Wake Forest IMPOWR Dissemination Education and Coordination Center (IDEA-CC)

项目摘要 NIH HEAL IMPOWR计划的重点是开发综合评估和治疗途径， 患有慢性疼痛和阿片类药物使用障碍的人。WF IMPOWR传播教育和 协调中心（IDEA-CC）提供支持和数据基础设施，以开发以及临床， 教育和技术领域的专业知识，以实现IMPOWR计划的核心原则。这 补充建议建立在父母补助金的目标，以发展我们对如何翻译的理解 将IMPOWR网络干预措施的结果应用于临床实践。医疗补助是这两个方面的主要保险公司 物质使用治疗和精神健康在美国，但有广泛的覆盖面和报销 由于当地政策的变化。虽然IMPOWR网络的研究正在确定临床效用，但我们 计划调查IMPOWR中一部分州的纵向医疗补助覆盖范围和报销情况 行为和综合健康干预方案。我们的长期目标是改善 共病CP和OUD。我们将评估医疗补助政策驱动的行为健康报销， 根据提供者类型提供的OUD治疗咨询服务，以及治疗细节 细节总的假设是，各种各样的医疗补助政策的覆盖面和报销 造成护理差距，阻碍循证护理的实施。这一假设将得到检验 通过我们的目标：确定医疗补助政策的覆盖范围和报销的行为和综合 治疗OUD和CP的卫生服务。我们将评估医疗补助政策驱动的报销， 根据提供者类型的OUD治疗的行为健康和咨询服务（例如，同伴辅导员， 有执照的咨询师、社会工作者和心理学家），以及治疗细节（设置， 个人与团体，会议次数）。此外，我们将评估IMPOWR的综合疗法， 在政策允许的情况下进行干预。该提案将确定IMPOWR研究干预措施的两个方面 可以在现有政策下实施，并且可能需要进行医疗补助试点研究。利用 我们参与和分析不同支付和报销数据的能力，该提案将支持， 扩大，并创造动力，为IMPOWR网络的调查结果在整个医疗网络和科学 社区IDEA-CC将支持NIH HEAL的目标，以增强现有治疗方法对共同疾病的影响。 发生OUD和CP。通过本补充提案获得的知识将使科学 社区支持了解由于覆盖率可以采取哪些干预措施， 医疗补助试点项目，用于已在IMPOWR计划中证明受益但可能尚未 支付者覆盖。

Project Summary The NIH HEAL IMPOWR program focuses on developing integrated assessment and treatment pathways for people with chronic pain and opioid use disorder. The WF IMPOWR Dissemination Education and Coordination Center (IDEA-CC) provides the support and data infrastructure to develop, as well as the clinical, educational, and technical domain expertise to achieve the core principles of the IMPOWR program. This supplemental proposal builds on the goals of the parent grant to develop our understanding of how to translate the findings of the IMPOWR network interventions into clinical practice. Medicaid is the leading insurer for both substance use treatment and mental health in the US but has a wide range of coverage and reimbursement because of the local policy variation. While the IMPOWR network's studies are determining clinical utility, we plan to investigate longitudinal Medicaid coverage and reimbursement for a subset of states in the IMPOWR program for behavioral and integrative health interventions. Our long-term goal is to improve the treatment of co-morbid CP and OUD. We will assess Medicaid policy driven reimbursement for behavioral health and counseling services for OUD treatment according to provider type, as well as details around treatment specifics. The overall hypothesis is that the wide variety of Medicaid policy coverage and reimbursement creates gaps in care that prevent evidence-based care from being implemented. This hypothesis will be tested through our aim: Identifying Medicaid policies for coverage and reimbursement of behavioral and integrative health services for the treatment of OUD and CP. We will assess Medicaid policy driven reimbursement for behavioral health and counseling services for OUD treatment according to provider type (e.g., peer counselors, licensed counselors, social workers, and psychologists), as well as details around treatment specifics (setting, individual vs. group, # of sessions). Additionally, we will assess integrative therapies from IMPOWR interventions when available under policy. This proposal will identify both where IMPOWR study interventions could be implemented under existing policies and where Medicaid pilot studies may be required. Leveraging our ability to engage and analyze different payment and reimbursement data, this proposal will support, amplify, and create momentum for the IMPOWR network's findings across the HEAL network and scientific community. IDEA-CC will support NIH HEAL's goal to enhance the impact of existing treatments for co- occurring OUD and CP. The knowledge gained through this supplemental proposal will enable the scientific community to support understanding of what interventions can be adopted due to coverage and work toward Medicaid pilot projects for treatments that have demonstrated benefit in IMPOWR programs but may not yet be covered by payers.