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Alcoholism pp 51–71Cite as

Effects of Managed Care on Programs and Practices for the Treatment of Alcohol and Drug Dependence

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Part of the book series: Recent Developments in Alcoholism ((RDIA,volume 15))

Abstract

Managed care is affecting the organization and financing of treatment services for alcohol and drug dependence. This paper examines the effects of managed care on program operations including the use of clinical protocols, the administrative burden, information systems, staffing, and program consolidation. It also reviews the effects of managed care on system performance related to employer-sponsored health plans, state employee health plans, and Medicaid and other public plans. Our review of managed care’s influences on the alcohol and drug abuse treatment system finds evidence of systemic reductions in access to inpatient care and increased reliance on outpatient services. Moreover, although analyses of behavioral health carve-outs often suggest increases in the use of outpatient care, evaluations of substance abuse claims report reductions in ambulatory utilization for the treatment of alcohol and drug dependence.

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Author information

Authors and Affiliations

  1. Reading, Massachusetts, 01867

    Shelley Steenrod

  2. Dartmouth Medical School, Hanover, New Hampshire, 03755

    Anne Brisson

  3. Dennis McCarty · Oregon Health Sciences University, Portland, Oregon, 97201

    Dennis McCarty

  4. Schneider Institute for Health Policy, Heller Graduate School, Brandeis University, Waltham, Massachusetts, 02454-9110

    Dominic Hodgkin

Authors
  1. Shelley Steenrod
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  2. Anne Brisson
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  3. Dennis McCarty
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  4. Dominic Hodgkin
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© 2002 Kluwer Academic Publishers

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Steenrod, S., Brisson, A., McCarty, D., Hodgkin, D. (2002). Effects of Managed Care on Programs and Practices for the Treatment of Alcohol and Drug Dependence. In: Alcoholism. Recent Developments in Alcoholism, vol 15. Springer, Boston, MA. https://doi.org/10.1007/978-0-306-47193-3_4

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  • DOI: https://doi.org/10.1007/978-0-306-47193-3_4

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-306-46441-6

  • Online ISBN: 978-0-306-47193-3

  • eBook Packages: Springer Book Archive

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