verify. The remaining $1.5 billion (45%) was spent on goals that could not be assessed by an outside party, according to the report.
The auditor also concluded that $1.1 billion (45.3%) of the $2.39 billion in total funds were used for activities other than payments to the hospitals that provided the program services.
The state health department has agreed to make changes the auditor recommended to promote accountability in the Medicaid improvement program.
But leaders with the Quality and Outcome Improvement Network, which is part of Ochsner Health and ran one of the programs in question, strongly disagreed with the auditor’s conclusions, issuing a 26-page rebuttal.
“A performance audit should address the performance of the program, and the Report does not,” network executive director Lane Sisung said in response.
In practice, Louisiana’s largest hospital systems were left in charge of executing MCIP, though the health insurance companies who run Medicaid received $71.8 million from the health department before passing off the rest of the money to the entities offering the services.
“[The state health department] has not monitored how the [health insurance companies] or [networks set up by hospitals] have used MCIP program funds despite having the authority to do so,” Waguespack wrote.
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Sisung, in the response from the Ochsner network, said the auditor underestimated the impact of spending money to set up the services made to improve health outcomes. Some investment was necessary up front in order to see improvements in bloodwork for diabetics, for example.
“[Managed Care Incentive Payment] teaches a person to fish, rather than handing them fish,” Sisung wrote.
But the state’s approach to running the incentive programs likely also drove up administrative costs. Ochsner and the other major hospital systems in Louisiana did not want to work together, so the state created two independent networks to tackle Medicaid improvements.
The Quality Improvement Network, or QIN, involves hospitals Ochsner owns and manages. The Louisiana Quality Network, or LQN, is made up of other hospital systems, including Franciscan Missionaries of Our Lady Health, LCMC Health and Willis-Knighton.
The state health department gave each network different goals and public health problems to tackle that did not overlap with each other. For example, the Ochsner network was to focus on improving diabetic outcomes and lowering emergency room visits, while LQN worked on improving breast cancer screenings and early autism detection.
The auditor appeared particularly frustrated with the QIN run by Ochsner, which refused to turn over all the financial documents the auditors office requested. Waguespack said the lack of transparency from QIN potentially violates the Louisiana Constitution, which prohibits certain types of payment structures for public programs.
Sisung strongly disagreed with this assessment in the network’s response.
Representatives from the Louisiana Quality Network struck a far more agreeable tone to the auditor’s suggestions for improvement but also pushed back on some of his assertions. In their joint response, network leaders said the federal government, which provides for most of the program’s money, allows for the current structure of the incentive payments, and that the state may not have the authority to impose tighter restrictions.
“Federal law does not dictate how providers or contractors ‘use’ Medicaid payments once received in exchange for services provided or incentive milestones met,” they said in a letter to Waguespack.
Louisiana Illuminator is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Louisiana Illuminator maintains editorial independence. Contact Editor Greg LaRose for questions: info@lailluminator.com.
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News from the South - Louisiana News Feed
A nice, calm week of spring weather ahead
SUMMARY: A calm week of spring weather is ahead, following recent tornadoes that affected the area. An EF1 tornado caused damage in East Fork, while a stronger EF3 tornado occurred near Derbigny. Fortunately, severe impacts were avoided as the worst weather passed by. Upcoming forecasts show cool mornings with temperatures starting around 39°F to 50°F, warming up to around 70°F during the day, with plenty of sunshine expected. A weak front may bring minor rain late in the week, but overall, rain chances remain low. Temperatures could peak at 80°F by Wednesday before a cooldown follows.

Meteorologist Devon Lucie runs down the two tornadoes that developed within minutes of each other and took nearly the exact same path while running down how chilly our mornings will be, how warm our afternoons will be, when our next rain chances arrive, when the spring equinox comes, and your seven day forecast.
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News from the South - Louisiana News Feed
New Orleans Weather: Sunny and cooler on Sunday
SUMMARY: Good Sunday morning! Following violent storms yesterday, including a likely tornado in Kentwood and Tylertown, cooler and sunnier weather has settled in. Today, expect a refreshing 59°F with abundant sunshine and low humidity, perfect for outdoor activities. Temperatures may reach around 70°F, but sunscreen is recommended due to a high UV index. Winds will be breezy at 10-15 mph. Chilly nights are ahead, with lows in the 40s and 50s. The week starts dry, warming to the upper 70s by Wednesday before another cold front brings cooler temperatures later in the week. Enjoy the pleasant weather!

Storms cleared the area on Saturday evening after an active weather afternoon. Several tornado warnings were issued in places including Kentwood, Tylertown.
News from the South - Louisiana News Feed
Nearly a year later, Loyola students who joined pro-Palestine protests still face consequences
Nearly a year later, Loyola students who joined pro-Palestine protests still face consequences
by Arielle Robinson, Verite, Louisiana Illuminator
March 16, 2025
NEW ORLEANS – Almost a year after hundreds of people occupied part of Tulane University’s campus, two of the Loyola University students who participated in a pro-Palestine encampment are facing consequences from their school.
Last month, Loyola suspended Carson Cruse from the university through May 10. He and Juleea Berthelot have been on disciplinary probation since June 2024. Cruse was slated to graduate from the university this spring but now has to delay his graduation to either December 2025 or May 2026, depending on when his required classes are offered. Berthelot, who has been on probation for most of the last year, told Verite News that they have to be cautious to not “mess up in the slightest” on or off campus to avoid facing further disciplinary action.
Cruse and Berthelot are members of Liberate and Unite New Orleans Students for a Democratic Society, formerly known as Loyola SDS until the group lost its registered student organization status with the university and voted to disband in October 2024. The current organization exists off campus, although it is composed of students from Loyola.
According to Loyola’s Student Code of Conduct, disciplinary probation is the “temporary suspension of a student or student organization’s good standing with the University” for a certain time period. Extra disciplinary actions can be given and once completed with the period of probation, a student or student organization is returned to good standing if they meet all probation terms.
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Cruse and Berthelot are two of five students who Loyola disciplined last summer. They both said they received the harshest discipline from the school because administrators labeled them as leaders of the school’s SDS chapter, alleging that they played a lead role in organizing the Tulane encampment.
Disciplinary actions like the ones taken against Cruse and Berthelot, and against Tulane students who participated in the encampment protest, are being handed down to students at universities across the United States for staging and joining pro-Palestine protests on campus. This past weekend, Columbia University pro-Palestine protester Mahmoud Khalil was arrested by Immigration and Customs Enforcement for his participation in a student encampment last spring. He is being held in a detention facility in Central Louisiana.
Khalil’s case is a high-profile example of the consequences student protesters have faced in recent months.
Free speech advocates say that the arrests and disciplinary actions taken against student protesters violate their First Amendment rights, while pro-Israel advocates have claimed the protests threatened the safety of Jewish students.
Cruse said he was suspended after speaking at a Port of New Orleans board meeting last October, in which he said he was speaking on behalf of “Loyola SDS,” which had lost its status as a university-registered student group by then. Cruse told Verite News that he meant to say he was with the new organization he and schoolmates created after they disbanded as a university group, and that his incorrect naming of the group was “simply a slip of the tongue.”
He was there with other pro-Palestine activists in the city, including New Orleans Stop Helping Israel’s Ports, urging the port to cut its ties to Israel. He alleged that Port NOLA board secretary-treasurer Sharonda Williams, who is also Loyola’s general counsel, reported him to the university for allegedly promoting an unregistered student organization. Such an act is in violation of the university’s student organization handbook.
A Loyola spokesperson confirmed that Williams is general counsel but denied that she is a part of the administrative hearings, appeals process, decisions made or sanctions handed down. Williams told Verite News to refer to the information sent from the spokesperson.
Loyola administrators then escalated Cruse’s disciplinary probation — which stemmed from his participation in the late April 2024 encampment — to a suspension in December, at the end of the semester. Cruse appealed the decision.
He said he was banned from Loyola’s campus over winter break, but that he was allowed to come back the following semester and attend classes until the student conduct department decided on his appeal.
Finally, in February, Loyola notified Cruse that his appeal was rejected and that he would remain suspended through the end of the spring 2025 semester.
Cruse said he was removed from his classes and banned from the campus.
“I had already done two months of schoolwork, from January to February,” Cruse said.
As a result of the suspension, Cruse also lost his job working the front desk of the school’s counseling center that he has had since his freshman year. He said he has had to pick up more hours at his off-campus job at a brewery.
The school put Berthelot on probation through May 16.
The university accused both of disruptive conduct and failure to comply with administrative instruction because of their involvement in the encampment. The university report cites Berthelot’s May 2024 arrest at the encampment for misdemeanor trespassing as proof that Berthelot failed to comply.
Cruse was also part of the group arrested. Both students were found not guilty in September 2024.
The university also rejected Berthelot’s appeal of their probation. Berthelot said probation meant that they cannot officially hold leadership positions in recognized student organizations and study abroad.
Berthelot said probation has meant being unable to accept a student award they received last year and running for student government.
“I pay a lot of money to go to Loyola, and I really loved it and enjoyed it my first two years,” Berthelot said. “But the way that they handle students and … dissenting opinions, it’s really upsetting and jarring.”
They were able to keep their current on-campus research assistant job and attend classes, but they allege that they were fired from their previous job giving tours of the campus for participating in the encampment. Loyola denied this at the time, saying Berthelot resigned. Berthelot maintains that they were fired.
In a response from Loyola, the university told Verite News that federal student privacy law prevents the school from commenting on specific student cases.
A university spokesperson did provide information about how the cases are handled and said that every student has the right to appeal conduct decisions.
The university also noted that Loyola SDS voluntarily dissolved and that the school is “committed to ensuring that all students feel safe expressing their perspectives on campus.”
Loyola’s disciplinary actions run parallel to those taken by Tulane last year. The university disciplined seven students, among them former Tulane SDS members Rory Macdonald and Maya Sanchez, also labeling them as encampment organizers. Tulane officially suspended Tulane SDS; students have continued to run the group off-campus as Together United Students for a Democratic Society.
Macdonald told Verite News at the time that Tulane used pictures of them at previous protests and their arrest from the encampment against them. Cruse said Loyola used pictures of him and Berthelot at the encampment against them.
Both Cruse and Berthelot said they think Loyola is trying to make an example out of them.
“I think that I’m a fine person to make an example of,” Cruse said. “I was helping lead this movement.”
Berthelot believes the university is trying to alienate them from the students “so that we can’t inspire them, encourage them to fight back,” they said.
Berthelot said that being on probation has meant watching every step they take and constantly worrying about messing up for fear of further discipline.
“I feel like it’s psychological terrorism, like I’m constantly worried about every step I take, everything I say,” Berthelot said. “No student should have to fear the university like that. I’m speaking up for what I believe is right.”
Berthelot also said it was very upsetting seeing Cruse, a friend, be suspended.
Cruse said that he wants to go back to school at Loyola and finish his degree. He said it doesn’t make sense to try and transfer elsewhere because of all the credits he has. But he also won’t let his suspension stop him from standing up for the things he believes in.
“It’s kind of my main purpose in life, honestly,” he said. “I want to serve the people.”
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This article first appeared on Verite News New Orleans and is republished here under a Creative Commons license. PARSELY = { autotrack: false, onload: function() { PARSELY.beacon.trackPageView({ url: “https://veritenews.org/2025/03/14/loyola-palestine-encampment-suspension/”, urlref: window.location.href }); } }
Louisiana Illuminator is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Louisiana Illuminator maintains editorial independence. Contact Editor Greg LaRose for questions: info@lailluminator.com.
This article first appeared on Verite News New Orleans and is republished here under a Creative Commons license. PARSELY = { autotrack: false, onload: function() { PARSELY.beacon.trackPageView({ url: “https://veritenews.org/2025/03/14/loyola-palestine-encampment-suspension/”, urlref: window.location.href }); } }
The post Nearly a year later, Loyola students who joined pro-Palestine protests still face consequences appeared first on lailluminator.com
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