Online Program

Most States Do Little to Help Addiction Treatment Programs Implement Health Care Reform

Monday, November 2, 2015 : 2:30 p.m. - 2:50 p.m.

Harold Pollack, PhD, School of Social Service Administration, University of Chicago, Chicago, IL

Christina Andrews, PhD, School of Social Work, University of South Carolina, Columbia, SC
Colleen Grogan, PhD, School of Social Service Administration, The University of Chicago, Chicago, IL
Peter Friedmann, MD, MPH, Division of General Internal Medicine, Rhode Island Hospital, Providence, RI
Amanda Abraham, PhD, Owens Institute for Behavioral Research, University of Georgia, Athens, GA
Thomas D'Aunno, PhD, Wagner Graduate School of Public Service, Global Institute of Public Health, New York University, New York, NY
Keith Humphreys, PhD, Department of Psychiatry, Stanford School of Medicine, Stanford, CA
The Affordable Care Act (ACA) dramatically expanded health insurance coverage for addiction treatment, and provides unprecedented opportunities for service growth and delivery model reform. Yet most addiction treatment programs lack the staffing and technological capabilities to respond successfully to ACA-driven system change. In light of these challenges, we conducted a national survey to examine how Single State Agencies (SSAs), the state governmental organizations charged with overseeing addiction treatment programs, are assisting programs to respond to new requirements under ACA implementation. We find that most SSAs provide little assistance to addiction treatment programs. Although the majority reported that they assisted addiction treatment programs in developing collaborations with other health service programs, fewer than half reported providing help in modernizing systems to support insurance participation, and only one in three provided assistance with enrollment outreach services. In the absence of technical assistance, it is unlikely that addiction treatment programs will be able to realize the ACA’s promise to improve the accessibility and quality of addiction treatment.

Learning Areas:

Administration, management, leadership
Conduct evaluation related to programs, research, and other areas of practice
Provision of health care to the public
Public health or related public policy

Learning Objectives:
Assess state governments' support for health reform implementation in the area of substance use.

Keyword(s): Drug Abuse Treatment, Policy/Policy Development

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a key drafter of the manuscript and University of Chicago PI of the research project.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.