Page 9 - Modern Healthcare (January 2020)
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Northwell partners
                                 Depression and kids
                                                                                 with behavioral health
                                 2018 saw an increase in prevalence
                                 of major depressive episodes among
                                                                                 research facility
                                 U.S. adolescents.
                                                        2017
                                         6.9%
                                 Ages
                                                        2018
                                                                                       ORTHWELL HEALTH is partnering with a research
                                 12-13
                                           8.4%
                                                                                       facility that provides research, intervention and
                                                                                Nresidential services for children and adults with
                                                14.5%
                                 Ages
                                                                                developmental disabilities.
                                 14-15
                                                 15.3%
                                                                                  The Center for Discovery in Harris, N.Y., expects to open in
                                                                                2021 a hospital and research institute that cares for people
                                                    17.7%
                                 Ages
                                                                                living with autism spectrum disorders as well as other
                                 16-17
                                                      19%
                                                                                complex conditions such as Alzheimer’s and dementia.
                                                                                Currently, the center’s residential facility accommodates 300
                                                                                children and nearly 200 adults.
                                                                                  “The Center for Discovery shares our values of providing
                                                                                extraordinary care through a program of continual
                                               Percentage of adolescents
                              70%              in 2018 whose major              innovation, education and a commitment to excellence,”
                                                                                Northwell CEO Michael Dowling said in a statement that
                                               depressive episode also
                                               included severe impairment       included mention of Northwell’s 30-year commitment to this
                                                                                specialized care. “We look forward to working together with
                                                                                them to provide a full continuum of medical and behavioral
                                                                                health services that help enhance the lives of individuals
                                                                                with developmental disabilities and medical complexities.” l
                              Fewer kids getting treatment
                              How adolescents who experienced a major
                                                                               Louisiana Medicaid
                              depressive episode in 2018 were treated
                                                   No treatment
                                                                               managed-care contract
                                      Medication
                                       only: 2.2%     60.6%                    awards thrown out
                                      Health
                                 professional   15.4%
                               and medication                                          ULTIBILLION-DOLLAR Medicaid contracts
                                                                                       awarded by Gov. John Bel Edwards’ administration
                                                  21.8%                        M have been scrapped by Louisiana’s chief
                                           Health                              procurement officer, who determined the health department
                                       professional                            mishandled the bid process for deals to provide health
                                             only
                                                                               services to 1.5 million people.
                                                                                 Paula Tregre said health officials failed to follow state
                                                                               law and bidding guidelines in determining which private
                              Percentage of U.S. adolescents who               companies should receive contracts to manage care for most
                              experienced a major depressive episode:
                                                                               of Louisiana’s Medicaid patients.
                                   13.3%  14.4%                                rescinded the three-year contract awards estimated to be
                                                                                 In response to protests filed by two losing bidders, Tregre
                                       2017
                                                        2018
                                                                               worth about $21 billion. She said the health department
                                                                               will have to redo the bid process to choose the insurance
                                                                               companies that will oversee care for about 90% of Louisiana’s
                            Percentage of U.S. adolescents who experienced a
                            major depressive episode with severe impairment    Medicaid enrollees.
                                                                                 Tregre’s decision, which can be contested, won’t disrupt
                                      9.4%  10%                                Medicaid health services to nearly one-third of Louisiana’s
                                         2017
                                                      2018
                                                                               population. The Edwards administration signed emergency
                                                                               contracts to keep the state’s five current Medicaid managed-
                                                                               care contractors in place this year because of the ongoing
                                                                               disputes about the contract awards and bidding process.
                                 Source: Substance Abuse and Mental Health       The taxpayer-financed managed-care contracts account for
                                 Services Administration                       roughly one-quarter of Louisiana’s annual operating budget. l
                                                                                                     January 27, 2020 | Modern Healthcare  7
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