Integration of Substance Abuse Treatment Organizations into Accountable Care Organizations: Results from a National Survey.
To meet their aims of managing population health to improve the quality and cost of health care in the United States, accountable care organizations (ACOs) will need to focus on coordinating care for individuals with substance abuse disorders. The prevalence of these disorders is high, and these ind...
| Published in: | Journal of Health Politics, Policy & Law Vol. 40; no. 4; pp. 797 - 820 |
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| Main Authors: | , , , |
| Format: | Article |
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Duke University Press
Aug2015
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| Subjects: | |
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=110842581&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 110842581 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 03616878 HPP jtl: Journal of Health Politics, Policy & Law issn: 03616878 maglogo: N pubinfo: dt: Aug2015 vid: 40 iid: 4 pid: 154 pub: Duke University Press artinfo: ui: 110842581 10.1215/03616878-3150062 ppf: 797 ppct: 23 formats: tig: atl: Integration of Substance Abuse Treatment Organizations into Accountable Care Organizations: Results from a National Survey. aug: au: D'Aunno, Thomas Friedmann, Peter D. Qixuan Chen Wilson, Donna M. affil: New York University Providence Veteran Affairs Medical Center Columbia University Rhode Island Hospital su: United States Substance abuse treatment Interviewing Sensory perception Population geography Treatment programs Economic competition Conceptual structures Health facility administration Questionnaires Regression analysis Research funding Statistical sampling Scale analysis (Psychology) Data analysis software Patient Protection & Affordable Care Act Descriptive statistics Accountable care organizations sug: subj: Substance abuse treatment Interviewing Sensory perception Population geography Treatment programs Economic competition United States Marketing Research and Public Opinion Polling Psychiatric and Substance Abuse Hospitals Outpatient Mental Health and Substance Abuse Centers Other Individual and Family Services Conceptual structures Health facility administration Questionnaires Regression analysis Research funding Statistical sampling Scale analysis (Psychology) Data analysis software Patient Protection & Affordable Care Act Descriptive statistics Accountable care organizations keyword: accountable care organizations care coordination substance abuse treatment organizations accountable care organizations care coordination substance abuse treatment organizations ab: To meet their aims of managing population health to improve the quality and cost of health care in the United States, accountable care organizations (ACOs) will need to focus on coordinating care for individuals with substance abuse disorders. The prevalence of these disorders is high, and these individuals often suffer from comorbid chronic medical and social conditions. This article examines the extent to which the nation's fourteen thousand specialty substance abuse treatment (SAT) organizations, which have a daily census of more than 1 million patients, are contracting with ACOs across the country; we also examine factors associated with SAT organization involvement with ACOs. We draw on data from a recent (2014) nationally representative survey of executive directors and clinical supervisors from 635 SAT organizations. Results show that only 15 percent of these organizations had signed contracts with ACOs. Results from multivariate analyses show that directors' perceptions of market competition, organizational ownership, and geographic location are significantly related to SAT involvement with ACOs. We discuss implications for integrating the SAT specialty system with the mainstream health care system. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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