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14
HEALTH CARE
DIRECTORY 2014–15
CHI St. Luke’s Health–The Vintage Hospital offers a full
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15
HEALTH CARE DIRECTORY 2014–15
NEWS
County clinics see benefits from
restored mental health dollars
Officials to push for more funds, improved services in 2015
By Liza Winkler and Marie Leonard
Efforts to expand mental health services in Harris County have been ongoing since the close of the 2013 legislative
session when $332 million was restored
to mental health services in Texas.
With additional funds, mental health
facilities in Harris County have carried
out significant service expansions and are
continuing to improve treatment options
to meet an ever-increasing demand for
care.
“The biggest line item was the $48 million that went to eliminating the waiting
lists,” said Bill Kelly, director of policy
and government relations for Mental
Health America of Greater Houston.
“Credit goes to the Legislature for funding it and the Mental Health and Mental
Retardation Authority of Harris County
for taking on those patients. That’s a good
first step, but we have a long way to go for
real progress on mental health services.”
Expanding services
Across the state, an estimated 894,000
residents have a severe mental illness,
such as schizophrenia, major depression or bipolar disorder, said Steven
Schnee, executive director of MHMRA.
Of that amount, 163,724 adults in Harris
County—one of the state’s fastest growing areas—are believed to have a severe
mental illness, he said.
“We have less than 10 percent treating
capacity on an ongoing basis of what the
need is,” Schnee said. “Every day, every
week and every month, there are young
people between ages 16 and 24 who are
beginning to manifest symptoms that
could be indicative of a major mental illness. It is not a static population.”
Through the restoration of millions of
dollars in funding, MHMRA was able to
hire new employees and plans to continue
increasing staff levels in 2015, Schnee said.
The facility has also increased its monthly
patient base by 1,600 to reach 9,800 individuals in the past year and anticipates the
capacity to treat 11,000 adults in the near
future, he said.
Prior to 2013, MHMRA maintained
an external waiting list of an estimated
1,800 people who were screened and
determined eligible for treatment by the
Department of State and Health Services. Schnee said the facility was able to
expand its outpatient services to eliminate the external waiting list entirely and
address the need for five new treatment teams to serve 2,500 patients with
psychiatrists, nurses, caseworkers and
rehabilitation staff.
“We’re in the process of building
out the capacity for five new treatment
teams,” Schnee said. “Three of those
teams are fully staffed and in place, and
the other two are nearing completion of
their staffing pattern. We’re very pleased
we’ve been able to accomplish that in a
fairly short period of time.”
MHMRA has also been able to
increase its treatment capacity for individuals who qualify for a more intensive
service package.
“Prior to these [financial] resources
coming online in fiscal year 2014, we
had approximately 880 adults who
qualified for a more intensive service
package than we had the capacity of
achieve,” Schnee said. “With these
additional resources, we’ve been able to
offer and expand services to people who
qualify based on clinical assessments.”
Schnee said the new resources have
enabled MHMRA to better match individuals and the severity of their conditions with clinical services and support.
Jail diversion program
Following the 2013 legislative session, Senate Bill 1185 was signed into
law creating the Harris County Mental
Health Jail Diversion program to address
a population of mentally ill inmates who
keep cycling through the jail system.
Prior to the legislation, the Harris
County Office of Criminal Justice Coordination began studying subpopulations
inside the Harris County jail and noticed
MENTAL HEALTH
BY THE NUMBERS
HARRIS COUNTY
163,724 ADULTS
HAVE SEVERE MENTAL ILLNESS
PER MONTH ON AVERAGE IN 2013
9,800 PATIENTS
ANTICIPATING CAPACITY TO SERVE
11,000 ADULTS PER MONTH IN 2015
5 NEW TREATMENT TEAMS TO SERVE
894,000 TEXANS HAVE SEVERE MENTAL ILLNESS
AN ADDITIONAL 2,500 PATIENTS
Source: MHMRA
“That’s important because part of the
success of this will be bringing individuals in who have a level of motivation to
make changes in their life. The program
is structured around providing people
resources and information to make active
changes to keep them from cycling back
through the jail.”
If the program is successful in Harris County, it could be duplicated across
the state, Hicks said, since the issue of
mentally ill inmates cycling through the
jail is not unique to Harris County.
“This program is the perfect example
of people reading from the same book
and coming together to make the system
better,” Kelly said. “It didn’t matter the
[political] party, the bottom line was that
we need to get people help.”
Private clinic funding challenges
As a privately funded clinic, Lone
Star Behavioral Health in Cy-Fair and
Tomball does not receive any state funding and has encountered its own set of
“Every day, every week and every month, there
are young people between ages 16 and 24 who
are beginning to manifest symptoms that could
be indicative of a major mental illness. It is not
a static population.”
—Steven Schnee, Executive Director of MHMRA
a high frequency of individuals with a
mental illness were cycling in and out of
the jail, Program Director Regenia Hicks
said.
During the first year, the program is
responsible for serving a minimum of
200 people and will probably be up to
500 people by the 2015–16 fiscal year.
Participants will enter into one of three
community components after they are
released from jail, including the clinicbased team, critical time intervention
team or permanent supportive housing
team.
“People have to want to participate,
and no one can be sentenced or mandated into the program,” Hicks said.
MENTAL HEALTH AND MENTAL RETARDATION
AUTHORITY OF HARRIS COUNTY (MHMRA)
challenges regarding funding.
Catering to adults with mental illness
or substance use disorders, Lone Star
Behavioral Health opened a 24-bed
inpatient hospital in Cy-Fair in 2011 and
has operated a 167-acre outpatient facility
for several years in Tomball. The facility
accepts out-of-pocket payment or insurance coverage for services.
The outpatient facility hosts two
programs for patients—partial hospitalization involves four group sessions per
day and intensive outpatient therapy consists of two sessions per day. The facility
serves patients in the Greater Houston
area as far north as Huntsville.
Erin Rollins, administrator at Lone
Star Behavioral Health, said each patient
is housed at the inpatient hospital for an
average of seven days before discharge.
The facility has encountered issues with
insurance companies, such as Blue Cross
and Blue Shield, not covering the full cost
of care for some patients, Rollins said.
With the implementation of the
Affordable Care Act, Texas opted out
of the Medicaid expansion that was
proposed to expand coverage for millions
of uninsured residents. For patients who
use Medicare and Medicaid at the facility, reimbursement rates are much lower
than other insurance policies, meaning
the clinic receives less funding, she said.
“Our facility is one of the only [private]
facilities that has been able to be open for
the past two years with the [President]
Obama cuts,” Rollins said. “[Medicare
and Medicaid] reimbursement rates were
cut by 33 percent each year for the past
two years. It’s really sad.”
Legislative outlook
Looking ahead to the upcoming 84th
Legislature, Schnee said he is hopeful state
representatives will continue to restore
funding to mental health facilities. There
is a growing need for more resources and
housing options to support individuals
who have severe mental illness, he said.
“While we took an important step last
session, we don’t have sufficient resources
to treat even the most severely impaired,
let alone broader range of conditions,”
Schnee said. “Hopefully the Legislature
will see the wisdom of taking step two
and building up the capacity of our outpatient system. It’s difficult for individuals with any serious chronic medical condition to achieve stability and maintain
it over time, but [especially so for] people
who have a severe mental illness.”
Ultimately, increasing mental health
funding is not a one-session solution.
“We look forward to that continued
investment to catch Texas up and build up
our infrastructure,” he said.
For more information visit impactnews.com
16
Affordable Care Act
Continued from | 1
THE AFFORDABLE CARE ACT OPEN
ENROLLMENT
The next open enrollment period begins on Nov. 15 for coverage that begins on Jan. 1, 2015. To enroll or for more information, visit www.healthcare.gov.
Benefit Services, which has offices in The
Woodlands, said employers that do not
offer coverage are forced to pay a $2,000
penalty for every full-time employee who
is not offered coverage. Employers that
offer coverage that does not meet the
ACA’s minimum requirements are subject
to a $3,000 fine for every employee who
receives a premium tax credit through the
Health Insurance Marketplace, he said.
Malahowski, who represents about
5,500 employers across several states
including Texas, said employers in the
Greater Houston area are concerned about
the effects the mandate could have on
their businesses.
“I would say that [the] compliance issue,
more than any other, is at the forefront of
our clients’ minds,” he said.
Although Malahowski said many of
his clients already offer health insurance
to their employees, there is some concern
about the costs of insuring those part-time
employees who work 30-plus hours per
week and are now designated as full-time
employees by the ACA.
“It may be the case that a lot of our
clients offer insurance to somebody, but
the question is do they offer insurance to
all employees considered full time by the
Affordable Care Act,” he said.
Malahowski said offering coverage to
an employee is likely going to be more
expensive than the $2,000 fine to not
offer coverage at all. It is possible to offer
coverage plans that would cost less than
$2,000, but the plans might not meet all
the requirements of the ACA.
Some employers are faced with making
tough business decisions on whether to
cut employees, hours or insurance coverage, he said.
“If an employer is exposed to tax penalties that they never had before or they have
to offer coverage they have never had to
before, that affects the employer’s bottom
line, and whenever the employer’s bottom
line is affected, they will have to make
business decisions,” Malahowski said.
“We’ve seen some employers who have
attempted to restructure their workforces
The next open enrollment period begins Nov. 15 for coverage that starts Jan. 1, 2015.
To enroll or for more information, visit www.healthcare.gov.
THE AFFORDABLE CARE ACT MANDATE
EMPLOYER SHARED RESPONSIBILITY MANDATE
STARTING IN 2015
employers of 100 or more
full-time employees
will be required to insure
70 percent
of full-time workers
STARTING IN 2016
employers of 50 or more
full-time employees
will be required to insure
95 percent
RESPONSIBILITIES
INDIVIDUAL SHARED RESPONSIBILITY MANDATE
The ACA requires individuals and their families to be enrolled in a
qualifying health insurance program starting in 2014 or pay a fee on
their 2015 federal income tax returns. The payment is capped at the
cost of the national average premium for the bronze level
health plan.
of full-time workers
INDIVIDUAL PENALTY
An employer who owns the majority share of multiple businesses
must add all of his employees together to determine how many
employees count toward the mandate.
Individuals who chose not to enroll in health insurance in 2014 were
required to pay a tax penalty this year. The penalty is scheduled to
increase significantly in 2015 and again in 2016.
EMPLOYER PENALTY
If an employer does not offer the minimum level of health coverage
to full-time employeesand their dependents and at least one of their
employees receives a premium tax credit for purchasing individual
coverage from the Health Insurance Marketplace, the employer will be
required to pay a tax penalty of $2,000 per full-time, uninsured
employee after the first 30 employees.
IN 2014
IN 2015
IN 2016
The higher of either
1 percent of
their yearly household
income; or $95
per person for the
year with $47.50
per child under 18
The higher of either
2 percent of
their yearly household
income; or $325
per person for the
year, with $162.50
per child under 18
Either
2.5
percent
of household
income, or
$695 per
person
Sources: Centers for Medicare & Medicaid Services, Treasury Department
to attempt to meet the rules. But it is more
of a hypothetical at this point.”
Sandy Krug, owner of Classic Hair
salon locations in Cypress, Tomball, The
Woodlands and Spring, closed her fifth
location in Lakewood in 2014. Although
she said the location was struggling, Krug
said she was also cognizant of the upcoming employer mandate and the effect it
could have on her business in 2016.
Krug said her salons now employ about
48 employees and although many of them
are not full time, she plans to add seven
more stylists later this year when her
Cypress location expands. Krug said she
is concerned about having to police her
employees’ hours and how the mandate
could affect the growth of her salons.
She said it could cost more than
$200,000 annually to provide the minimum requirements of health insurance for
her full-time employees.
“[Small businesses], they don’t make
enough, and they can’t afford it,” Krug
said. “Ultimately the employees or the customers are going to pay for that, and when
neither one has the money to do that, you
just can’t do it.”
Health care providers
After one year under the new rules of
the ACA, health care providers in the
Greater Houston area are seeing change in
the health care industry.
“With the Affordable Care Act, it really
was that three-pronged approach to cover
the uninsured, bend the cost curve and
redesign the way we deliver care,” said
Rosie McStay, director of government relations and community benefits for Texas
Children’s Hospital, which has a hospital in
Katy and one planned for The Woodlands.
McStay said the legislation’s removal
of lifetime caps for insurance coverage
helps families that may need to pay for
extended periods of critical care. She said
the removal of pre-existing medical condition clauses has also improved health care
coverage for Texas residents.
“[Previously] if a baby has surgery and
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Employer mandate effects
INSURING THE UNINSURED
More than 8 million Americans signed up for health
insurance through the Health Insurance Marketplace in
the first enrollment period from October 2013 through
April 2014. However, millions are still uninsured
throughout the country and the state, and Houston has
one of the highest uninsured populations of any city in the
country.
Klein ISD
TOTAL POPULATION WITH MARKETPLACE INSURANCE
8,019,763
66% Age 35+
TEXAS
733,757
28%
HOUSTON
197,650
6%
UNITED STATES
School districts are among the
largest employers in the Greater
Houston area. Rick Stockton,
director of benefits and risk
management for Klein ISD, said
KISD has seen minimal effects from
the Affordable Care Act and the
employer mandate in 2015.
Ages 18-34
Ages 0-17
UNINSURED RESIDENTS
UNITED STATES
HARRIS COUNTY
41 MILLION
UNINSURED
=
1.1 MILLION
UNINSURED
15 PERCENT
UNINSURED
=
KISD has received coverage
through the TRS Active Care
Program since 2012. The district
offers three different plans to its
6,500 full-time employees: low,
medium and high deductible plans.
The only significant change in the
last year to the district’s offered
coverage was a $100 increase
in the mid-deductible plan from
$2,400 to $2,500.
27 PERCENT
UNINSURED
Sources: U.S. Department of Health and Human Services, Houston Department of Health and Human Services, Kaiser Family Foundation
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Visit ryland.com for more information.
How has the Affordable Care Act affected you in the last year?
5. Laurel Park
Ch
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d.
2920
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subsidies for uninsured residents to get
coverage through the Health Insurance
Marketplace.
“We’re also looking at foundation assistance to try and see if we can work with
patients and local foundations to provide
additional local subsidies in addition
to the federal credit to help individuals
sign up for coverage with less premium
cost [and] less cost out of their pocket,”
Norby said. “We’ll be testing that out this
enrollment period just to see what the
reaction is.”
2. Preserve
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5. Laurel Park - Winter 2014-2015
“Substitute teachers, for most
school districts, have always been
a totally separate category and
not benefit eligible; because of
this law, we have to consider all
‘variable houred’ employees in the
mix,” Stockton said. “If those subs
end up qualifying, then we do offer
them the health insurance.”
Gosling Rd.
l Rd.
Perhaps the most significant
challenge presented to the district
from the legislation is whether
or not to provide coverage to
substitute teachers that work more
than 30 hours per week.
lR
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4. Vistas at Klein Lake - Spring 2015
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- Homes from the low $400’s
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- Homes from the $300’s
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2. Preserve at Northampton - Homes from the $210’s
3. Retreat at Augusta Pines
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3. Retreat at Augusta Pines
Zion Rd.
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Hufsmith Ku
5 New Communities
in Spring/Klein!
Serving Houston-area residents
The number of uninsured residents in
Harris County tops 1.1 million people, said
Porfirio Villarreal, public information officer for the Houston Department of Health
and Human Services. However, Villarreal
said the number should continue to fall as
people become more accustomed to the
process of enrolling in health insurance
every year.
“Most people will qualify for some subsidies to help them enroll,” he said. “Because
they are low-income, they will get assistance in paying for those premiums.”
The ACA could be beneficial to lowincome residents in Harris County, Norby
said. However, HHS patients have no
incentive to apply for coverage through
the Health Insurance Marketplace since
individuals making less than 200 percent
of the federal poverty level receive free
services through the hospital district with
an optional copayment, he said.
“If I’m an individual that can pay $20,
$30 or $50 a month for insurance coverage, or I can get it free with a $10 copay
anytime I need service, what [am I] going
to choose?” Norby said.
Norby said an increase in the individual
mandate fine—which is set to more than
triple in 2015—could encourage more of
HHS’ patients to seek coverage through the
marketplace.
The district also plans to implement a
pilot program this year to seek out local
ud
insurance for low-income people,” Norby
said. “As a result, we’re going to take a hit
as disproportionate share funding shrinks
even though our level of uncompensated
care is going to continue to go up.”
Had the state of Texas agreed to expand
Medicaid, Norby said the hospital district
would have received about $75 million–$80 million annually in federal funding through the ACA.
Steve Sanders, former CEO of Memorial
Hermann The Woodlands Hospital, said
the biggest challenge to health care following the implementation of the ACA is
how many consumers actually buy health
insurance as the cost of copayments and
deductibles rise.
“Just because [consumers] may get an
insurance policy that has a $150 a month
premium, as an example, they may be able
to afford that, but if they have to go to the
hospital and be admitted and have surgery
and they [have] a $5,000 deductible, how
are they going to pay for that?” Sanders
said. “That is usually what people don’t
think about. And that is what is really
shocking people is that the copays and
deductibles in a lot of these policies are
extremely high, and it is still a big financial burden on the people who really can’t
afford insurance in the first place.”
As consumers struggle to pay for rising
health care costs, Sanders said it places a
strain on health care providers who are
trying to collect that money.
Bo
a congenital heart defect is fixed, it would
still be considered a pre-existing condition
even in their teenage years and going into
adulthood,” McStay said. “Now, that is
no longer the case. Now [patients] can get
health coverage that they would not have
been able to [get] because it was so cost
prohibitive to do it in the past.”
The Harris Health System, Harris
County’s hospital district, has seen few
changes related to the ACA in the last
year because the majority of the patients
served are uninsured, said Mike Norby,
Harris Health System chief financial
officer. Although the number of patients
the district serves increased to 320,000
this year, Norby said, the district has seen
only a slight decrease in the percentage of
uninsured patients.
“Last year, it was about 64.3 percent,” he
said. “This year, I think we’ve dropped to
a little bit under 64 percent, but as we drill
in and look at our payer mix, very little of
that change has occurred as a result of the
Health Insurance Marketplace.”
Norby said HHS will feel the effects of
the legislation in the foreseeable future
because of the state’s decision to not
expand Medicaid coverage. In the next six
years, he said the federal government will
reduce about one-third of the costs from
the Medicaid Disproportionate Share
Hospital program.
“We happen to be in the state of Texas
where we don’t believe in providing
4. Vistas at Klein Lake
1960
18
HEALTH CARE DIRECTORY
Magnolia Heights opened in the summer
2013 and addresses both assisted living
and memory care needs. Bridges said
offering both services allows residents
in the assisted living community who
develop a need for memory care assistance
to stay within the same facility.
Spring Creek Village encourages
assisted living and memory care residents
to interact with one another through staffassisted activities, Bridges said. She said
memory care at Spring Creek Village is
split into two neighborhoods with higher
functioning residents in one neighborhood and residents who require more
personal care in another.
“We wanted to provide that program
for them so when it does come time
for [patients] to need more one-on-one
specialized dementia care, then they can
choose to move in,” Bridges said.
Senior living, memory care facilities
emerging in the Spring/Klein area
Continuing need
Stepanenko said she believes the need
for senior care facilities will continue to
grow nationwide as the senior population
rises, while Wolfe said she sees an increasing need for memory care facilities.
“The amount of people being diagnosed
[with Alzheimer’s] on an annual basis is
growing by tremendous numbers,” Wolfe
said.
Bridges and Stepanenko said there continues to be a need for senior facilities in
Spring/Klein, but Wolfe said she worries
about the market becoming oversaturated
with the businesses.
A growing senior population and development through Spring/Klein has led to
many new senior facilities in recent years.
1
Wood Glen Court • 72 units
5000 Cypresswood Drive
Spring • 281-573-0370
www.woodglencourt.com
2
Spring Creek Village • 108 units
20305 Holzwarth Road
Spring • 281-257-2299
www.springcreekvillage.com
3
The Solona–Vintage Park • 88 units
19929 Chasewood Park Drive
Houston • 866-675-1594
http://bit.ly/1oRMCxV
4
Autumn Leaves • 39 units
Spring • 281-374-1750
www.autumnleaves.com
5
U.S. Memory Care • 40 units
10120 Louetta Road
Houston • 888-977-4718
www.usmemorycare.com
6
Village at Gleannloch Farms • 200 units
9505 Northpointe Blvd.
Spring • 877-384-1797
www.gleannlochseniorliving.com
7
Atria Senior Living • 57 units
Spring • 281-205-4268
www.atriaseniorliving.com
8
Paradise Springs • 116 units
Spring • 281-823-7170
www.holidaytouch.com
9 Heights of North Houston • 131 units
303 Hollow Tree Lane
Houston • 832-705-8700
www.touchstone-communities.com
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Boudreaux Rd.
ing throughout the county and in the
Spring/Klein area, more senior living and
memory care facilities have arrived in
recent years to service the community.
According to the U.S. Census Bureau,
the population of residents age 62 or older
in the eight zip codes in Spring/Klein
more than doubled from about 16,200 in
2000 to 34,200 in 2010. That population
made up nearly 11.8 percent of the total
population of those zip codes in 2010 compared with only 7.9 percent in 2000.
Proximity to hospitals, prominent
business developments and major thoroughfares have also helped draw senior
facilities in recent years, including Wood
Glen Court, Spring Creek Village and U.S.
Memory Care, to the region, according to
the senior care communities.
Teresa Wolfe, director of sales and
marketing for U.S. Memory Care, said the
demographics and the popularity of The
Vintage area drew the company to the new
Louetta Road location, which opened in
June. Melody Stepanenko, executive director of Wood Glen Court, said the area’s
proximity to The Woodlands and the new
ExxonMobil campus in Spring was a draw
for the new senior care facility.
“Based on the population and the
geographical area with the population for
seniors, there is definitely a need [in the
area],” said Michelle Bridges, marketing
director for Spring Creek Village.
Bridges said interest in Spring Creek
Village has nearly tripled in the last few
months. Interest has also increased at
Wood Glen Court and U.S. Memory Care
respectively, Stepanenko and Wolfe said.
“Definitely we’ve had a lot of interest,
especially in the last month [since opening],” Stepanenko said. “But even back in
February, I was talking to people on the
phone and the only thing that was up was
the [building’s] foundation.”
Addressing different needs
Although all three facilities opened in
relatively quick succession starting summer 2013, each caters to different aspects
of senior care.
Stepanenko said Wood Glen Court’s
first residents moved in Sept. 30. The
senior living facility provides only assisted
living units, she said, and Wood Glen
Court is the only purely assisted living
community within about a 5-mile radius.
“Each community has its strengths and
weaknesses, but I think what we’re able
to provide—medication management as
part of the base rate—that’s a huge thing
because usually that’s quite an expensive
cost outside of already paying for your
apartment,” Stepanenko said.
Open since June, U.S. Memory Care
offers specialized support for individuals who suffer from diseases that cause
memory loss, such as Alzheimer’s disease,
Wolfe said. The memory care complex
has 40 units open but plans to expand to
75 units. In mid-October, the facility was
about one-third full, but she said more
residents would be moving in soon.
The facility is separated into three
neighborhoods with patients placed in
each neighborhood based on their cognitive level. The U.S. Memory Care staff
communicates with the residents’ family
members to predict where the resident
should live, but the staff ultimately relies
on the nurses to determine where a resident fits, Wolfe said.
U.S. Memory Care features a centralized town square called “Main Street,”
with a movie theater, hair salon, dining
room, shop and an antique soda fountain.
“People with Alzheimer’s, sometimes
in the afternoons … they need a change
of environment,” Wolfe said. “Instead of
giving them medication, we try to just
redirect and change their environment,
and we have that built in.”
Now known as Spring Creek Village,
By Abigail Allen
With the baby boom generation ag-
Growing need for senior care
Sources: senior care communities
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19
NEWS BRIEFS
The grant funding will also allow HDHHS to hire
about a dozen workers to augment the number of employees trained to help people enroll in health care coverage
and use its 11 multiservice centers, four health centers,
and 14 Women, Infant and Children sites as education
and enrollment centers.
Porfirio Villarreal, HDHHS public information officer,
said 197,650 Houstonians signed up for coverage through
the Health Insurance Marketplace in the first enrollment
period from October 2013 through April 2014.
However, Villareal said Texas is still the state with the
most uninsured residents. Harris County has more than
1.1 million uninsured—mostly low-income families.
“We expect to see those people who enrolled for the
first time in 2014, they will develop a habit of re-enrolling
in the health insurance,” Villarreal said. “A lot of people
did not have access, so this provided them an introduction to receiving care, [and] you would expect them to
continue receiving benefits.”
HDHHS receives $1.8 million to boost health insurance enrollment numbers among uninsured
Courtesy Memorial Hermann
By Matt Stephens
Memorial Hermann’s fifth Convenient Care Center is scheduled to
open in 2016 at the Grand Parkway and Boudreaux Road.
Memorial Hermann plans to open the system’s
fifth Convenient Care Center in Spring in 2016
By Matt Stephens
The Memorial Hermann Health System has
announced plans to build a Convenient Care Center
in Spring at Boudreaux Road and the Grand Parkway.
“The landscape of health care is changing and
so are patient expectations,” said Dan Wolterman,
Memorial Hermann president and CEO. “To succeed
in today’s marketplace, we must provide safe highquality care that is easily accessible and convenient.
Our goal is to exceed our patients’ expectations with
this new model of care.”
Scheduled to open in the summer of 2016—months
after Segments F-1, F-2 and G of the Grand Parkway
are scheduled for completion—the facility will be the
fifth Convenient Care Center in the Greater Houston
area. The center will be modeled after sister facilities
in Summer Creek, Pearland, South Katy and Cypress.
The 30,000-square-foot building will offer up to
six primary care physicians, an imaging department,
24-hour emergency room and sports medicine care
as well as rehabilitation care, according to Memorial
Hermann officials. Patients at the care center who
require a higher level of care would be transferred
to Memorial Hermann The Woodlands, Memorial
Hermann-Texas Medical Center or Children’s Memorial Hermann Hospital.
“From primary care physician appointments to
imaging services and even trauma care, this new
state-of-the-art facility will address a number of
health care needs for families in the area,” said Josh
Urban, CEO of Memorial Hermann The Woodlands
Hospital and lead on the project.
The total project cost is estimated to be $20.36 million, according to Memorial Hermann.
With open enrollment for the Health Insurance Marketplace set to begin Nov. 15, the Houston Department
of Health and Human Services has received $1.8 million
in federal grant money from the U.S. Department of
Health and Human Services to help uninsured residents in the Greater Houston area sign up for coverage
through the Affordable Care Act.
HDHHS plans to use the federal grant funds to organize about 500 outreach events, produce and distribute
promotional materials and set up a call center, according
to HDHHS. The department will also visit community
sites, including grocery stores, day care centers, businesses and places of worship in neighborhoods with
higher rates of uninsured residents.
Texas Medicaid enrollment increases despite
state opting out of expansion
that to various impacts of the Affordable Care Act even
though Texas did not expand Medicaid,” HHSC spokeswoman Linda Edwards Gockel said. “In fact we anticipated an increase in caseloads, so we have that already
figured into our budget.”
Provisions in the ACA led states, including Texas, to
raise the Medicaid eligibility limit for children age 6
through 20 from 100 percent of the FPL to 138 percent, meaning that some children who were previously
covered by the Children’s Health Insurance Program—
which covers children above Medicaid eligibility but at
or under 200 percent FPL—moved to Medicaid, Gockel
said.
In Texas, about 40,190 children are forecasted to
shift from CHIP to Medicaid in 2014, with an additional 820,944 children between the 2015 through 2017
fiscal years, according to the THHSC.
Since August 2012, CHIP caseload numbers have
dropped by 177,497, as of August, according to the
HHSC.
By Jesse Mendoza
Although Texas declined to expand Medicaid as
a part of the Affordable Care Act, enrollment in the
program continues to grow.
With additional enrollment forecasted in future
years in Texas, health care providers and government officials are realigning Medicaid eligibility
standards because of the ACA to meet the demand of
population demographics and to ensure payment for
hospital services.
As of August, more than 329,000 Texans have
enrolled in Medicaid since Gov. Rick Perry declined
to expand Medicaid as a part of the ACA in July 2012,
according to the Texas Health and Human Services
Commission’s preliminary statistics.
“We have seen increases in the number of people
receiving Medicaid in Texas and do attribute a lot of
TEXAS MEDICAID
EXPENDITURES
FROM 1990-2015
0
1990
1995
2000
5 BILLION
10 BILLION
15 BILLION
20 BILLION
25 BILLION
30 BILLION
35 BILLION
$3.26 BILLION
$9.10 BILLION
$11.29 BILLION
$17.95 BILLION
2005
2010
$27.65 BILLION
projected
2015
$39.58 BILLION
Source: Texas Health and Human Services Commission
Luxury Leasing at Affordable Rates.
Just minutes from The Woodlands.
Future site of
French Quarter
Now Leasing
Medical and Professional Offices
45
yk
Ku
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d
lR
2920
249
ebn
er A
1960
Rd
PROPERTIES
irline
7105- 7 1 1 5 FM 2920
Spring, Tx 77379
Joel C. English
Office: 713.473.7200
Cell: 281.808.1166
[email protected]
S tu
OFFICE SUITES
from
900-10,000 sq.ft.
40 BILLION
20
Helping
you feel
better
and live
better.
CHI St. Luke’s Health–The Vintage Hospital offers a full
array of the medical and surgical services you and your
family need to get healthy and stay healthy, and we’re
right in your neighborhood.
Our compassionate, healing environment also offers
private rooms for all patients and a serene
landscape with lakeside walking trails.
To learn more about our services and to experience
a virtual tour of our facilities, visit stlukesvintage.com.
Our Services:
• Emergency Care
• Women’s Services/Neonatology
• Cardiology and Vascular Surgery
• General Surgery
• Gastroenterology
• Orthopedics
• Spine
• Rheumatology
• Diagnostic Imaging
The Vintage Hospital
Houston, TX 77070
832-534-5000
stlukesvintage.com
Pinecroft Dr.
St. Lukes
Way
Jones Rd.
1960
li D
d.
r.
wy.
G
N. Eldridge Pk
290
Fallbrook Dr.
L
r.
A
E
Jones Rd.
tR
Ca
an
249
B
kD
17200 St. Luke’s Way
The Woodlands • 936-266-2000
www.stlukeswoodlands.com
H
Gr
C
Oa
J St. Luke’s The Woodlands Hospital
ge
Vinta Pkwy.
er ve
P res
low
Hol e Ln.
e
r
T
R ed
17400 St. Luke’s Way
www.stlukeslakeside.com
30 beds; specializes in cardiology, sports
medicine and orthopedic and spine care
Spring
Cypress Rd.
r.
I St. Luke’s Lakeside Hospital
F
D
al
or i
em
20171 Chasewood Park Drive
Houston • 832-534-5000
www.stlukesvintage.com
106 beds; accredited diagnostic and imaging
department by American College of Radiology
45
Tomball
Louetta Rd.
249
249
45
sM
an
ter
Ve
H St. Luke’s Hospital at The Vintage
249
249
D
d.
Hospital
9250 Pinecroft Drive
www.memorialhermann.org/locations/
the-woodlands
294 beds; Accredited Chest Pain Center by
Society of Cardiovascular Patient Care; recognized by the American College of Radiology as Breast Imaging Center of Excellence;
primary stroke center; accredited Level III
Advanced Trauma Facility by TDSHS
21214 Hwy. 290
Cypress • 832-912-3773
www.ncmc-hospital.com
175 beds; received 2014 Women’s Choice
Award for Heart Care and Orthopedics
2920
lR
dah
ken
D Memorial Hermann The Woodlands G North Cypress Medical Center
Research
Forest Dr.
K uy
Houston • 832-249-2700
www.kindredspring.com
115 beds; offers 16-bed intensive care unit
20635 Kuykendahl Road
Spring • 281-363-7170
www.springcentral.net
12 beds; surgical hospital specializes in spine,
orthopedic care, colonoscopies and urology
2978
2920
242
242
The
Woodlands
K
p Dr.
C Kindred Hospital
F Spring Central Hospital
1488
Steepleto
710 FM 1960 W.
Houston • 281-440-1000
www.hnmc.com
430 beds; Accredited Chest Pain Center by
Society of Chest Pain Centers; designated
Bariatric Surgery Center of Excellence by the
American Society for Metabolic and Bariatric
Surgery; designated Quality Breast Center
of Excellence by the National Consortium of
Breast Centers; designated Level III Advanced
Trauma Facility by the Texas Department of
State Health Services
Graham Dr.
45
I
Telge Rd.
B Houston Northwest Medical Center
18220 Hwy. 249
Houston • 281-737-1000
www.houstonmethodist.org
251 beds; Accredited Chest Pain Center
by Society of Cardiovascular Patient Care;
designated Bariatric Surgery Center of Excellence by American Society for Metabolic and
Bariatric Surgery; accredited Breast Care
Center by the American College of Radiology
in Stereotactic Breast Biopsy
J
Rd.
Telge
10655 Steepletop Drive
Houston • 281-890-4285
www.cyfairhospital.com
180 beds; recognized by HealthGrades for
excellence in critical care, pulmonary care,
heart failure and stroke treatment, maternity
care and bariatric surgery
E Methodist Willowbrook Hospital
Chasewood
Park Dr.
Hospital
2920
Holderrieth Blvd.
AREA HOSPITALS
A Cypress Fairbanks Medical Center
21
242
1960
Antoine Dr.
HOUSTON
SAM
Fallbrook Dr.
184 beds; awarded Comprehensive Stroke
Center by DNV Healthcare; accredited Chest
Pain Center by Society of Cardiovascular PaCare; accredited Breast Imaging Center of
Wetient
s t R d.
Excellence
by American College of Radiology
K Tomball Regional Medical Center
605 Holderrieth Blvd.
Tomball • 281-401-7500
www.tomballregionalmedicalcenter.com
358 beds; accredited by The Joint Commission;
Map not to scale
designated as advanced primary stroke center
L TOPS Surgical Specialty Hospital
17080 Red Oak Drive
Houston • 281-539-2900
www.tops-hospital.com
15 beds in in-patient post surgical unit; accredited by the Joint Commission; specializes in orthopedics, plastic surgeries, pain
management procedures, spine, podiatry and
some gynecology
WHY ARE THEY CALLED
WISDOM TEETH?
17350 St. Luke’s Way, Suite 370 l The Woodlands, TX 77384
17115 Red Oak Dr., Suite 211 l Houston, TX 77090
WWW.EVERGREENNEUROSURGERY.COM
281-719-9681
Evergreen Neurosurgery Center serves north Houston and southern
Montgomery county, including The Woodlands, Spring and Conroe
Advanced, high-quality care
for spinal and neurosurgical conditions
MOST INSURANCE PLANS ARE ACCEPTED
Dr. Cyril Sebastian, M.D.
ABNS Board Certified in Neurosurgery
texasoralsurgery.com
Spring | The Woodlands | Magnolia | Conroe | Huntsville
• Numerous years of experience in neurosurgery, including brain
and spine problems
• Served on active duty in the Navy
• Fellowship-trained in complex spine surgery and treats simple
and complex spine problems, including herniated discs,
disc degeneration and spondylosis.
• A conservative, non-surgical approach is appropriate for most
spinal problems.
22
Find and search these listings on impactnews.com/healthcare.
AREA PHYSICIANS
Pediatrics
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48
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20 Houston Perinatal Associates–
Willowbrook
vd
.
41
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19
13 14
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35
t ati
on
Dr.
ak
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Dr.
Dr.
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Karolina Adam
Joanie Hare
Brian Kirshon
Alexander Reiter
sS
1960
45
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Na
tte
17 61
6
11
28 46
21 Houston Women’s Care–
Willowbrook
7915 FM 1960 W.
Houston‚ 281-890-1182
www.hwca.net
Obstetrics and Gynecology
Catherine A. Holste
34 59
45
res
k
nd Dr.
Internal Medicine
Rd.
S p e a r s 22
li D
P ea
Dr.
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49
Cu
Jones Rd.
26 32 33
20 21
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39
Ca
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47
10
7915 FM 1960 W., Ste. 210
Houston • 281-890-1182
www.houstonperinatal.com
n.
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W. Field Pl. Dr.
l ow
H ol
er
Dotson Rd.
Map not to scale
60
alt
d.
249
24
W
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12
Mill s R d
Ananad Balasubramanian
Bl
51
57
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40
Internal Medicine
1
1960
la
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Dr
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Houston • 281-893-8100
www.hnwprimarycare.com
.
f ield Rd.
l vd
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ra
30
Hargrave Rd.
G
5
45
19 Houston Northwest
Primary Care
45
50
st
We
ste
Schroeder Rd.
Jeanne Smith
Je
tta
27
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Rd
3
C
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16
8714 Spring Cypress Road, Ste.
200, Spring • 281-251-6394
ine
d.
Ald
eR
18 Houston Methodist OB/GYN
Associates
9
25
37
irlin
r.
tD
42
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29 43
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17115 Red Oak Drive, Ste. 213
Houston • 281-444-0123
Lexington Rd.
Ella Blvd.
er A
For e s
y
17 James Fontenot, family
practice
53
54
22 IKP Family Medicine
1 1960 Family Practice–1960
837 FM 1960 W., Ste. 105
Houston • 281-586-3888
www.1960fp.net
Family Practice
Corey Bui
Marlyn Generillo
Gunther Groning
Annie Hoang
Huong Le
Francisco Lopez-Godoy
Vi Nguyen
Lance Pickard
Internal Medicine
Michele Gocuay
Alex Nguyen
Kimberley Tyner
2 1960 Family Practice–Spring
5039 FM 2920
Spring • 281-586-3888
www.1960fp.net
Family Practice
Minni Malhotra
3 Advantage Women’s Care
19740 I-45
Spring • 281-537-5556
www.advantagewomenscare.com
Bih Ndofor
Jennifer Nguyen
4 Affinity Medical Associates
6056 FM 2920
Spring • 281-374-0011
www.affinitymedtx.com
Family Practice
Javaria Asif
Internal Medicine
Marilou Wui
5 Syed Arshad, internal
medicine
13323 Dotson, Ste. 210
Houston • 281-4691010
6 Jimmie Bergeron, internal
medicine
Houston • 281-444-1715
Madhavi Reddy
8 Capstone Family Practice
7
62
s Rd.
p r es
38
e Rd.
C
ring
Sp
18
Vintage Preserve
Pkwy.
55 56
15
hrvill
N. Eldridge Pkwy.
23
.
.
l v d Rd
e B o ue t t a
L
Chasewood Park D r.
249
44
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No r t hpo i n t
on
249
Rhodes Rd.
2
pi
H u fs m i t h
2920
.
ebn
36
52 58
Stu
r
ud
Bo
Ch
am
Rd
Spring Stuebner Rd.
Falvel Rd.
ea
ux
31
2978
8687 Louetta Road, Ste. 275
Spring • 281-320-1144
.
4
16 Stephen Fischer, family
practice
Rd
Rd
en
S. Cherry St.
d
l
el
Cristina Marchesano
Susan Reed
Tad Shirley
Spring
Gosling Rd.
ndahl
w
Do
Pediatrics
h crest Dr.
th K
uyke
Nort
Hu
.
t
H
E.
i
m
ufs
d
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8714 Spring Cypress Road
Spring • 281-374-8882
www.familyfirstpediatrics.com
ay
f
OB/GYN
W
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Internal Medicine
Zion Rd. 15 Family First Pediatrics
or
d
Family Practice
.
Rd
6401 Cypresswood Drive, Ste. 180
Houston • 281-866-7080
www.capstonefamilypractice.com
Family Medicine
Tina Corkran
Andrew Spafford
4915 FM 2920, Ste. 220
Spring • 281-803-5152
www.pcpforlife.com
Internal Medicine
Rajasekaran Annamalai
Munib Daudjee
Najmuddin Karimjee
12 Cypress Physicians
Association
13215 Dotson Road, Ste. 160
Houston • 281-537-0300
www.cypresspa.com
Internal Medicine and Pediatrics
9 Champions Pediatric Center
18607 Kuykendahl Road
Spring • 281-370-1122
www.championspediatric.net
Glenn Davis
Stephanie Fong
Ana Molina-Anstee
Heidi Nashed
Damitra Ramos Pate
Pediatrics
Sadiya Jamal
Lisa Lau
Shams Nandwani
10 Champions Willowbrook
Family Practice
7440 FM 1960 W.
Houston • 281-955-7777
Family Practice
7 Bridgestone Family Clinic
Betty Edwards
Ziresh Patel
11 Champions Women’s Center
Houston • 281-440-4089
www.championswomenscenter.
com
13 Doctors For Women
1125 Cypress Station Drive, Ste. C
Houston • 832-602-2030
www.doctorsforwomenpllc.com
Michael Kelly
14 Family and Senior
Medical Clinic
1125 Cypress Station Drive, Ste.
B4, Houston • 281-440-1400
Family Medicine
Bharat Latthe
Megha Tewari
411 Lantern Bend, Ste. 240
Houston • 281-587-1700
www.ikpfamilymedicine.com
Family Practice
Timothy E. Irvine
Rohit K. Kashyap
Alejandra Palmeros-Irvine
23 Kelsey-Seybold Clinic–The
Vintage
10701 Vintage Preserve Parkway
Houston • 713-442-1500
www.kelsey-seybold.com
Family Practice
Nicizaki Guzman
Shelley Li
Abdulrasul Meghji
Internal Medicine
Maher A. Abbara
Tracy Carter
Gurjit Kaur
Shawn Davis
J. Patrick Benge
Aeneid Chen
Paul Itam
Ashley Rizzutto
Dwan M. Turner
Pediatrics
Tracy Carter
Kelly Coleman
Seth Kravitz
Thuy Nguyen
23
Bernice Adu-Gyamfi
Lucy Buencamino
Frank Q. Hua
Yasodara B. Udayamurthy
OB/GYN
J. Patrick Benge
Carol A. Collins
Christina G Frome
Michelle A. Hanes
Jesus E. Samaniego
Pediatrics
Kemba P. Black
Jennifer Lai
Kelly Bruce Lobley
Stephanie L. Wong
25 Klein Cypress Medical Clinic
Internal Medicine
Bindu Sudhakaran
32 Methodist Obstetrical and
Gynecological Associates
18220 Hwy. 249, Ste. 260
Houston • 281-890-4448
Julia Romero
Latricia Thompson
33 Methodist Primary Care
Associates
18220 Hwy. 249, Ste. 390
Houston • 281-970-8899
Family Practice
Family Practice
Family Practice
Michele Goldman Brinkley
Julie Romo-Fritz
Gynecology
Internal Medicine
Munib Daudjee
28 Denise Leonard, OB/GYN
Houston • 281-587-0772
800 Peakwood, Ste. 7J
Houston • 281-440-1632
36 New Experience OB/GYN and
Med Spa
21334 Kuykendahl Road, Ste. A
Spring • 281-528-7676
www.anitafultonmd.com
Anita Fulton
5834 Louetta Road, Ste. F
Spring • 832-698-4291
Internal Medicine
Dawn Nguyen
30 Maridian Clinical Care
13323 Dotson Road, Ste. 200
Houston • 281-970-6089
16736 Champion Forest Drive
Spring • 832-559-7950
108, Spring • 281-376-2200
Family Practice
The-Ngoc Nguyen
AUTOMOTIVE
First Class Service
Muhammad Hanif
4331 Brightwood Drive, Ste. 100
Houston • 281-893-5870
www.simmd.com
Family Practice
Alex Chen
William Chen
Christopher Sim
Pediatrics
Thrity Desai
Eliza Trevino-Beene
www.LouettaAuto.com
Family Practice
Pediatrics
Rubina Ahad
Robert L. Henry, Jr.
Hung Lam
Roopa Varughese
53 Spring Family Medical Center
26434 Lexington Road
Spring • 281-353-5190
43 Pediatric and Adolescent
Clinic
60 Lora Torres, pediatrics
Family Practice
3303 Cypress Creek Parkway, Ste.
420, Houston • 281-440-4142
Amil Soliz
5834 Louetta Road, Ste. G
Spring • 281-826-0016
54 Spring Klein Family Medicine
61 Vinona Vohra, pediatrics
4002 Louetta Road
Spring • 281-528-1614
www.springmedicalassociates.com
Pediatrics
Sittie Dianalan
62 Windrose Family Medicine
Jennifer Greenblatt
William Starks
Dawn Nguyen
19059 Champion Forest Drive
Spring • 281-374-9700
20423 Kuykendahl Road, Ste. 100
Spring • 281-500-8660
www.windrosefamilymedicine.com
Rochelle E. Pondt
Internal Medicine
20207 Chasewood Park Drive, Ste.
300, Houston • 832-534-7800
www.stlukeshouston.com
Family Practice
45 Pristine OB/GYN Care
Elizabeth Lee
13523 Hargrave Road
Houston • 281-206-4496
www.pob-gyn.com
Located at the corner of
Champion Forest & Cypresswood, behind Kroger
Family Practice
55 St. Luke’s Medical Group The
Vintage
Elizabeth Fowler
Bethany Rife
Poonam Singh
Tonya Suffridge
Anu Venkatachalam
. OPEN SATURDAY
. 3 Yr / 36,000 Mile Warranty
. Import & Domestic Service
. ASE Certified Technicians
. Customer Shuttle Service
. Same Day Service (most cases)
. State Inspection Station
. Free Written Estimates
. Factory Maintenance (All Makes
& Models)
. Free Loaner Cars*
. 0% Financing Available
. Post-Repair Follow Up Call
Houston • 281-444-9671
Family Practice
44 Pediatrics and Adolescent
Center of Northwest Houston
*major repairs
8330 Cypresswood Dr. 832.559.3427
6225 FM 2920, Ste. 100
Spring • 281-257-5977
17030 Nanes Drive, Ste. 103
Houston • 281-440-4150
www.texaschildrenspediatrics.org/
nanes
Fushma Gorrela
56 Steven Stern, OB/GYN
20207 Chasewood Park Drive, Ste.
201, Houston • 281-893-3831
www.sternobgyn.com
Iyabode Ogunlade
Sabeena Rahman
Mon-Fri 7am-7pm
Saturday 7am-6pm
59 Texas Children’s Pediatrics
Nanes
52 Spring Family Clinic
Internal Medicine
Kyrel Broxton
Douglas LaCour
Jerry Moye
Matthew Muehe
Asma Siddiqi
Scott Watson
51 Sim Family Clinic
38 Northern Pines Health Center
Nguyen Phan
Louetta
Pediatrics
Internal Medicine
Pediatrics
37 Hac Nguyen, family practice
29 Louetta Family Medicine
5501 Louetta Road, Ste. D
Spring • 281-866-9187
13325 Hargrave Road
Houston • 281-890-6800
Laura Mendez
35 Joel Nachimson, family
practice
6334 FM 2920, Ste. 300
Spring • 281-370-0616
fm-2920
50 Anjana Shah, internal medicine
Sunita Moonat
FM 2920
Houston • 281-440-8828
Todd J. Youngblood
101, Spring • 281-257-2900
www.optimalhealthofhouston.com
27 Lakewood Family Practice
12015 Louetta Road, Ste. 200
Houston • 281-370-7272
49 Jose Sagbini, family practice
Family Practice
42 Optimal Health of Houston
Saurabh S. Moonat
Suresh C. Moonat
Beth O’Neill
Carolina Placencia
Michael Pope
Sherri Sandifer
Maria Patricia Stevens
Chuwey Tsai-Weinberg
850 FM 1960 W., Ste. M
Houston • 281-444-7337
4560 FM 1960 W., Ste. 101
Houston • 281-444-0000
www.nwpediatric.com
34 Moonat Medical Associates
Pediatrics
48 Muhammad Rajput, pediatrics
41 Northwest Pediatric Clinic
Tiffany Caro Burns
Anupam Sidhu
Sheila Tecson
Family Practice
18220 Hwy. 249, Ste. 370
Houston • 281-469-6667
800 Peakwood Drive, Ste. 6G
Houston • 832-286-1087
40 Northwest Internal Medicine
Specialists
16835 Deer Creek Drive, Ste. 190
Spring • 281-655-5600
26 Lakewood Family Physicians
47 Harish Rao, internal medicine
Afua Aguyarko
William H. Couch
Laura Durling
Stephen Fillman
Denis L. Galindo
James M. Krause
Dave E. McNeill III
Patrick Ogidan
Amie Sun-Wright
17030 Nanes Drive, Ste. 211
Houston • 281-440-5925
www.drmoonat.com
Steven Sapsowitz
Internal Medicine
8111 Cypresswood Drive, Ste. 104
Spring • 281-376-0707
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The doctors listed in this directory
all take appointments and practice
medicine in the fields of family
practice, internal medicine,
obstetrics/gynecology and pediatrics.
Doctors practicing in other fields
are not included. This list is not
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Internal Medicine
21301 Kuykendahl Road, Ste. H
Spring • 832-717-7825
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Cypresswood
Houston • 281-893-9982
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Daniel Belley
Harriet N, Hillard
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Zakia Nuruddin
Stephen M. Thomas
Robert M. Turner
31 Memorial Hermann Medical
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46 Angel Quan, OB/GYN
1140 Cypress Station Drive, Ste.
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39 Northwest Diagnostic Clinic
Janice Marie Kelley
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15655 Cypress Woods Medical
Center, Ste. 100
Spring • 713-442-1700
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