Medicaid Managed Care & Access to Alcohol Treatment

医疗补助管理式医疗

• 批准号: 6580229
• 负责人: BENTSON H MCFARLAND
• 金额: $ 14.74万
• 依托单位: OREGON RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-02-01 至 2005-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6580229
• 关键词: Medicare /Medicaid; alcoholic beverage consumption; alcoholism /alcohol abuse; alcoholism /alcohol abuse therapy; behavioral /social science research tag; clinical research; cost effectiveness; data collection methodology /evaluation; drug abuse; health care cost /financing; health care policy; health care service availability; health care service utilization; human data; managed care; mathematical model; statistics /biometry

DESCRIPTION (provided by applicant): This project has been completely re-designed to have both descriptive and analytical components addressing treatment utilization by Medicaid clients with alcohol problems. This topic remains significant since Medicaid has undergone substantial change in the last decade as states have replaced fee for service programs with managed care systems such as capitation. Early studies in individual states indicate that these changes may have had considerable impact on Medicaid clients' use of alcohol and drug abuse treatment services. However, there are no published national studies pertaining to these issues. The project will make use of information contained in the Treatment Episode Data Set, Medicaid Eligibility file, Uniform Facility Data System, the Substance and Mental Health Services Administration's Managed Care Tracking System, the National Association of State Alcohol and Drug Abuse Directors annual surveys, and other national data sets. The national data will be combined so as to obtain information on a state by state and year by year basis. Tables and graphs will be produced describing changes in state substance abuse treatment policies for and use of services by Medicaid clients with alcohol problems. In the analytic phase of the project the researchers will generate statistical models of access to alcohol and drug abuse treatment services by Medicaid clients that adjust for state by state and year by year variation in Medicaid enrollment, treatment program availability, and prevalence of alcohol problems in the Medicaid population, among other covariates. Hypotheses pertaining to changes over time in service use, client severity, and treatment modality will be tested. The investigators will explore application of hierarchical models and latent variable growth curves to the national data sets. The results will be of considerable interest to state Medicaid and alcohol drug abuse program directors.

描述（由申请人提供）：该项目已完全重新设计，具有描述性和分析性组件，以解决患有酒精问题的医疗补助客户的治疗利用。 由于医疗补助在过去十年中经历了重大变化，因此该主题仍然很重要，因为各州用托管护理系统（例如人才）取代了服务计划的费用。 在各个国家的早期研究表明，这些变化可能对医疗补助客户对酒精和药物滥用治疗服务的使用产生了相当大的影响。 但是，没有与这些问题有关的国家研究。 该项目将利用治疗事件数据集，医疗补助资格文件，统一设施数据系统，物质和精神卫生服务管理局的托管护理跟踪系统，国家酒精和药物滥用导演协会年度调查以及其他国家数据集的信息。 国家数据将合并，以逐年按州和州获取有关州的信息。 将制作表和图表，描述医疗补助客户患有酒精问题的国家药物滥用治疗政策的变化。 在该项目的分析阶段，研究人员将为医疗补助客户提供统计模型，以通过医疗补助入学率，治疗计划的可用性以及医疗补助人群中医疗补助的患病率逐年根据州和年份差异来调整州的酒精和药物滥用治疗服务。 将测试与服务使用，客户严重性和治疗方式随着时间的变化有关的假设。 研究人员将探索分层模型和潜在可变增长曲线的应用。 国家医疗补助和酒精药滥用计划董事的结果将引起人们的极大兴趣。