Improving quality and equity of opioid use disorder treatment using a multi-state medicaid research network

Active Project Grant Awarded Last action

Award ID
RM1DA059365
Recipient
Awarding agency
Obligated
$14,786,793

Award facts

Assistance listing
93.279 Drug Use and Addiction Research Programs
Completion date 62% complete
Place of performance
Pittsburgh, PA 15213, USA

Award details come from USAspending.gov.

Description

As the agency reported it.

Abstract
Medicaid covers the majority of individuals who need opioid use disorder (OUD) treatment and disproportionately covers minoritized populations and those with socioeconomic risk factors. Improving OUD treatment quality in medicaid thus can reach large numbers and inform efforts to redress inequities in care. State medicaid programs have changed policy to expand the continuum of care, remove barriers to treatment, and improve the quality of OUD care. However, states have taken these actions amidst OUD quality measurement systems that are underdeveloped limiting opportunities for targeted intervention and robust evaluation of policy effects. Current OUD quality measures are limited in three key ways. First, OUD quality measures are seldom constructed at the provider-level, despite the fact that clinicians, practices, and facilities are the most likely locus of intervention for quality improvement programs. Second, few measures incorporate OUD patient-reported outcomes or experiences of care. Third, quality measures are typically not reported by population sub-group and thus fail to identify inequities in treatment based on race and ethnicity amenable to policy and programmatic changes. The medicaid outcomes distributed research network (modrn) has supported medicaid agency efforts to improve OUD treatment by developing novel measures of treatment quality and examining effects of treatment quality on overdose. Modrn will develop equity and quality improvement for medicaid programs (equip) and draw on our robust university-state partnerships in 12 states accounting for 24% of the US medicaid population. Our overarching goal is to develop OUD quality measures that can be constructed at the provider-level, incorporate patient experience, and center health equity. Efficient and sustainable OUD quality measures developed and implemented by modrn-equip will guide quality improvement initiatives and medicaid policy decisions. Our goal will be achieved through three integrated research projects aiming to: 1) develop provider-level OUD quality measures using medicaid administrative data; 2) measure OUD patient- reported outcomes and examine associations with claims-based quality measures to guide quality and equity improvement, and 3) implement and examine the effectiveness of a practice-level quality improvement intervention for OUD. A state steering committee of medicaid leaders will oversee modrn-equip, drawing on infrastructure supported by prior nida grants (R01DA055585 and R01DA048029). These research projects will be executed by a coordinating center, a methods core and an engagement and dissemination core that draws on the expertise of medicaid beneficiaries, providers, managed care organizations and policymakers to develop quality measurement and management systems to transform substance use treatment. We will disseminate our findings through state policy networks to reach beyond our 12 states to other medicaid programs.

Transactions

Action Obligated Date
Amendment Improving quality measurement for opioid use disorder treatment using a multi-state medicaid research network - medicaid covers the majority of individuals… $2,262,852
Amendment $2,307,901
Amendment $0
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Amendment $2,554,010
Amendment $2,554,010
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Original award $2,554,010
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Subawards

Subrecipient Amount Awarded
West Virginia University Research Corporation This subaward will support a project which will improve opioid use disorder quality measures using a multi-state Medicaid research network. $22,640
University Of Maryland, Baltimore Improving quality measurement for opioid use disorder treatment using a multi-state Medicaid research network $24,571
Academy Health $111,200
The University Of Utah $41,543
Subrecipient not on record $354,906
Subrecipient not on record $352,139
Subrecipient not on record $94,930
Northwestern University Improving quality and equity of opioid use disorder treatment using a multi-state Medicaid research network $33,256
University Of North Carolina At Chapel Hill $124,290
University Of Delaware $86,961
Vanderbilt University Medical Center $126,110
The University Of Kentucky Research Foundation $127,570
Virginia Commonwealth University $220,034
University Of Wisconsin System $115,030
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Quick answers

Who received award RM1DA059365?

RM1DA059365 was awarded to University Of Pittsburgh - Of The Commonwealth System Of Higher Education by National Institute on Drug Abuse (National Institutes of Health) on September 30, 2023.

How much is award RM1DA059365 worth?

$14,786,793 has been obligated on RM1DA059365.

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