Rapid changes in the health care system make it necessary to regularly update our knowledge of how alcohol services are provided. Health plan decisions can influence not only whether there is problem recognition, but also access to care, and the quality and cost of care received. Most people under 65 in the US, who account for the majority of persons with alcohol problems, are covered by employer-based private health insurance which influences how and what services they receive related to alcohol problems. This competitive renewal for Round 3 of our nationally representative survey of private health plans will provide a current picture of the complex and changing organization of behavioral health services in private health plans. It will build on the prior two rounds and continue explore health plan decisions about specific arrangements and to track changes in wide variety of domains. These include administrative factors, e.g., contracting arrparity law;growing role of internet and electronic health records;increased use of incentives for performance and quality;increased recognition of primary care as an essential setting for alcohol services, including brief interventions and referral and the intersection with HIV services;expansion of wellness programs and new medications for alcohol treatment. Our main objective is to further understand how alcohol services are provided in private health plans, building on and comparing with the two prior rounds.
The specific aims are: (1) Describe the provision of alcohol services in private health plans for benefit year 2010 in terms of administrative factors and clinical factors. (2) Analyze changes in health plans'provision of alcohol services in the last decade and explore factors that influence these changes. (3) Model contracting arrangements for specialty alcohol services to understand how health plan characteristics and the changing environment of service delivery withinecessary to regularly update our knowledge of how alcohol services are provided. Health plan decisions can influence not only whether there is recognition of a problem, but also patients'access to care, and the quality and cost of care they receive. This competitive renewal for Round 3 of our survey will provide a current picture of the complex and changing organization of behavioral health services in private health plans, which cover the majority of people under 65 in the U.S. ????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????

Public Health Relevance

Rapid changes in the health care system make it necessary to regularly update our knowledge of how alcohol services are provided. Health plan decisions can influence not only whether there is recognition of a problem, but also patients'access to care, and the quality and cost of care they receive. This competitive renewal for Round 3 of our survey will provide a current picture of the complex and changing organization of behavioral health services in private health plans, which cover the majority of people under 65 in the U.S.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Project (R01)
Project #
5R01AA010869-09
Application #
8141277
Study Section
Health Services Research Review Subcommittee (AA)
Program Officer
Lowman, Cherry
Project Start
1996-09-29
Project End
2013-08-31
Budget Start
2011-09-01
Budget End
2012-08-31
Support Year
9
Fiscal Year
2011
Total Cost
$673,401
Indirect Cost
Name
Brandeis University
Department
Type
Schools of Social Work
DUNS #
616845814
City
Waltham
State
MA
Country
United States
Zip Code
02454
Reif, Sharon; Creedon, Timothy B; Horgan, Constance M et al. (2017) Commercial Health Plan Coverage of Selected Treatments for Opioid Use Disorders from 2003 to 2014. J Psychoactive Drugs 49:102-110
Garnick, Deborah W; Horgan, Constance M; Merrick, Elizabeth L et al. (2017) Private Health Plans' Contracts with Managed Behavioral Healthcare Organizations. J Behav Health Serv Res 44:149-157
Stewart, Maureen T; Horgan, Constance M; Hodgkin, Dominic et al. (2017) Behavioral Health Coverage Under the Affordable Care Act: What Can We Learn From Marketplace Products? Psychiatr Serv :appips201700098
Quinn, Amity E; Reif, Sharon; Evans, Brooke et al. (2016) How health plans promote health IT to improve behavioral health care. Am J Manag Care 22:810-815
Horgan, Constance M; Stewart, Maureen T; Reif, Sharon et al. (2016) Behavioral Health Services in the Changing Landscape of Private Health Plans. Psychiatr Serv 67:622-9
Horgan, Constance M; Hodgkin, Dominic; Stewart, Maureen T et al. (2016) Health Plans' Early Response to Federal Parity Legislation for Mental Health and Addiction Services. Psychiatr Serv 67:162-8
Reif, Sharon; Horgan, Constance M; Hodgkin, Dominic et al. (2016) Access to Addiction Pharmacotherapy in Private Health Plans. J Subst Abuse Treat 66:23-9
Hodgkin, Dominic; Horgan, Constance M; Creedon, Timothy B et al. (2015) Management of Newer Antidepressant Medications in U.S. Commercial Health Plans. J Ment Health Policy Econ 18:165-73
Merrick, Elizabeth; Hodgkin, Dominic; Horgan, Constance et al. (2015) Employee assistance programs in private health plans: what do they offer? Psychiatr Serv 66:220
Hodgkin, Dominic; Horgan, Constance M; Quinn, Amity E et al. (2014) Management of newer medications for attention-deficit/hyperactivity disorder in commercial health plans. Clin Ther 36:2034-2046

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