Treatment for alcohol use disorder in medicaid managed care

Active Project Grant Awarded Last action

Award ID
R01AA029097
Recipient
Awarding agency
Obligated
$5,176,002

Award facts

Assistance listing
93.273 Alcohol Research Programs
Completion date 92% complete
Originally
Funding
  • $4,505,830.00 Federal
  • $670,172.00 Non-federal
Place of performance
South Carolina, USA

Award details come from USAspending.gov.

Description

As the agency reported it.

Abstract
As the nation continues to grapple with rising alcohol-related hospitalization and mortality, expanding access to alcohol use disorder (AUD) treatment remains an urgent public health priority. While medicaid is positioned to be a key policy lever to improve access to AUD treatment and reduce mortality among vulnerable populations, many state medicaid programs do not cover the full continuum of AUD treatment and use utilization management parameters that may restrict access. Moreover, most state medicaid programs contract with managed care organizations (mcos). While over 70% of all medicaid enrollees participate in MCO plans, little is known about how these plans cover AUD treatment. To fill this GAP in the scientific evidence, we will conduct the first multi-state study of the effects of medicaid MCO coverage and utilization management design on AUD treatment receipt and outcomes. The study will encompass 142 MCO plans, across 18 states, for the full continuum of treatment. We also propose to make use of innovative random auto-assignment methods in two state medicaid programs. Our specific aims will include: (1) estimating how MCO plans' coverage and utilization management designs are associated with progression through the major stages of identification and treatment of AUD (diagnosis, initiation, engagement, and retention); (2) estimating how MCO plans' coverage and utilization management parameters are associated with alcohol-related emergency department visits and hospitalizations; and (3) estimating how progression through the stages of identification and treatment of AUD is associated with alcohol-related mortality. The proposed study will be the first comprehensive investigation of the effects of MCO coverage for AUD treatment on treatment receipt and outcomes - evidence without which the care of a large fraction of the AUD population is compromised. As alcohol-related hospitalization and mortality continue to rise, evidence regarding the impact of medicaid MCO coverage for AUD treatment is urgently needed. This research will equip policymakers with evidence-based guidance on how to structure MCO contractual arrangements to ensure appropriate and efficient access to AUD treatment. 1

Transactions

Action Federal Non-federal Date
Amendment $0 $0
Amendment $640,856 $0
Amendment $636,635 $0
Amendment $636,635 $0
Amendment $625,680 $0
Amendment $625,680 $0
Amendment $670,172 $0
Original award $670,172 $670,172

Subawards

Subrecipient Amount Awarded
University Of Georgia Research Foundation, Inc. Critical tasks needed to successfully carry out the Treatment of Alcohol Use Disorder in Medicaid Managed Care project will be undertaken at the University of… $93,620
The University Of Chicago Medical Center The University of Chicago led by Co-Principal Investigator Colleen Grogan at the University of Chicago’s School of Social Service Administration is… $57,700
The University Of Chicago Medical Center $57,700
University Of Georgia Research Foundation, Inc. Critical tasks needed to successfully carry out the Treatment of Alcohol Use Disorder in Medicaid Managed Care project will be undertaken at the University of… $229,445
American Folklore Society INDIANA UNIVERSITY. Co-Investigator Simon will assist with the design and execution of major study analyses. Dr. Simon is a health economist with extensive… $99,966

Quick answers

Who received award R01AA029097?

R01AA029097 was awarded to University Of South Carolina by National Institute on Alcohol Abuse and Alcoholism (National Institutes of Health) on May 10, 2021.

How much is award R01AA029097 worth?

$5,176,002 has been obligated on R01AA029097: $4,505,830 in federal funding and $670,172 in non-federal funding.

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