Financing Health Care Services at Mount Sinai Adolescent Health Center: Overview of Findings from 2010

This brief is the first in a series of policy updates and case studies associated with the multi-year evaluation of the Mount Sinai Adolescent Health Center (MSAHC), which provides comprehensive health services to adolescents and young adults ages 10-24 in the New York City metro area.

The largest center of its kind in the United States, MSAHC provides health care services to over 10,000 patients per year onsite at the Center, as well as at three school-based health centers. MSAHC has also recently been certified as a level 3 Medical Home by the National Committee for Quality Assurance (NCQA) Physician Recognition Program. Patient care at MSAHC is financed through a complex network of private and public health insurance programs, government and private foundation grants, and individual donors. MSAHC is unique in that no patient is turned away, regardless of their ability to pay. In this brief, the financing of patient care at MSAHC is analyzed for calendar year 2010.

A profile of MSAHC patients aged 10-24 is presented, with specific attention paid to how services were categorized, billed, and paid for generally and among specific subgroups of patients. The brief continues with a discussion of the implications of the patient data presented in the context of recent changes that the Patient Protection and Affordable Care Act (ACA) has already implemented, as well as additional impending changes that will take effect over the next several years. A set of recommendations for future directions in financing is presented, as well as proposed plans for future analyses of the financial data.

This report will be of potential interest to health care providers, health care administrators, health policy advocates, policymakers, and others who are interested in the future of the financing of adolescent health care services, both within and outside of New York.

This article was taken from The Philip R. Lee Institute for Health Policy Studies at UCSF and ICF International

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Young Adult Preventive Health Care Guidelines: There But Can’t Be Found

In the context of increasing attention on young adult health and healthcare, NAHIC researchers (in UCSF’s Division of Adolescent Medicine) examined existing adolescent and adult professional guidelines relevant to young adults. They analyzed these guidelines, with special emphasis on the extent to which they are consistent with evidence-based guidelines developed by the USPSTF.

Based on their analysis, NAHIC researchers recommend establishing “Young Adult Preventive Care Guidelines” that reflect the current evidence-based recommendations that overlap with the young adult age group. The study also suggests clinician and health care system supports to facilitate the delivery of preventive services to young adults, and identifies priorities for research in prevention in areas with insufficient evidence.  Read a summary.

This article was taken from Archives of Pediatrics and Adolescent Medicine

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Speaking Out – Latino Youth Voice Their Thoughts on Discrimination in New Report

Close to 83% of Latino youth indicated in a recent national survey that discrimination is a personal problem for them. Speaking Out, a new report from The National Council of La Raza, gives voice to these youth along with important analysis of the impact of social and institutional racism on their lives.

This article was taken from The National Council of La Raza

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Young Adult Preventive Health Care Guidelines: There But Can’t Be Found

In the context of increasing attention on young adult health and healthcare, NAHIC researchers (in UCSF’s Division of Adolescent Medicine) examined existing adolescent and adult professional guidelines relevant to young adults. They analyzed these guidelines, with special emphasis on the extent to which they are consistent with evidence-based guidelines developed by the USPSTF.

Based on their analysis, NAHIC researchers recommend establishing “Young Adult Preventive Care Guidelines” that reflect the current evidence-based recommendations that overlap with the young adult age group. The study also suggests clinician and health care system supports to facilitate the delivery of preventive services to young adults, and identifies priorities for research in prevention in areas with insufficient evidence.  Read a summary.

This article was taken from Archives of Pediatrics and Adolescent Medicine

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Policy Statement Substance Use Screening, Brief Intervention, and Referral to Treatment for Pediatricians

In a statement published in the November issue of the journal Pediatrics, members of the American Academy of Pediatrics said that adolescents should receive appropriate guidance regarding substance use during routine clinical care and that adolescents with addictions should be managed collaboratively (or comanaged) with child and adolescent mental health or addiction specialists.

This article was taken from American Academy of Pediatrics

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Parents’ Perspectives on Health Care for Adolescents

Published by the National Alliance to Advance Adolescent Health, this resource presents findings on adolescent health care in low-income families. The guide addresses topics such as: adolescent health problems, experiences obtaining care for adolescents, parental responsibilities for ensuring care, boundaries of parental involvement, and parents’ desire for support. Content in the resource also includes suggestions for the “ideal health care experience,” and a comparison of parent and adolescent perspectives on health.

This article was taken from The National Alliance to Advance Adolescent Health

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Changes in Ambulatory Health Care Use During the Transition to Young Adulthood

This study identifies changes in ambulatory health care use during the transition from adolescence to young adulthood.

This article was taken from Journal of Adolescent Health, Volume 46, Issue 5 , Pages 407-413, May 2010

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Teen Vaccination Coverage 2010 National Immunization Survey (NIS)

CDC’s 2010 national teen vaccination data shows that far too few U.S. girls are getting the human papillomavirus (HPV) vaccine, a life-saving vaccine that can protect them against cervical cancer.

This article was taken from CDC

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Protecting Confidential Health Services for Adolescents & Young Adults: Strategies & Considerations for Health Plans

This issue brief from the National Institute for Health Care Management reviews the legal protections in place to ensure confidential care delivery for adolescents and young adults, the effect of privacy and confidentiality concerns on the use of health services, and health insurance system barriers and other challenges to delivering confidential care to this population.

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San Francisco Health Plan (SFHP) Young Adult Phase-Out Project Outcomes Report

This AHWG report includes important findings regarding health insurance coverage for transitional age youth (TAY).

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