Project 2 - Profiling and Incentives in Behavioral Health Care This research evaluates the contribution of provider profiling and incentives to improving the quality of managed behavioral health care. Combining a quasi-experimental interrupted time series and randomized-controlled designs, the study uses existing data from public sector general assistance (GA) clients who receive substance abuse treatment under the state of Connecticut' s managed behavioral health care (MBHC) program. In October 2001, the Connecticut Department of Mental Health and Addiction Services (DMHAS) initiated provider profiling. DMHAS incorporates four standards of care and effectiveness measures into the contracts of all 452 providers (sites) who provide substance abuse and mental health services to approximately 25,000 GA clients per year. The profiles measure each provider's success in enhancing continuity of care, avoiding rapid readmissions to acute treatment services, documenting treatment plans, and referring high-risk clients appropriately. Every 4 months, DMHAS gives all providers written profiles measuring their performance and will offer technical assistance. To test a package of incentives, about 6 months after the start of this research, all providers will be randomly divided by region into incentives and control groups. Providers in the incentives group will be rewarded with administrative, referral, recognition, and financial incentives (for detox providers) for performing well. After 2 years, DMHAS will reverse the incentive and control areas. Brandeis will evaluate changes in provider performance, client """"""""transitions"""""""" and treatment costs using client level data from DMHAS administrative data through multivariate regression. Process changes will be monitored through site visits and provider surveys as part of this study.
| McCarty, Dennis; Rieckmann, Traci; Baker, Robin L et al. (2017) The Perceived Impact of 42 CFR Part 2 on Coordination and Integration of Care: A Qualitative Analysis. Psychiatr Serv 68:245-249 |
| Korthuis, P Todd; McCarty, Dennis; Weimer, Melissa et al. (2017) Primary Care-Based Models for the Treatment of Opioid Use Disorder: A Scoping Review. Ann Intern Med 166:268-278 |
| Stewart, Maureen T; Horgan, Constance M; Garnick, Deborah W et al. (2013) Performance contracting and quality improvement in outpatient treatment: effects on waiting time and length of stay. J Subst Abuse Treat 44:27-33 |
| Garnick, Deborah W; Horgan, Constance M; Acevedo, Andrea et al. (2012) Performance measures for substance use disorders -- what research is needed? Addict Sci Clin Pract 7:18 |
| Acevedo, Andrea; Garnick, Deborah W; Lee, Margaret T et al. (2012) Racial and ethnic differences in substance abuse treatment initiation and engagement. J Ethn Subst Abuse 11:1-21 |
| Reif, Sharon; Torres, Maria E; Horgan, Constance M et al. (2012) Characteristics of practitioners in a private managed behavioral health plan. BMC Health Serv Res 12:283 |
| Merrick, Elizabeth L; Reif, Sharon; Hiatt, Deirdre et al. (2012) Substance abuse treatment client experience in an employed population: results of a client survey. Subst Abuse Treat Prev Policy 7:4 |
| Strickler, Gail K; Reif, Sharon; Horgan, Constance M et al. (2012) The Relationship between Substance Abuse Performance Measures and Mutual Help Group Participation after Treatment. Alcohol Treat Q 30:190-210 |
| Merrick, Elizabeth S Levy; Hodgkin, Dominic; Hiatt, Deirdre et al. (2011) Integrated employee assistance program/managed behavioral health plan utilization by persons with substance use disorders. J Subst Abuse Treat 40:299-306 |
| Azzone, Vanessa; Frank, Richard G; Normand, Sharon-Lise T et al. (2011) Effect of insurance parity on substance abuse treatment. Psychiatr Serv 62:129-34 |
Showing the most recent 10 out of 62 publications
