A new analysis from the Association for Community Affiliated Plans (ACAP) focuses on new models implemented by safety-net plans and the best way high-quality coordinated care can be provided for individuals with substance abuse disorder (SUD).
Successfully managing the needs of people with SUD requires a high-level of comprehensive care with adequate access to clinical and social services. Monetary and social barriers can prevent the coordination of this care and make the complex needs of people with SUD more difficult to meet.
Care for this population is often fragmented, and most are enrolled in Medicaid with an approximate 40 percent of the non-elderly adult pool combatting opioid addiction, according to the report.
The participating safety-net plans included: Hennepin Health (Minnesota), CareSource (Ohio), AmidaCare (New York), and Health Plan of San Joaquin (California). Each plan contributed to the diversity of the mix with varying geographic locations and sizes, as well as approach to service delivery.
ACAP believes Medicaid managed care organizations (MCOs) have an advantage in addressing case management challenges when it comes to care coordination of SUD. The report read, in part, “as they assume health care delivery for an increasing share of Medicaid enrollees, MCOs are in a unique position to have a major impact on the health, wellbeing, and life expectancy of those individuals affected by SUD.”
Check out Fierce Healthcare’s story on their site.
Access ACAP’s full report here.