药物使用障碍治疗在医疗补助管理护理中脱而出
Allie F Silverman1, Melissa A Westlake2, Olivia M Hinds2
1Heller School for Social Policy and Management, Brandeis University, Schneider Building, 415 South Street, Waltham, MA 02453, United States of America.
Journal of substance use and addiction treatment
|March 30, 2024
概括
大多数医疗补助管理护理计划都划出了物质使用障碍 (SUD) 治疗福利. 这些划分安排的差异很大,可能会给受益者在获得护理方面带来挑战.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 成 药物 药物 药物 药物
背景情况:
- 医疗补助管理护理组织 (MCOs) 为超过5000万美国人提供物质使用障碍 (SUD) 治疗.
- "切割"安排的范围和结构,其中MCO委托SUD福利管理,在很大程度上是未知的.
- 之前,切割已经与SUD治疗机会的减少有关.
研究的目的:
- 为了检查SUD治疗的流行和结构,在医疗补助MCO计划中"划出"安排.
- 确定SUD服务和药物被划出的实体类型.
主要方法:
- 2018年10个州的70个医疗补助MCO计划中公开可用的福利信息的内容分析.
- 审查和编码计划文件,以确定SUD服务和药物是否被划分,以及哪些实体.
主要成果:
- 大多数医疗补助MCO计划至少提供一些 (28.6%) 或所有 (40.0%) SUD治疗服务.
- 几乎所有的计划都划出了一些 (77.1%) 或所有 (14.3%) 的药物,通常包括甲治疗.
- SUD服务最常被划分为行为健康组织,而药物通常被划分为州医疗补助服务费计划.
结论:
- 进行SUD治疗的安排在各州,计划和计划内存在很大差异.
- 由于这些复杂的切割方法的广泛使用,政策制定者需要注意这些复杂的切割方法,因为它们可能对治疗机会产生影响.
- 这些安排可能会给医疗补助计划的入学者带来挑战,以导航和访问他们的SUD治疗福利.
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