KevinMD November 2, 2023
I was having a conversation with a colleague about a state-funded Medicaid managed care organization (MCO). She told me that the mental health performance measures used by the state to evaluate the MCO were all “placement and provider issues,” such as the amount of time children spent sleeping on the floors of social services offices or languishing in emergency departments (ED) before they were transferred for treatment or placed into foster homes.
The performance measures used by state officials also included the number of adults waiting in hospital psych units to be transferred to state hospitals and the number of children and adults waiting at home to receive outpatient services or enhancements to current services.
“This is not how MCOs...
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