Improving the Quality of Addiction Treatment

TY - CHAP

T1 - Improving the Quality of Addiction Treatment

AU - Hoffman, Kim A.

AU - McCarty, Dennis

N1 - Funding Information: The second report, Reimbursement of Mental Health Services in Primary Care Settings, was sponsored by the SAMHSA. The goal was to respond to the 2003 President’s New Freedom Commission on Mental Health, Transforming Mental Health Care in America, which called for improved integration of physical and mental health. SAMHSA collaborated with the Health Resources and Services Administration, and the Centers for Medicare & Medicaid Services (CMS) to document Medicaid/Medicare barriers to reimbursement of mental health services within primary care. It also detailed recommendations for ameliorating these barriers. Though its focus was on mental health, the barriers to reimbursement for integrated treatment for substance use disorders are similar. Funding Information: In the United States, two federally sponsored studies have increased support for the integration of services. The first, Integration of Mental Health/Substance Abuse and Primary Care, was sponsored by the Agency for Health Care Research and Quality as part of its Evidence Report/Technology Assessment Series. This report found that integrated care led to better outcomes for those with alcohol use disorders and documented that complex, multi-plan payment schedules were an impediment to the implementation of this integrated model. Funding Information: The Strengthening Treatment Access and Retention – State Implementation (STAR-SI) program was funded by the Substance Abuse and Mental Health Services Administration’s (SAMHSA) CSAT and the RWJF. STAR-SI extends NIATx principles to state-level process improvements and improves delivery of substance abuse treatment. System barriers and broken administrative procedures can often only be addressed at the state level. STAR-SI encouraged states to leverage their position of purchasers of addiction treatment services states to improve practice. Nine state-provider partnerships in Florida, Illinois, Iowa, Maine, New York, Ohio, Oklahoma, South Carolina, and Wisconsin received funding to implement process improvement strategies targeting fiscal, regulatory, and policy changes. An important component of STAR-SI includes designing and testing methods states and other payers use to engage with each other and with providers. The case of Oklahoma provides some insight into STAR-SI’s success.

PY - 2013

Y1 - 2013

UR - http://www.scopus.com/inward/record.url?scp=84884428367&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84884428367&partnerID=8YFLogxK

U2 - 10.1016/B978-0-12-398338-1.00060-9

DO - 10.1016/B978-0-12-398338-1.00060-9

M3 - Chapter

AN - SCOPUS:84884428367

SN - 9780123983381

SP - 579

EP - 588

BT - Interventions For Addiction

PB - Elsevier Inc.

ER -