The future of healthcare delivery in Baton Rouge will depend on the outcome of the rivalry between Franciscan Missionaries of Our Lady Health System and Ochsner Health System. Expect the integrated delivery networks to leverage value-based care to improve payer contracting negotiations, reinvest shared savings into new outpatient facilities, and implement risk-bearing payment models that the market’s smaller hospitals and independent physician groups are drawn toward. Health plans drive value-based care through bundled payments and ACOs. UnitedHealth is set to acquire People’s Health, a major source of Medicare Advantage lives in the market. Consolidation will be a recurring theme in Baton Rouge in 2020: Ochsner and Franciscan Missionaries system will work to recruit physicians to their clinically integrated networks, but independent physicians in single specialties may band together.

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