This proposal seeks two-year funding to evaluate the extent to which managed care (MC), in comparison to traditional Fee-for-Service (FFS) models, affects access and cost of treating Medicaid (MA) eligible adults who have a primary diagnosis of alcohol dependence or abuse. Pennsylvania's health care reform effort for MA recipients creates an opportunity for the policy research community to evaluate a public sector venture into providing behavioral MC services to a large number of individuals with alcohol problems. Philadelphia is the experimental site where the MC intervention began in 1997 and Allegheny County serves as the control or comparison site for the traditional FFS program. The proposed study is a secondary analysis of existing MA data and related data sources conducted by researchers from the School of Social Work and School of Medicine at the University of Pennsylvania, in collaboration with staff of the Philadelphia DOH, the Philadelphia OMH, CODAAP, the Allegheny OMH, and Drug and Alcohol Programs. Questions, hypotheses and analyses are organized around issues of Service Utilization and Cost of Care. Questions related to Utilization (i.e. access, intensity, continuity, substitution) and Cost involve specific hypotheses Generated from the literature and from preliminary studies by the investigator.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Exploratory/Developmental Grants (R21)
Project #
1R21AA012084-01A2
Application #
6266148
Study Section
Health Services Research Review Subcommittee (AA)
Program Officer
Hilton, Michael E
Project Start
2001-07-01
Project End
2003-06-30
Budget Start
2001-07-01
Budget End
2002-06-30
Support Year
1
Fiscal Year
2001
Total Cost
$158,500
Indirect Cost
Name
University of Pennsylvania
Department
Psychiatry
Type
Schools of Medicine
DUNS #
042250712
City
Philadelphia
State
PA
Country
United States
Zip Code
19104
Rothbard, Aileen B; Kuno, Eri (2006) Comparison of alcohol treatment and costs after implementation of medicaid managed care. Am J Manag Care 12:285-96