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Long Island BH providers form alliance to strengthen network

August 23, 2011
by News release
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New York — Four of Long Island's largest comprehensive behavioral health providers have announced a broad strategic alliance for Nassau and Suffolk Counties. These four organizations - PSCH-Pederson Krag, F∙E∙G∙S Health and Human Services System, Family Service League and the Mental Health Association of Nassau County - are the founding providers in the Long Island Behavioral Alliance Corp., a not for profit that is forming an independent practice association (IPA).

TheIPA is intended to contract with independent physicians and agencies to provide services to managed care organizations on a negotiated basis.

LI Behavioral Alliance will take the lead on effectively responding to the major changes in Medicaid and commercial insurance that are transforming Long Island's behavioral health service delivery. This transformation will inevitably result in significant changes to the delivery of and payment for services to persons with complex health and psychiatric conditions.

The ultimate goal of this alliance is to strengthen the network of providers that serve some of Long Island's most vulnerable consumers of behavioral health services. The network will improve region-wide access to all levels of outpatient behavioral health and substance abuse services coordinated and integrated with other health care services.

In announcing the alliance, the CEOs of the four organizations, Gail Magaliff of F∙E∙G∙S Health and Human Services System, Alan Weinstock of PSCH-Pederson Krag, Karen Boorshtein of Family Service League, and David Nemiroff of the Mental Health Association of Nassau County, explained the key objectives/services and structure of this newly formed alliance.

Key objectives and services include:

  • Developing a data-driven network of behavioral health and substance abuse providers, offering and promoting an array of patient-centered, best practice services, shared procedures and clinical protocols, including:

    1. consumer and family involvement;
    2. coordination with primary and specialty care providers to ensure higher standards of care and improved health outcomes for consumers with medically and psychiatrically complex conditions;
    3. improved and shared technology to ensure greater accountability, improve billing capacities and measurable outcomes to promote service delivery and cost efficiencies.

  • Providing technical assistance to network providers to help them adapt to the changes in payment methodologies and performance accountability.

  • Developing capitation (fixed payment for each patient), case-rate (risk-adjusted payment for each patient) and other methodologies for the managed care market.

  • Developing strategic relationships with hospitals, health systems, insurance companies, specialty behavioral health managed care and regional health information exchanges.

  • Engaging other community-based providers to be part of the network.

Structure:

  • The alliance is designed to be a thought leader in the development of Accountable Care Organizations, Health Homes and the formation of the Behavioral Health Organization, required by New York State in 2011.

  • The four founding organizations operate a number of outpatient and case management programs and residential facilities. While they're forming the new organization as a limited liability company (LLC), each organization will remain independent, maintaining their respective corporate identities, governance and program operations.

The four agencies will host a forum open to all Long Island based providers across the health and human services sector soon after Labor Day. This event will give all who are interested an opportunity to ask questions and become further engaged. For information about this event, call Jennifer Wortmann, 718-559-0518, jennifer.wortmann@psch.org.


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