Despite Resources From The ACA, Most States Do Little To Help Addiction Treatment Programs Implement Health Care Reform.
The Affordable Care Act (ACA) dramatically expands health insurance 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 for addiction treatment--the state governmental organizations charged with overseeing addiction treatment programs--are helping programs respond to new requirements under the ACA. We found that most Single State Agencies provide little assistance to addiction treatment programs. Most agencies are helping programs develop collaborations with other health service programs. However, fewer than half reported providing help in modernizing systems to support insurance participation, and only one in three provided assistance with enrollment outreach. In the absence of technical assistance, it is unlikely that addiction treatment programs will fully realize the ACA's promise to improve access to and quality of addiction treatment.
Christina Andrews (candrews@mailbox.sc.edu) is an assistant professor of social work at the University of South Carolina, in Columbia.
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Amanda Abraham is an assistant professor of health policy and management at the University of Georgia, in Athens.
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Colleen M. Grogan is a professor of health policy at the University of Chicago, in Illinois.
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Harold A. Pollock is an associate professor of health policy at the University of Chicago.
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Clifford Bersamira is a doctoral student in social work at the University of Chicago.
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Keith Humphreys is a professor of psychiatry and behavioral sciences at the Veterans Affairs and Stanford University Medical Centers, both in Stanford, California.
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Peter Friedmann is a professor of medicine at the Providence Veteran Affairs Medical Center, the Rhode Island Hospital, and the Alpert Medical School of Brown University, all in Providence, Rhode Island.
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D003159:Community-Institutional Relations / Q000191:economics; D015276:Health Care Rationing / Q000191:economics* / Q000458:organization & administration*; D006284:Health Plan Implementation / Q000458:organization & administration*; D006297:Health Services Accessibility / Q000191:economics / Q000458:organization & administration; D006301:Health Services Needs and Demand / Q000191:economics / Q000458:organization & administration; D006801:Humans; D019458:Insurance Coverage / Q000191:economics; D000070516:Intersectoral Collaboration; D058991:Patient Protection and Affordable Care Act / Q000191:economics* / Q000458:organization & administration*; D040841:Resource Allocation / Q000191:economics* / Q000458:organization & administration*; D064876:Safety-net Providers / Q000191:economics / Q000458:organization & administration; D013221:State Health Plans / Q000191:economics* / Q000458:organization & administration*; D016320:Substance Abuse Treatment Centers / Q000191:economics* / Q000458:organization & administration*; D019966:Substance-Related Disorders / Q000191:economics* / Q000534:rehabilitation*; D014481:United States
Health Reform; Insurance; Medicaid; Mental Health/Substance Abuse; Safety-Net Systems