Racial/Ethnic Disparities in Substance Use Treatment in Medicaid Managed Care in New York City: The Role of Plan and Geography.
Racial/Ethnic Disparities in Substance Use Treatment in Medicaid Managed Care in New York City: The Role of Plan and Geography.
复制标题
DOI：
10.1097/mlr.0000000000001768
复制
发表时间：
2022-11-01
期刊：
影响因子：
3
通讯作者：
McGuire, Thomas
中科院分区：
文献类型：
--
作者：
Alegria, Margarita;Falgas-Bague, Irene;Fukuda, Marie;Zhen-Duan, Jenny;Weaver, Cole;O'Malley, Isabel;Layton, Timothy;Wallace, Jacob;Zhang, Lulu;Markle, Sheri;Lincourt, Pat;Hussain, Shazia;Lewis-Fernandez, Roberto;John, Dolly A.;McGuire, Thomas
To assess the magnitude of health care disparities in treatment for substance use disorder and the role of health plan membership and place of residence in observed disparities in Medicaid Managed Care plans in New York City. Medicaid claims and managed care plan enrollment files for 2015–2017 in New York City. We studied Medicaid enrollees with a substance use disorder diagnosis during their first six months of enrollment in a managed care plan in 2015–2017. A series of linear regression models quantified service disparities across race/ethnicity for five outcome indicators: treatment engagement, receipt of psychosocial treatment, follow-up after withdrawal, rapid readmission, and treatment continuation. We assessed the degree to which plan membership and place of residence contributed to observed disparities. We found disparities in access to treatment but the magnitude of the disparities in most cases was small. Plan membership and geography of residence explained little of the observed disparities. One exception is geography of residence among Asian Americans, which appears to mediate disparities for two of our five outcome measures. Reallocating enrollees among Medicaid Managed Care plans in New York City or evolving trends in group place of residence are unlikely to reduce disparities in treatment for substance use disorder. System-wide reforms are needed to mitigate disparities.
影响因子：
3.9
作者：
Zhen-Duan J;Fukuda M;DeJonckheere M;Falgas-Bagué I;Miyawaki S;Khazi P;Alegría M
通讯作者：
Alegría M